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Association of Birthplace and Coronary Heart Disease and Stroke Among US Adults: National Health Interview Survey, 2006 to 2014
- Source :
- Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
- Publication Year :
- 2018
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2018.
-
Abstract
- 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 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 :
- Adult
Male
Race and Ethnicity
medicine.medical_specialty
Time Factors
Adolescent
Epidemiology
Emigrants and Immigrants
Coronary Disease
030204 cardiovascular system & hematology
Risk Assessment
Original research
Stroke risk
Young Adult
03 medical and health sciences
Age Distribution
0302 clinical medicine
Foreign born
Residence Characteristics
Risk Factors
Cardiovascular Disease
Prevalence
medicine
Humans
National Health Interview Survey
cardiovascular diseases
030212 general & internal medicine
coronary heart disease
Sex Distribution
Stroke
Original Research
Aged
business.industry
birthplace
Middle Aged
medicine.disease
stroke
Health Surveys
United States
Coronary heart disease
surveillance
Lower prevalence
Female
Cardiology and Cardiovascular Medicine
business
Demography
Subjects
Details
- ISSN :
- 20479980
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Journal of the American Heart Association
- Accession number :
- edsair.doi.dedup.....8979c78babc03dca69898c53f6d5c789