Title | Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014-2017). |
Publication Type | Publication |
Year | 2020 |
Authors | Guadamuz JS, Durazo-Arvizu RA, Daviglus ML, Perreira KM, Calip GS, Nutescu EA, Gallo LC, Castañeda SF, Gonzalez F, Qato DM |
Journal | Am J Public Health |
Volume | 110 |
Issue | 9 |
Pagination | 1397-1404 |
Date Published | 2020 Sep |
ISSN | 1541-0048 |
Keywords | Adult, Aged, Antihypertensive Agents, Cardiovascular Diseases, Cross-Sectional Studies, Diabetes Mellitus, Emigrants and Immigrants, Female, Health Services Accessibility, Hispanic or Latino, Humans, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Hypercholesterolemia, Hypertension, Hypoglycemic Agents, Male, Middle Aged, Risk Factors, Undocumented Immigrants |
Abstract | To estimate treatment rates of high cholesterol, hypertension, and diabetes among Hispanic/Latino immigrants by immigration status (i.e., naturalized citizens, documented immigrants, or undocumented immigrants). We performed a cross-sectional analyses of the Hispanic Community Health Study/Study of Latinos (visit 2, 2014-2017). We restricted our analysis to Hispanic/Latino immigrants with high cholesterol (n = 3974), hypertension (n = 3353), or diabetes (n = 2406); treatment was defined as use of statins, antihypertensives, and antidiabetics, respectively. When compared with naturalized citizens, undocumented and documented immigrants were less likely to receive treatment for high cholesterol (38.4% vs 14.1%; prevalence ratio [PR] = 0.37 [95% confidence interval [CI] = 0.27, 0.51] and 25.7%; PR = 0.67 [95% CI = 0.58, 0.76]), hypertension (77.7% vs 57.7%; PR = 0.74 [95% CI = 0.62, 0.89] and 68.1%; PR = 0.88 [95% CI = 0.82, 0.94]), and diabetes (60.3% vs. 50.4%; PR = 0.84 [95% CI = 0.68, 1.02] and 55.8%; PR = 0.93 [95% CI = 0.83, 1.03]); the latter did not reach statistical significance. Undocumented and documented immigrants had less access to health care, including insurance coverage or a usual health care provider, than naturalized citizens. Therefore, adjusting for health care access largely explained treatment disparities across immigration status. Preventing cardiovascular disease among Hispanic/Latino immigrants should focus on undertreatment of high cholesterol, hypertension, and diabetes by increasing health care access, especially among undocumented immigrants. |
DOI | 10.2105/AJPH.2020.305745 |
Alternate Journal | Am J Public Health |
PubMed ID | 32673107 |
PubMed Central ID | PMC7427208 |
Grant List | N01HC65236 / HL / NHLBI NIH HHS / United States N01HC65235 / HL / NHLBI NIH HHS / United States N01HC65234 / HL / NHLBI NIH HHS / United States T32 HL125294 / HL / NHLBI NIH HHS / United States N01HC65237 / HL / NHLBI NIH HHS / United States P2C HD050924 / HD / NICHD NIH HHS / United States P30 DK111022 / DK / NIDDK NIH HHS / United States N01HC65233 / HL / NHLBI NIH HHS / United States |
Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014-2017).
MS#:
0863
ECI:
Yes
Manuscript Affiliation:
Field Center: Chicago (University of Illinois at Chicago)
Manuscript Status:
Published