scholarly journals Prevalence of Self-Reported Cognitive Impairment among Arab American Immigrants in the United States

2020 ◽  
Author(s):  
Florence J Dallo ◽  
Tiffany B Kindratt ◽  
Laura Zahodne
Keyword(s):  
Cognitive Impairment ◽  
Ethnic Disparities ◽  
The United States ◽  
Arab American ◽  
Foreign Born ◽  
Logistic Regression Models ◽  
Explanatory Factors ◽  
Interview Survey ◽  
Design And Methods ◽  
Age And Sex

Abstract Background and Objectives Studies evaluating self-reported cognitive impairment among Arab American immigrants have not been conducted. Our objective was two-fold: 1) estimate and compare the age- and sex-adjusted prevalence of self-reported cognitive impairment between Arab American immigrants and US- and immigrant non-Hispanic whites, non-Hispanic blacks, Hispanics and non-Hispanic Asians and 2) examine associations between race, ethnicity and nativity status and cognitive impairment among Arab American immigrants and non-Hispanic whites (US- and foreign-born) after controlling for explanatory factors. Research Design and Methods We used 18 years (2000-2017) of National Health Interview Survey data (n=228,985; ages > 45 years). Weighted percentages, prevalence estimates, and multivariable logistic regression models were calculated. Results The age- and sex-adjusted prevalence of self-reported cognitive impairment was significantly higher among Arab American immigrants (9.7%) compared to US-born and non-Hispanic white immigrants (~7.4%). Discussion and Implications This is the first study to indicate that ethnic disparities in self-reported cognitive impairment may extend to Arab American immigrants. Additional studies need to be conducted to better understand the prevalence of cognitive impairment.

scholarly journals PREVALENCE AND RISK FACTORS FOR ADRD AMONG ARAB AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S543-S543
Author(s):  
Florence Dallo
Keyword(s):  
United States ◽  
Risk Factors ◽  
National Health Interview Survey ◽  
The United States ◽  
Arab Americans ◽  
Foreign Born ◽  
P Values ◽  
Future Studies ◽  
Interview Survey ◽  
Age And Sex

Abstract In the United States (U.S.), Alzheimer’s Disease and Related Dementias (ADRD) afflict over 4.7 million individuals ages 65 or older. Arab Americans are a subgroup of whites in which ADRD is not well understood. This study estimates prevalence and risk factors for ADRD among Arab Americans ages 45 or older. Data for 2000-2017 from the National Health Interview Survey (NHIS) using the region of birth question was used (N=222,219). The age- and sex-adjusted prevalence of ADRD was 10.3% for foreign-born Arab Americans compared to approximately 7.5% for US-born non-Hispanic whites (NHW), blacks and Asians. The prevalence of ADRD was 8.6% for Hispanics (all p-values <.0001). When controlling for age and sex, Arab Americans were 1.4 times (OR=1.02,1.93) more likely to have ADRD compared to US-born NHW. Future studies should capture other generations of Arab Americans to better understand the trend of ADRD among this understudied, often invisible population.

scholarly journals THE EPIDEMIOLOGY OF ALZHEIMER’S DISEASE AND RELATED DEMENTIAS AMONG ARAB AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S463-S463
Author(s):  
Florence Dallo ◽  
Tiffany Kindratt
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
The United States ◽  
Arab Americans ◽  
Foreign Born ◽  
Chi Square ◽  
P Values ◽  
Future Studies ◽  
Interview Survey ◽  
Age And Sex

Abstract In the United States (U.S.), Alzheimer’s Disease and Related Dementias (ADRD) afflict over 4.7 million individuals ages 65 or older. Most studies compare the prevalence of ADRD between minorities and whites. Arab Americans are a subgroup of whites, and ADRD is not understood among Arab Americans. The overall goal of this study is to estimate the prevalence of and risk factors for ADRD among Arab Americans ages 45 or older compared to non-Hispanic whites, non-Hispanic blacks, Hispanics and Asian Americans. Data for 2000-2017 from the National Health Interview Survey (NHIS) using the region of birth question was be used (N=222,219). Percents, chi-square and logistic regression will be estimated. Age- and sex-adjusted prevalence of ADRD was 10.3% for foreign-born Arab Americans compared to approximately 7.5% for US-born non-Hispanic whites (NHW), blacks and Asians. The prevalence of ADRD was 8.6% for Hispanics (all p-values <.0001). When controlling for age and sex, Arab Americans were 1.4 times (OR=1.02,1.93) more likely to have ADRD compared to US-born NHW. This is the first study to focus on ADRD among Arab Americans and the findings suggest ADRD is a burden in this population. Future studies should capture other generations of Arab Americans to better understand the trend of ADRD among this understudied, often invisible population.

