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Association between acculturation and sociodemographic factors and cardiovascular disease among immigrants to the United States
Author(s) -
Hopgood Daniel A.,
Haile Zelalem T.,
Conley Sean,
Chertok Ilana R. A.
Publication year - 2020
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12825
Subject(s) - acculturation , odds ratio , immigration , medicine , odds , national health interview survey , public health , logistic regression , disease , gerontology , citizenship , demography , national health and nutrition examination survey , population , environmental health , sociology , pathology , geography , archaeology , politics , political science , law
Objective This study investigated relationships among acculturation, sociodemographic, and health characteristics of adult U.S. immigrants and cardiovascular disease. Design Secondary data analysis using population data from 1,945 immigrant participants in the 2017 National Health Interview Survey (NHIS). Measurements Acculturation was measured using citizenship status, number of years in the U.S., and English language proficiency. Chi‐square tests and multiple logistic regression modeling were utilized. Results Approximately 4.3% of the study sample had cardiovascular disease. Compared to immigrants without U.S. citizenship, significantly higher proportion of immigrants with U.S. citizenship had cardiovascular disease (6.2% vs. 1.7%, p < .001). In the multivariable‐adjusted model, compared to non‐citizen immigrants, odds of cardiovascular disease were higher in immigrants with U.S. citizenship (odds ratio 3.80, 95% confidence interval 1.91, 7.56). Conclusion Acculturation factors, specifically U.S. citizenship, along with sociodemographic and health risk factors were associated with increased odds of cardiovascular disease among immigrants. This study builds upon previous findings demonstrating increased acculturation including U.S. citizenship in immigrant populations is associated with increased odds of cardiovascular disease. These findings inform public health specialists and clinicians of factors to consider for cardiovascular disease risk in immigrants as they adapt to their host country.