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Changes in Blood Pressure and Risk Factors for Cardiovascular Disease Among Older Mexican‐Americans from 1982–1984 to 1993–1994
Author(s) -
StroupBenham Christine A.,
Markides Kyriakos S.,
Espino David V.,
Goodwin James S.
Publication year - 1999
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1999.tb03836.x
Subject(s) - medicine , blood pressure , diabetes mellitus , body mass index , obesity , gerontology , population , mexican americans , demography , national health and nutrition examination survey , stroke (engine) , epidemiology , alcohol intake , environmental health , ethnic group , alcohol , endocrinology , mechanical engineering , biochemistry , chemistry , sociology , anthropology , engineering
OBJECTIVE: To determine the 10‐year changes in blood pressure and cardiovascular risk factors among older Mexican‐Americans. DESIGN: Comparative analyses of the Hispanic Health and Nutrition Examination Survey (HHANES) and the Hispanic EPESE (Established Populations for Epidemiologic Studies of the Elderly). Both of these were population‐based studies using a multistage stratified probability sampling design of noninstitutionalized persons. SETTING: Five US states in the southwest: Arizona, California, Colorado, New Mexico, and Texas. PARTICIPANTS: A total of 216 Mexican‐Americans aged 65 to 74 from the 1982–1984 HHANES and 3050 Mexican‐ Americans aged 65+ from the 1993–1994 Hispanic EPESE. MEASUREMENTS: Mean systolic and diastolic blood pressure; cigarette smoking; high levels of alcohol use; body mass index and obesity; self‐reported heart attack, stroke, and diabetes; hypertension. RESULTS: Among 65‐ to 74‐year‐old Mexican‐Americans, there was a decrease over time in the percent of those who smoked cigarettes from 27.60% to 13.96% and a decrease in mean systolic blood pressure level. The percent of subjects categorized as obese or severely obese increased significantly, as did the prevalence of diagnosed diabetes, increasing from 20.06% in 1982–1984 to 29.82% in 1993–1994. Mean diastolic blood pressure increased from 77.15 mm Hg in 1982–1984 to 81.21 mm Hg in 1993–1994. CONCLUSIONS: Our findings suggest major changes in cardiovascular risk factors between 1982–1984 and 1993‐ 1994 among older Mexican‐Americans.