Economic and Cardiometabolic Risk Factors Are Predictors of Lower Thyroid Stimulating Hormone (TSH) Levels in Hispanic/Latinx Adults with Euthyroidism—A Community-Based Study

Sabrina Sales Martinez, Margaret Gutierrez, Ivan Delgado-Enciso, Jezabel Maisonet, Aydevis Jean Pierre, Adriana Campa, Laura Kallus and Janet Diaz Martinez
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Sabrina Sales Martinez: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA
Margaret Gutierrez: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA
Ivan Delgado-Enciso: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA
Jezabel Maisonet: Caridad Center, Boynton Beach, FL 33472, USA
Aydevis Jean Pierre: Caridad Center, Boynton Beach, FL 33472, USA
Adriana Campa: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA
Laura Kallus: Caridad Center, Boynton Beach, FL 33472, USA
Janet Diaz Martinez: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA

IJERPH, 2022, vol. 19, issue 13, 1-11

Abstract: Thyroid hormone abnormalities are among the most common endocrine disorders comorbidly suffered alongside metabolic syndrome and type 2 diabetes mellitus (T2DM), and within the euthyroid range they may also impact other outcomes, such as mood disorders. This study aimed to observationally examine the relationship between TSH and social determinants of health and clinical measures in a euthyroid Hispanic/Latinx patient sample with a diagnosis of anxiety and/or depression disorders from a community health clinic. A needs assessment was completed using a random sample of 100 de-identified medical records of individuals who received free medical care, including mental health, at a community-based clinic. Those with low normal TSH (<2 mIU/L) compared with high normal TSH (≥2 mIU/L) had a greater odds of food insecurity ( p = 0.016) and being at 100% of the federal poverty level ( p = 0.015). The low normal TSH group had significantly higher fasting glucose ( p = 0.046), hemoglobin A1c ( p = 0.018), and total cholesterol ( p = 0.034) compared with the high normal TSH group. In those with T2DM, individuals with low normal TSH had six-times greater odds of having high fasting glucose ( p = 0.022) and high hemoglobin A1c ( p = 0.029). These relationships warrant further study, to inform future public health policies and follow-up care for underserved and vulnerable communities.

Keywords: thyroid-stimulating hormone; income; food insecurity; Hispanic; cardiometabolic risk factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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