Immigrant status and cardiovascular risk over time: results from the Multi-Ethnic Study of Atherosclerosis

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• 作者：Fé ; lice Lê ; -Scherban ; PhD^a ; ^{f.lescherban@drexel.edu" class="auth_mail" title="E-mail the corresponding author} ; Sandra S. Albrecht ; PhD^b ; Alain Bertoni ; MD^c ; Namratha Kandula ; MD^d ; Neil Mehta ; PhD^e ; Ana V. Diez Roux ; MD ; PhD^a
• 关键词：Cardiovascular events ; Immigrants ; Cohort studies ; Cardiovascular risk factors
• 刊名：Annals of Epidemiology
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：26
• 期：6
• 页码：429-435.e1
• 全文大小：697 K

文摘

Despite cross-sectional evidence that foreign-born United States (US) residents often have better health than US-born residents of similar race and/or ethnicity, we know little about overall cardiovascular risk progression over time among immigrants as they age in the US.

Methods

Using longitudinal data from the Multiethnic Study of Atherosclerosis on 6446 adults aged 45–84 years at baseline, we examined how nativity and length of US residence related to change in cardiovascular health (CVH) and cardiovascular event incidence over 11-year follow-up. CVH was measured using the American Heart Association's CVH measure (range, 0–14; higher is better).

Results

Immigrants, particularly those with shorter US residence, had better baseline CVH and lower cardiovascular event incidence than the US born. Baseline CVH scores ranged from 8.67 (8.42–8.92) among immigrants living in the US less than 10 years to 7.86 (7.76–7.97) among the US born. However, recent immigrants experienced the largest CVH declines over time: 10-year declines ranged from −1.04 (−1.27 to −0.80) among immigrants living in the US less than 10 years at baseline to −0.47 (−0.52 to −0.42) among the US born.

Conclusions

Public health prevention efforts targeting new immigrants may help slow the deterioration of CVH and reduce future cardiovascular risk.