Cardiovascular disease risk factors and psychological distress among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Sheila F. Castañeda; Christina Buelna; Rebeca Espinoza Giacinto; Linda C. Gallo; Daniela Sotres-Alvarez; Patricia Gonzalez; Addie L. Fortmann; Sylvia Wassertheil-Smoller; Marc D. Gellman; Aida L. Giachello; Gregory A. Talavera

doi:10.1016/j.ypmed.2016.02.032

Cardiovascular disease risk factors and psychological distress among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Sheila F. Castañeda^*, Christina Buelna, Rebeca Espinoza Giacinto, Linda C. Gallo, Daniela Sotres-Alvarez, Patricia Gonzalez, Addie L. Fortmann, Sylvia Wassertheil-Smoller, Marc D. Gellman, Aida L. Giachello, Gregory A. Talavera

^*Corresponding author for this work

Preventive Medicine

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

Abstract

Studies show that cardiovascular disease (CVD) risk factors are correlated with psychological distress, yet research examining these relationships among Hispanic/Latinos is lacking. The population-based Hispanic Community Health Study/Study of Latinos enrolled a cohort of Hispanic/Latino adults (N = 16,415) 18-74 years of age at the time of recruitment, from four US metropolitan areas, between March 2008 and June 2011. Psychological distress (i.e., 10-item Center for Epidemiological Studies Depression Scale, 10 item Spielberger Trait Anxiety Scale, and a combined depression/anxiety score), socio-demographics (i.e., age, education, income, insurance, sex, and Hispanic/Latino background), acculturation (i.e., country of birth and language preference), and traditional CVD risk factors (i.e., dyslipidemia, obesity, current cigarette smoking, diabetes, and hypertension) were assessed at baseline. Associations between CVD risk factors and psychological distress measures by sex were examined using multiple linear regression models, accounting for complex survey design and sampling weights and controlling for socio-demographic and acculturation covariates. In adjusted analyses, all three psychological distress measures were significantly related to smoking. For females, greater psychological distress was significantly related to obesity and current smoking. For males, diabetes and current smoking were associated with psychological distress. For males and females, dyslipidemia and hypertension were not associated with psychological distress after adjusting for other factors. Elevated depression and anxiety symptoms were associated with CVD risk factors for Hispanic/Latino men and women. However, these results were not consistent across Hispanic/Latino groups. As promoted by the integrative care model, psychosocial concerns should be considered in research on CVD risk and chronic disease prevention.

Original language	English (US)
Pages (from-to)	144-150
Number of pages	7
Journal	Preventive medicine
Volume	87
DOIs	https://doi.org/10.1016/j.ypmed.2016.02.032
State	Published - Jun 1 2016

Funding

The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) was supported by contracts from the National Heart, Lung, and Blood Institute to the University of North Carolina ( N01-HC65233 ), University of Miami ( N01-HC65234 ), Albert Einstein College of Medicine ( N01-HC65235 ), Northwestern University ( N01-HC65236 ), and San Diego State University ( N01-HC65237 ). The following Institutes/Centers/Offices contribute to the study: National Institute on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. Its contents are solely the responsibility of the authors and do not represent the official views of the National Institutes of Health.

Keywords

CVD risk factors
Hispanic/Latino
Psychological distress

ASJC Scopus subject areas

Epidemiology
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.ypmed.2016.02.032

Cite this

Castañeda, S. F., Buelna, C., Giacinto, R. E., Gallo, L. C., Sotres-Alvarez, D., Gonzalez, P., Fortmann, A. L., Wassertheil-Smoller, S., Gellman, M. D., Giachello, A. L., & Talavera, G. A. (2016). Cardiovascular disease risk factors and psychological distress among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Preventive medicine, 87, 144-150. https://doi.org/10.1016/j.ypmed.2016.02.032

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title = "Cardiovascular disease risk factors and psychological distress among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)",

abstract = "Studies show that cardiovascular disease (CVD) risk factors are correlated with psychological distress, yet research examining these relationships among Hispanic/Latinos is lacking. The population-based Hispanic Community Health Study/Study of Latinos enrolled a cohort of Hispanic/Latino adults (N = 16,415) 18-74 years of age at the time of recruitment, from four US metropolitan areas, between March 2008 and June 2011. Psychological distress (i.e., 10-item Center for Epidemiological Studies Depression Scale, 10 item Spielberger Trait Anxiety Scale, and a combined depression/anxiety score), socio-demographics (i.e., age, education, income, insurance, sex, and Hispanic/Latino background), acculturation (i.e., country of birth and language preference), and traditional CVD risk factors (i.e., dyslipidemia, obesity, current cigarette smoking, diabetes, and hypertension) were assessed at baseline. Associations between CVD risk factors and psychological distress measures by sex were examined using multiple linear regression models, accounting for complex survey design and sampling weights and controlling for socio-demographic and acculturation covariates. In adjusted analyses, all three psychological distress measures were significantly related to smoking. For females, greater psychological distress was significantly related to obesity and current smoking. For males, diabetes and current smoking were associated with psychological distress. For males and females, dyslipidemia and hypertension were not associated with psychological distress after adjusting for other factors. Elevated depression and anxiety symptoms were associated with CVD risk factors for Hispanic/Latino men and women. However, these results were not consistent across Hispanic/Latino groups. As promoted by the integrative care model, psychosocial concerns should be considered in research on CVD risk and chronic disease prevention.",

