Immigrant status and cardiovascular risk over time

Results from the Multi-Ethnic Study of Atherosclerosis

Félice Lê-Scherban, Sandra S. Albrecht, Alain Bertoni, Namratha R Kandula, Neil Mehta, Ana V. Diez Roux

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: 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.

Original languageEnglish (US)
Pages (from-to)429-435.e1
JournalAnnals of Epidemiology
Volume26
Issue number6
DOIs
StatePublished - Jun 1 2016

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Atherosclerosis
Health
American Heart Association
Incidence
Public Health

Keywords

  • Cardiovascular events
  • Cardiovascular risk factors
  • Cohort studies
  • Immigrants

ASJC Scopus subject areas

  • Epidemiology

Cite this

Lê-Scherban, Félice ; Albrecht, Sandra S. ; Bertoni, Alain ; Kandula, Namratha R ; Mehta, Neil ; Diez Roux, Ana V. / Immigrant status and cardiovascular risk over time : Results from the Multi-Ethnic Study of Atherosclerosis. In: Annals of Epidemiology. 2016 ; Vol. 26, No. 6. pp. 429-435.e1.
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Immigrant status and cardiovascular risk over time : Results from the Multi-Ethnic Study of Atherosclerosis. / Lê-Scherban, Félice; Albrecht, Sandra S.; Bertoni, Alain; Kandula, Namratha R; Mehta, Neil; Diez Roux, Ana V.

In: Annals of Epidemiology, Vol. 26, No. 6, 01.06.2016, p. 429-435.e1.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Immigrant status and cardiovascular risk over time

T2 - Results from the Multi-Ethnic Study of Atherosclerosis

AU - Lê-Scherban, Félice

AU - Albrecht, Sandra S.

AU - Bertoni, Alain

AU - Kandula, Namratha R

AU - Mehta, Neil

AU - Diez Roux, Ana V.

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AB - Purpose: 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.

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