Associations of acculturation and socioeconomic status with subclinical cardiovascular disease in the multi-ethnic study of atherosclerosis
P.L. Lutsey,
A.V. Diez Roux,
D.R. Jacobs ,
G.L. Burke,
J. Harman,
S. Shea and
A.R. Folsom
American Journal of Public Health, 2008, vol. 98, issue 11, 1963-1970
Abstract:
Objectives. We assessed whether markers of acculturation (birthplace and number of US generations) and socioeconomic status (SES) are associated with markers of subclinical cardiovascular disease - carotid artery plaque, internal carotid intima-media thickness, and albuminuria - in 4 racial/ethnic groups. Methods. With data from the Multi-Ethnic Study of Atherosclerosis (n=6716 participants aged 45-84 years)and race-specific binomial regression models, we computed prevalence ratios adjusted for demographics and traditional cardiovascular risk factors. Results. The adjusted US- to foreign-born prevalence ratio for carotid plaque was 1.20 (99% confidence interval [CI]=0.97, 1.39) among Whites, 1.91 (99% CI=0.94, 2.94) among Chinese, 1.62 (99% CI=1.28, 2.06) among Blacks, and 1.23 (99% CI=1.15, 1.31) among Hispanics. Greater carotid plaque prevalence was found among Whites, Blacks, and Hispanics with a greater number of generations with US residence (P
Date: 2008
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2007.123844_5
DOI: 10.2105/AJPH.2007.123844
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