keywords = "CVD risk factors, Hispanic/Latino, Psychological distress",

author = "Casta{\~n}eda, {Sheila F.} and Christina Buelna and Giacinto, {Rebeca Espinoza} and Gallo, {Linda C.} and Daniela Sotres-Alvarez and Patricia Gonzalez and Fortmann, {Addie L.} and Sylvia Wassertheil-Smoller and Gellman, {Marc D.} and Giachello, {Aida L.} and Talavera, {Gregory A.}",

note = "Publisher Copyright: {\textcopyright} 2016.",

year = "2016",

month = jun,

day = "1",

doi = "10.1016/j.ypmed.2016.02.032",

language = "English (US)",

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Castañeda, SF, Buelna, C, Giacinto, RE, Gallo, LC, Sotres-Alvarez, D, Gonzalez, P, Fortmann, AL, Wassertheil-Smoller, S, Gellman, MD, Giachello, AL & Talavera, GA 2016, 'Cardiovascular disease risk factors and psychological distress among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)', Preventive medicine, vol. 87, pp. 144-150. https://doi.org/10.1016/j.ypmed.2016.02.032

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T2 - The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

AU - Castañeda, Sheila F.

AU - Buelna, Christina

AU - Giacinto, Rebeca Espinoza

AU - Gallo, Linda C.

AU - Sotres-Alvarez, Daniela

AU - Gonzalez, Patricia

AU - Fortmann, Addie L.

AU - Wassertheil-Smoller, Sylvia

AU - Gellman, Marc D.

AU - Giachello, Aida L.

AU - Talavera, Gregory A.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Studies show that cardiovascular disease (CVD) risk factors are correlated with psychological distress, yet research examining these relationships among Hispanic/Latinos is lacking. The population-based Hispanic Community Health Study/Study of Latinos enrolled a cohort of Hispanic/Latino adults (N = 16,415) 18-74 years of age at the time of recruitment, from four US metropolitan areas, between March 2008 and June 2011. Psychological distress (i.e., 10-item Center for Epidemiological Studies Depression Scale, 10 item Spielberger Trait Anxiety Scale, and a combined depression/anxiety score), socio-demographics (i.e., age, education, income, insurance, sex, and Hispanic/Latino background), acculturation (i.e., country of birth and language preference), and traditional CVD risk factors (i.e., dyslipidemia, obesity, current cigarette smoking, diabetes, and hypertension) were assessed at baseline. Associations between CVD risk factors and psychological distress measures by sex were examined using multiple linear regression models, accounting for complex survey design and sampling weights and controlling for socio-demographic and acculturation covariates. In adjusted analyses, all three psychological distress measures were significantly related to smoking. For females, greater psychological distress was significantly related to obesity and current smoking. For males, diabetes and current smoking were associated with psychological distress. For males and females, dyslipidemia and hypertension were not associated with psychological distress after adjusting for other factors. Elevated depression and anxiety symptoms were associated with CVD risk factors for Hispanic/Latino men and women. However, these results were not consistent across Hispanic/Latino groups. As promoted by the integrative care model, psychosocial concerns should be considered in research on CVD risk and chronic disease prevention.

AB - Studies show that cardiovascular disease (CVD) risk factors are correlated with psychological distress, yet research examining these relationships among Hispanic/Latinos is lacking. The population-based Hispanic Community Health Study/Study of Latinos enrolled a cohort of Hispanic/Latino adults (N = 16,415) 18-74 years of age at the time of recruitment, from four US metropolitan areas, between March 2008 and June 2011. Psychological distress (i.e., 10-item Center for Epidemiological Studies Depression Scale, 10 item Spielberger Trait Anxiety Scale, and a combined depression/anxiety score), socio-demographics (i.e., age, education, income, insurance, sex, and Hispanic/Latino background), acculturation (i.e., country of birth and language preference), and traditional CVD risk factors (i.e., dyslipidemia, obesity, current cigarette smoking, diabetes, and hypertension) were assessed at baseline. Associations between CVD risk factors and psychological distress measures by sex were examined using multiple linear regression models, accounting for complex survey design and sampling weights and controlling for socio-demographic and acculturation covariates. In adjusted analyses, all three psychological distress measures were significantly related to smoking. For females, greater psychological distress was significantly related to obesity and current smoking. For males, diabetes and current smoking were associated with psychological distress. For males and females, dyslipidemia and hypertension were not associated with psychological distress after adjusting for other factors. Elevated depression and anxiety symptoms were associated with CVD risk factors for Hispanic/Latino men and women. However, these results were not consistent across Hispanic/Latino groups. As promoted by the integrative care model, psychosocial concerns should be considered in research on CVD risk and chronic disease prevention.

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Cardiovascular disease risk factors and psychological distress among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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