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Associations of acculturation and socioeconomic status with subclinical cardiovascular disease in the multi-ethnic study of atherosclerosis

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  • Lutsey, P.L.
  • Diez Roux, A.V.
  • Jacobs Jr., D.R.
  • Burke, G.L.
  • Harman, J.
  • Shea, S.
  • Folsom, A.R.

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

Suggested Citation

  • Lutsey, P.L. & Diez Roux, A.V. & Jacobs Jr., D.R. & Burke, G.L. & Harman, J. & Shea, S. & Folsom, A.R., 2008. "Associations of acculturation and socioeconomic status with subclinical cardiovascular disease in the multi-ethnic study of atherosclerosis," American Journal of Public Health, American Public Health Association, vol. 98(11), pages 1963-1970.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.123844_5
    DOI: 10.2105/AJPH.2007.123844
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    Cited by:

    1. Malmusi, Davide & Borrell, Carme & Benach, Joan, 2010. "Migration-related health inequalities: Showing the complex interactions between gender, social class and place of origin," Social Science & Medicine, Elsevier, vol. 71(9), pages 1610-1619, November.
    2. Frank Trovato, 2020. "The Immigrant Mortality Advantage in Canada, 2001 and 2011," Journal of International Migration and Integration, Springer, vol. 21(2), pages 351-379, June.
    3. Doreen Liou & Jessica A. Karasik, 2021. "Living Environment Considerations on Obesity Prevention Behaviors and Self-Efficacy among Chinese Americans," IJERPH, MDPI, vol. 18(17), pages 1-10, September.
    4. Nadiya UKRAYINCHUK & Carine DRAPIER, 2021. "Exhausted migrant effect : La santé des travailleurs immigrés en France," Region et Developpement, Region et Developpement, LEAD, Universite du Sud - Toulon Var, vol. 53, pages 69-100.

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