1. Liver disease, heart failure, and 13-year mortality among Mexican American older adults: Nativity differences.
- Author
-
Thomas J and Snih SA
- Subjects
- Humans, Female, Aged, Male, Prospective Studies, Aged, 80 and over, United States epidemiology, Proportional Hazards Models, Risk Factors, Emigrants and Immigrants statistics & numerical data, Mortality ethnology, Mortality trends, Mexican Americans statistics & numerical data, Heart Failure mortality, Heart Failure ethnology, Liver Diseases mortality, Liver Diseases ethnology
- Abstract
Purpose: To examine nativity differences of co-occurring liver disease (LD) and heart failure (HF) on 13-year mortality among Mexican American older adults., Methods: Prospective cohort study of 1601 Mexican Americans aged ≥ 75 years from the Hispanic Established Population for the Epidemiologic Study of the Elderly (2004/05-2016). Participants were grouped into four groups: no LD and no HF (n = 1138), LD only (n = 53), HF only (n = 382), and both LD and HF (n = 28). We used Cox proportional hazards regression model to estimate the hazard ratio (HR) and 95% confidence interval (CI) of death over time., Results: The HR of death, as a function of HF only, was 1.32 (95% CI=1.07-1.62) among US-born and 1.36 (95% CI=1.04-1.78) among foreign-born participants, vs. those with no LD and no HF. Among foreign-born participants, the HR of death as a function of LD and HF was 3.39 (95% CI=1.65-6.93) vs. those without either. LD alone was not associated with mortality in either group. Among US-born, co-occurring LD and HF was not associated with mortality., Conclusions: Foreign-born participants with both LD and HF were at higher risk of mortality over 13 years of follow up., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Published
- 2024
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