Details:

Alternative Title:
J Am Heart Assoc
Personal Author:
Fang, Jing ; Yuan, Keming ; Gindi, Renee M. ; Ward, Brian W. ; Ayala, Carma ; ... More +
Fang, Jing ; Yuan, Keming ; Gindi, Renee M. ; Ward, Brian W. ; Ayala, Carma ; Loustalot, Fleetwood Less -
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:
[+]
Birthplace Cardiovascular Disease Coronary Heart Disease Epidemiology Original Research Race And Ethnicity Stroke Surveillance
Source:
J Am Heart Assoc. 7(7).
Pubmed ID:
29592969
Pubmed Central ID:
PMC5907595
Document Type:
Journal Article
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:

Supporting Files

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  	JAH3-7-e008153-s001.pdf	pdf
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