scholarly journals Heterogeneity in Self-Reported Cognitive Impairment Life Expectancies Among Older Latino Subgroups in the United States

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 612-613
Author(s):  
Marc Garcia ◽  
Kasim Ortiz ◽  
Chi-Tsun Chui ◽  
Brian Downer ◽  
David Warner
Keyword(s):  
Cognitive Impairment ◽  
The United States ◽  
Cognitively Impaired ◽  
Significant Heterogeneity ◽  
Foreign Born ◽  
Cognitively Normal ◽  
Puerto Rican Women ◽  
Extended Longevity ◽  
Interview Survey ◽  
Lower Educational Attainment

Abstract Research suggests the prevalence of cognitive impairment among older U.S. Latinos is increasing relative to the older U.S. population which has experienced and overall decline. This has been attributed in part to extended longevity, lower educational attainment, and a higher prevalence of diabetes and cardiovascular disease among older Latinos. However, less is known regarding the number of years and proportion of late life spent with self-reported cognitive impairment among this rapidly aging group and whether cognitive impairment life expectancy outcomes vary across U.S. Latino subgroups by country of origin. To fill this gap, our investigation uses data from the National Health Interview Survey (1997-2015) to estimate Sullivan-based life tables of cognitively normal and cognitively impaired life expectancies for adults 50 years and older. Results indicate significant heterogeneity among Latinos, with island-born Puerto Rican women spending the most years, and foreign-born Cuban men the fewest years lived with self-reported cognitive impairment.

Abstract WP175: Stroke Prevalence Among US- and Foreign-born Adults in the United States

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Jing Fang ◽  
Keming Yuan ◽  
Carma Ayala ◽  
Renee Gindi ◽  
Brian Ward
Keyword(s):  
National Health Interview Survey ◽  
Stroke Risk ◽  
Smoking Status ◽  
The United States ◽  
Foreign Born ◽  
Disease Mortality ◽  
Stroke Prevalence ◽  
The Us ◽  
Interview Survey ◽  
Race Ethnicity

Introduction: The proportion of US adults who are foreign-born has almost tripled since 1970. While foreign-born adults have lower cardiovascular disease mortality and risk factors (e.g., hypertension) than US-born adults, less is known about the morbidity of stroke in this population. Objective: To compare the prevalence of stroke among US adults by birthplace. Methods: We used data on 223,842 non-institutionalized adults from the 2006-2013 National Health Interview Survey. Birthplace was categorized as US- and foreign-born, and foreign-born was then grouped into 7 regions. Data on years of living in the US was included. Self-reported stroke was defined as ever being told by doctor or other health professional that s/he had a stroke. Select descriptive (age, sex, race/ethnicity, education, health insurance, language of interview, use of interpreter) and health characteristics (hypertension, diabetes, body mass index, alcohol use, smoking status) were used in analysis. Age-standardized prevalence of stroke was compared between US- and foreign-born and then by birthplace regions among foreign-born. Adjusted odd ratios (AORs) were used to assess stroke risk between US- and foreign-born after adjusting for demographic and health characteristics. Results: Sixteen percent of US adults were classified as foreign-born. Age-standardized prevalence of stroke was higher among US- than foreign-born adults overall (2.7% vs 2.0%, p<0.0001) and by race/ethnicity: non-Hispanic blacks (4.1% (US) vs 2.2% (foreign-born), p<0.0001), Hispanics (2.8% vs 2.2%, p=0.03) and non-Hispanic whites (2.5% vs 1.7%, p<0.0001). Compared to US-born men, AORs of stroke for foreign-born men by region of birth, ranged from 0.24 (95% confidence interval 0.08-0.69) for Africa to 1.05 (0.74-1.51) for Europe. Among foreign-born women, AORs ranged from 0.07 (0.01-0.43) for the Middle East to 1.13 (0.54-2.34) for Africa, after adjustment for selected characteristics. Among foreign-born adults, there was no association between age-standardized stroke prevalence and the number of years living in the US. Conclusion: Overall, foreign-born US adults had a lower prevalence of stroke than US-born adults. However, considerable heterogeneity of stroke risk was noted by region of birth.

