Association of Birthplace and Coronary Heart Disease and Stroke Among US Adults: National Health Interview Survey, 2006 to 2014

Details

• Alternative Title:
  J Am Heart Assoc
• Personal Author:
  Fang, Jing ; Yuan, Keming ; Gindi, Renee M. ; Ward, Brian W. ; Ayala, Carma ; Loustalot, Fleetwood
• Description:
  Background
  
  The proportion of foreign‐born US adults has almost tripled since 1970. However, less is known about the cardiovascular morbidity by birthplace among adults residing in the United States. This study's objective was to compare the prevalence of coronary heart disease (CHD) and stroke among US adults by birthplace.
  
  Methods and Results
  
  We used data from the 2006 to 2014 National Health Interview Survey. Birthplace was categorized as United States or foreign born. Foreign born was then grouped into 6 birthplace regions. We defined CHD and stroke as ever being told by a physician that she or he had CHD or stroke. We adjusted for select demographic and health characteristics in the analysis. Of US adults, 16% were classified as foreign born. Age‐standardized prevalence of both CHD and stroke were higher among US‐ than foreign‐born adults (CHD: 8.2% versus 5.5% for men and 4.8% versus 4.1% for women; stroke: 2.7% versus 2.1% for men and 2.7% versus 1.9% for women; all P<0.05). Comparing individual regions with those of US‐ born adults, CHD prevalence was lower among foreign‐born adults from Asia and Mexico, Central America, or the Caribbean. For stroke, although men from South America or Africa had the lowest prevalence, women from Europe had the lowest prevalence. Years of living in the United States was not related to risk of CHD or stroke after adjustment with demographic and health characteristics.
  
  Conclusions
  
  Overall, foreign‐born adults residing in the United States had a lower prevalence of CHD and stroke than US‐born adults. However, considerable heterogeneity of CHD and stroke risk was found by region of birth.
  
  
• Subjects:
  Adolescent Adult Aged Age Distribution Coronary Disease Coronary Disease/ethnology Emigrants And Immigrants Female Health Surveys Humans Male Middle Aged Prevalence Residence Characteristics Risk Assessment Risk Factors Sex Distribution Stroke Stroke/ethnology Time Factors Young Adult

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• Source:
  J Am Heart Assoc. 7(7).
• Pubmed ID:
  29592969
• Pubmed Central ID:
  PMC5907595
• Document Type:
  Journal Article
• Name as Subject:
  National Health Interview Survey (U.S.)
• Place as Subject:
  United States
• Volume:
  7
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8c5fac3ba6c3749193bf3b87ab86eefe1faeaf66f762d364b2881916ee4e5671
• Download URL:
  https://stacks.cdc.gov/view/cdc/54131/cdc_54131_DS1.pdf
• File Type:
  [PDF - 645.32 KB ]