Nativity, Language Spoken at Home, Length of Time in the United States, and Race/Ethnicity: Associations with Self-Reported Hypertension

Yi, Stella S.; Elfassy, Tali; Gupta, Leena; Myers, Christa; Kerker, Bonnie D.

doi:10.1093/ajh/hpt209

Cited by 40 publications

(36 citation statements)

References 26 publications

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“…For example, black people who are foreign-born have lower body mass indexes (21) and lower rates of diabetes (22), self-reported high blood pressure (11), and allostatic load (13) than their US-born counterparts. Particularly with regard to hypertension, a largely asymptomatic condition, these findings may be affected by awareness of one’s condition, which is in turn a reflection on prior health care use and experience and other social determinants of health known to vary by nativity.…”

Section: Discussionmentioning

confidence: 99%

Awareness of High Blood Pressure by Nativity Among Black Men: Implications for Interpreting the Immigrant Health Paradox

et al. 2018

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IntroductionDifferences in the social determinants of health and cardiovascular health outcomes by nativity have implications for understanding the immigrant health paradox among black immigrants. We aimed to understand whether blood pressure awareness, a precursor to achieving blood pressure control among hypertensive patients, varied by nativity among a sample of black men.MethodsData were collected from 2010 through 2014. In 2016, we conducted logistic regression models using data from a large sample of urban-dwelling middle-aged and older black men. All men in the study had measured high blood pressure at the time of enrollment and were also asked whether they were aware of having high blood pressure. Independent variables included demographics, socioeconomic status, access to care, and health-related behaviors.ResultsForeign-born participants were significantly less likely than US-born participants to report awareness of having high blood pressure (P < .001). We observed a significant positive relationship between proportion of life spent in the US and being aware of having hypertension (β = 0.863; 95% CI, 0.412–1.314; P < .001). This relationship remained after adjusting the model for salient independent variables (β = 0.337; 95% CI, 0.041–0.634; P = .03).ConclusionsDifference in hypertension awareness by nativity may skew surveillance estimates used to track health disparities by large heterogeneous racial categories. Our results also indicate that prior health care experience and circumstances should be considered when studying the immigrant health paradox.

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Section: Discussionmentioning

confidence: 99%

Awareness of High Blood Pressure by Nativity Among Black Men: Implications for Interpreting the Immigrant Health Paradox

et al. 2018

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“…In a recent New York City survey, US residency for ≥10 years was associated with higher self-reported HTN prevalence in Blacks and Hispanics [8]. There is significant heterogeneity among Hispanics by racial admixture, country of origin, CVD risks, and disease prevalence; age-adjusted HTN rates appear higher among Puerto Ricans and Dominicans as compared with Mexican-Americans and Cubans [9,10].…”

Section: Introductionmentioning

confidence: 94%

Understanding the Importance of Race/Ethnicity in the Care of the Hypertensive Patient

Ferdinand

Nasser

2015

Curr Hypertens Rep

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Although several risk factors contribute to cardiovascular disease (CVD) overall, hypertension (HTN) is the major controllable risk factor. Hypertension is disproportionately more prevalent among Blacks or African-Americans compared with other race/ethnic populations, and the control rates among this disparate population are alarming. Several pathophysiologic mechanisms have been demonstrated and evaluated among hypertensives and the conglomeration of genetics, environmental, and personal lifestyle activities concurrently impact the progression of hypertension-related comorbidities (i.e., chronic renal disease, CVD, stroke, etc.). Specific pharmacotherapeutic choices are discussed and the most up-to-date data is presented to optimize the care of hypertensives. National and international guidelines for the treatment of HTN are reviewed and analyzed, presenting the most appropriate approach to the care of hypertensive patients overall. Additionally, national efforts supporting the goal of early HTN screening and treatment, as well as the variety of evidence-based pharmacotherapy, are summarized, applying to the public health impact overall.

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“…The most common form, hypertension or high blood pressure, is highly prevalent in minority population groups, particularly Blacks (Yi, Elfassy, Gupta, Myers, & Kerker, 2014). However, some researches have shown that recent African migrants are less likely to develop high blood pressure after controlling for age and obesity factors than their counterparts, African Americans (Okwuosa & Williams, 2012).…”

Section: African Transnational Migrants and High Blood Pressurementioning

confidence: 99%

“…Scholars in the past have focused more on the gender-specific engagement of resources and the culturally relevant perspectives of health, primarily for women (Gastaldo, Gooden, & Massaquoi, 2005;Messias, 2002). In the study of high blood pressure specifically, behaviors in daily life activities serve as potentially exacerbating or preventative factors for high blood pressure (McAlister, Lewanczuk, & Teo, 1996;Reddy & Katan, 2004;Yi et al, 2014). These include diet, level of physical activity, familial history, and stress-causing interactions.…”

Section: Multinational Ties and Health Outcomesmentioning

confidence: 99%

The interplay between transnationalism and health: the case of high blood pressure among African transnational migrants

Tshiswaka

Ibe-Lamberts

2014

Transnational Social Review

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Nativity, Language Spoken at Home, Length of Time in the United States, and Race/Ethnicity: Associations with Self-Reported Hypertension

Cited by 40 publications

References 26 publications

Awareness of High Blood Pressure by Nativity Among Black Men: Implications for Interpreting the Immigrant Health Paradox

Awareness of High Blood Pressure by Nativity Among Black Men: Implications for Interpreting the Immigrant Health Paradox

Understanding the Importance of Race/Ethnicity in the Care of the Hypertensive Patient

The interplay between transnationalism and health: the case of high blood pressure among African transnational migrants

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