scholarly journals Disparities in Preventive Health Behaviors Among Non-Hispanic White Men

2014 ◽  
Vol 9 (2) ◽  
pp. 124-131 ◽  
Author(s):  
Florence J. Dallo ◽  
Tiffany B. Kindratt
Keyword(s):  
Cultural Context ◽  
Prostate Cancer Screening ◽  
White Men ◽  
National Study ◽  
Arab American ◽  
Foreign Born ◽  
Psa Testing ◽  
Interview Survey ◽  
Flu Vaccine ◽  
Screening Behaviors

The objectives of this study were to estimate and compare the age-adjusted prevalence of not receiving a flu vaccine, pneumonia vaccine, or prostate cancer screening among U.S.- and foreign-born White men by region of birth (Europe/Russia and the Arab Nations) and examine these associations while controlling for potential confounders. Twelve years of restricted data from the National Health Interview Survey (NHIS) including 91,636 U.S.- and foreign-born men were used. Chi-squares were used to compare descriptive statistics, and odds ratios (ORs; 95% confidence intervals [CIs]) were used for inferential statistics. In crude and adjusted analyses, foreign-born Arab American men were less likely to report receiving a flu (OR = 0.38; 95% CI = 0.21, 0.67) and pneumonia (OR = 0.33; 95% CI = 0.16, 0.70) vaccine compared with U.S.-born White men. There were no statistically significant differences for PSA testing between Arab American and White men. This national study examining uptake of flu and pneumonia vaccines suggests estimates are lower for foreign-born Arab American men compared with U.S.-born White men. Future studies should collect qualitative data that assesses the cultural context surrounding prevention and screening behaviors among Arab Americans.

Migraine prevalence by age and sex in the United States: A life-span study

Cephalalgia ◽  
2010 ◽  
Vol 30 (9) ◽  
pp. 1065-1072 ◽  
Author(s):  
TW Victor ◽  
X Hu ◽  
JC Campbell ◽  
DC Buse ◽  
RB Lipton
Keyword(s):  
Gaussian Mixture Models ◽  
Prevalence Ratio ◽  
Bimodal Distribution ◽  
Gaussian Mixture ◽  
The United States ◽  
Rate Of Change ◽  
Migraine Prevalence ◽  
Child Bearing ◽  
Interview Survey ◽  
Age And Sex

The present study assessed age- and sex-specific patterns of migraine prevalence in a US population of 40,892 men, women, and children who participated in the 2003 National Health Interview Survey. Gaussian mixture models characterised the relationship between migraine, age, and sex. Migraine prevalence was 8.6% (males), 17.5% (females), and 13.2% (overall) and showed a bimodal distribution in both sexes (peaking in the late teens and 20s and around 50 years of age). Rate of change in migraine prevalence for both sexes increased the fastest from age 3 years to the mid-20s. Beyond the age of 10 years, females had a higher prevalence of migraine than males. The prevalence ratio for females versus males was highest during the female reproductive/child-bearing years, consistent with a relationship between menstruation and migraine. After age 42 years, the prevalence ratio was approximately 2-fold higher in women.

scholarly journals Racial/Ethnic Disparities in Dental Service Utilization for Foreign-Born and U.S.-Born Middle-Aged and Older Adults

2019 ◽  
Vol 41 (9) ◽  
pp. 845-867 ◽  
Author(s):  
Wei Zhang ◽  
Yan Yan Wu ◽  
Bei Wu
Keyword(s):  
Ethnic Groups ◽  
Service Utilization ◽  
Ethnic Disparities ◽  
The United States ◽  
Dental Service ◽  
Culturally Competent ◽  
Foreign Born ◽  
Generalized Linear Mixed Effects ◽  
Dental Needs ◽  
Racial Ethnic

This study examines racial/ethnic disparities of dental service utilization for foreign-born and U.S.-born dentate residents aged 50 years and older. Generalized linear mixed-effects models (GLMM) were used to perform longitudinal analyses of five-wave data of dental service utilization from the Health and Retirement Study (HRS). We used stratified analyses for the foreign-born and U.S.-born and assessed the nonlinear trend in rates of dental service utilization for different racial/ethnic groups. Findings indicate that Whites had higher rates of service utilization than Blacks and Hispanics regardless of birthplace. For all groups, the rates of service utilization decreased around age 80, and the rates of decline for Whites were slower than others. The U.S.-born showed the trend of higher rates of service utilization than the foreign-born for all racial/ethnic groups. These findings suggest the importance of developing culturally competent programs to meet the dental needs of the increasingly diverse populations in the United States.

scholarly journals Differences in Obesity Among Men of Diverse Racial and Ethnic Background

2015 ◽  
Vol 11 (4) ◽  
pp. 984-989 ◽  
Author(s):  
Sarah E. Hill ◽  
Caryn Bell ◽  
Janice V. Bowie ◽  
Elizabeth Kelley ◽  
Debra Furr-Holden ◽  
...  
Keyword(s):  
United States ◽  
Mexican American ◽  
Ethnic Disparities ◽  
Risk Groups ◽  
The United States ◽  
Obesity Prevalence ◽  
Hispanic Men ◽  
Interview Survey ◽  
The Relationship ◽  
Racial Ethnic

Racial/ethnic disparities exist in obesity prevalence among men, with Hispanic men exhibiting the highest prevalence compared with non-Hispanic White and non-Hispanic Black men. Most studies do not parse out Hispanic groups; therefore, it is unclear whether the increases in obesity rates among Hispanic men applies to all groups or if there are particular groups of Hispanic men that are driving the increase. The goal of this study is to examine the variations in obesity among men of diverse racial/ethnic backgrounds and determine if obesity is affected by nativity. The data used in this study were from 11 years (2002-2012) of the National Health Interview Survey. Logistic regression was used to examine the relationship between race/ethnicity, obesity, and nativity. After adjusting for covariates, there are differences in obesity prevalence, with the largest prevalence among Puerto Rican men and Mexican American men. Consistent with previous literature, it has been suggested that men born in the United States are more likely to be obese than men born outside the United States. This study underscores the importance of distinguishing Hispanic groups when examining obesity, and provides information for future, targeted intervention strategies related to obesity among high-risk groups.

scholarly journals Characteristics and distribution of obesity in the Arab-American population of southeastern Michigan

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Saivaishnavi Kamatham ◽  
Joseph Trak ◽  
Suma Alzouhayli ◽  
Ziad Fehmi ◽  
Nabil Rahoui ◽  
...  
Keyword(s):  
The United States ◽  
Population Based ◽  
Arab Americans ◽  
Arab American ◽  
Behavioral Risk ◽  
American Population ◽  
Logistic Regression Models ◽  
Significant Difference ◽  
Prevalence Of Obesity ◽  
The Impact

Abstract Background Arab-Americans constitute ~ 5% of Michigan’s population. Estimates of obesity in Arab-Americans are not up-to-date. We aim to describe the distribution of and factors associated with obesity in an Arab-American population in Southeastern Michigan (SE MI). Methods Retrospective medical record review identified n = 2363 Arab-American patients seeking care at an Arab-American serving clinic in SE MI, located in a city which is home to a large proportion of Arab-Americans in the United States (US). Body mass index (BMI) was the primary outcome of interest. Distribution of BMI was described using percentages, and logistic regression models were constructed to examine the association between obesity, other comorbid conditions and health behaviors. This cohort was compared to Michigan’s Behavioral Risk Factor Surveillance System (BRFSS) data from 2018 (n = 9589) and to a cohort seeking care between 2013 and 2019 from a free clinic (FC) located in another city in SE MI (n = 1033). Results Of the 2363 Arab-American patients, those who were older or with HTN, DM or HLD had a higher prevalence of obesity than patients who were younger or without these comorbidities (all p-value < 0.001). Patients with HTN were 3 times as likely to be obese than those without HTN (95% CI: 2.41–3.93; p < 0.001). Similarly, the odds of being obese were 2.5 times higher if the patient was diabetic (95% CI: 1.92–3.16; p < 0.001) and 2.2 times higher if the patient had HLD (95% CI: 1.75–2.83; p < 0.001). There was no significant difference in obesity rates between Arab-Americans (31%) and the BRFSS population (32.6%). Compared to Arab-Americans, patients seen at the FC had a higher obesity rate (52.6%; p < 0.001) as well as significantly higher rates of HTN, DM and HLD (all p < 0.001). Conclusion Overall obesity rates in Arab-Americans were comparable to the population-based BRFSS rates, and lower than the patients seen at the FC. Further studies are required to understand the impact of obesity and the association of comorbidities in Arab-Americans.

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