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

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.

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PREVALENCE AND RISK FACTORS FOR ADRD AMONG ARAB AMERICANS

Innovation in Aging ◽

10.1093/geroni/igz038.1997 ◽

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.

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Abstract 048: Disparities In Gestational Diabetes Mellitus Among US- Vs. Foreign-born Women: An Analysis Of 2016-2017 National Health Interview Survey

Circulation ◽

10.1161/circ.143.suppl_1.048 ◽

2021 ◽

Vol 143 (Suppl_1) ◽

Author(s):

Michelle Ogunwole ◽

Ruth-Alma N Turkson-Ocran ◽

Ellen Boakye ◽

Wendy L Bennett ◽

Lisa A Cooper ◽

...

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

National Health ◽

National Health Interview Survey ◽

Foreign Born ◽

Health Interview Survey ◽

The Us ◽

History Of ◽

Interview Survey

Background: Gestational diabetes mellitus (GDM) is a common complication of pregnancy. Although GDM is associated with increased risk of cardiovascular disease it is unclear whether the associations between GDM prevalence and cardiometabolic risk factors differ between US- and foreign-born women and whether length of US residence influences these associations. Methods: We analyzed cross-sectional data from the 2016-2017 National Health Interview Survey among women currently living in the US who both reported ever being pregnant and responded to the survey question about GDM. Using generalized linear models with binomial distribution and logit link, we examined the prevalence of GDM by nativity status and length of US residence adjusting for potential confounders (Table). Results: Of 24,466 women, 14.3% were foreign-born. The crude prevalence of GDM was higher among foreign-born (9.0%) compared to US-born women (7.1%). Foreign-born women with ≥10 years of residence in the US had the highest age-standardized GDM prevalence (8.3%) compared to US-born (7.5%) and foreign-born women with <10 years US residence (4.8%). Among women with a history of GDM, US-born women were more likely to be overweight/ obese, report a history of hypertension, be current smokers and alcohol drinkers than foreign-born women. Among foreign-born women, those with ≥10 years of US residence had higher prevalence of hypertension, smoking and alcohol use than those with <10 years in the US. In the fully adjusted regression model, only foreign-born women with ≥10 years of residence in the US had a significantly higher prevalence of GDM than US-born women (PR=1.43; 95% CI:1.22-1.67). Conclusions: In this sample of women with self-reported GDM, greater length of US residence contributes to nativity-related disparities in GDM. Acculturation, including changing health-related behaviors, may have a larger impact on maternal health outcomes of foreign-born women, and should be a target of interventions to reduce GDM and future cardiovascular diseases.

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Interrelationships of Added Sugars Intake, Socioeconomic Status, and Race/Ethnicity in Adults in the United States: National Health Interview Survey, 2005

Journal of the American Dietetic Association ◽

10.1016/j.jada.2009.05.002 ◽

2009 ◽

Vol 109 (8) ◽

pp. 1376-1383 ◽

Cited By ~ 91

Author(s):

Frances E. Thompson ◽

Timothy S. McNeel ◽

Emily C. Dowling ◽

Douglas Midthune ◽

Meredith Morrissette ◽

...

Keyword(s):

United States ◽

Socioeconomic Status ◽

National Health ◽

National Health Interview Survey ◽

The United States ◽

Added Sugars ◽

Health Interview Survey ◽

Health Interview ◽

Interview Survey ◽

Race Ethnicity

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Correction to: Particulate Matter Air Pollution Exposure and Heart Disease Mortality Risks by Race and Ethnicity in the United States: 1997 to 2009 National Health Interview Survey With Mortality Follow-Up Through 2011

Circulation ◽

10.1161/cir.0000000000000608 ◽

2018 ◽

Vol 138 (6) ◽

Keyword(s):

Air Pollution ◽

Race And Ethnicity ◽

National Health Interview Survey ◽

The United States ◽

Mortality Risks ◽

Disease Mortality ◽

Air Pollution Exposure ◽

Interview Survey ◽

Pollution Exposure

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Nativity and Country of Origin Variations in Life Expectancy With Functional Limitations Among Older Hispanics in the United States

Research on Aging ◽

10.1177/0164027520914512 ◽

2020 ◽

Vol 42 (7-8) ◽

pp. 199-207 ◽

Cited By ~ 1

Author(s):

Marc A. Garcia ◽

Adriana M. Reyes ◽

Catherine García ◽

Chi-Tsun Chiu ◽

Grecia Macias

Keyword(s):

United States ◽

Life Expectancy ◽

National Health Interview Survey ◽

Puerto Ricans ◽

Functional Limitations ◽

Country Of Origin ◽

The United States ◽

Foreign Born ◽

Interview Survey ◽

Racial Ethnic

This study examined racial/ethnic, nativity, and country of origin differences in life expectancy with and without functional limitations among older adults in the United States. We used data from the National Health Interview Survey (1999–2015) to estimate Sullivan-based life tables of life expectancies with functional limitations and without functional limitations by sex for U.S.-born Mexicans, foreign-born Mexicans, U.S.-born Puerto Ricans, island-born Puerto Ricans, foreign-born Cubans, and U.S.-born Whites. We find that Latinos exhibit heterogeneous life expectancies with functional limitations. Among females, U.S.-born Mexicans, foreign-born Mexicans, and foreign-born Cubans spend significantly fewer years without functional limitations, whereas island-born Puerto Ricans spend more years with functional limitations. For men, U.S.-born Puerto Ricans were the only Latino subgroup disadvantaged in the number of years lived with functional limitations. Conversely, foreign-born Cubans spend significantly fewer years without functional limitations. To address disparities in functional limitations, we must consider variation in health among Latino subgroups.

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Cost-Related Medication Nonadherence in Adults With Diabetes in the United States: The National Health Interview Survey 2013–2018

10.2337/figshare.17157959.v1 ◽

2022 ◽

Author(s):

Mohamad B. Taha ◽

Javier Valero-Elizondo ◽

Tamer Yahya ◽

César Caraballo ◽

Rohan Khera ◽

...

Keyword(s):

National Health ◽

National Health Interview Survey ◽

The United States ◽

Medication Nonadherence ◽

Financial Barriers ◽

Health Interview Survey ◽

Health Interview ◽

Comorbidity Burden ◽

The Us ◽

Interview Survey

Objective: Health-related expenditures due to diabetes are rising in the US. Medication nonadherence is associated with worse health outcomes among adults with diabetes. <a>We sought to examine the extent of reported cost-related medication nonadherence (CRN) in individuals with diabetes in the US</a>. Research Design and Methods: We studied adults ≥18 with self-reported diabetes from the National Health Interview Survey (NHIS; 2013-18), a US nationally representative survey. Adults reporting skipping doses, taking less medication, or delaying filling a prescription to save money in the past year were considered to have experienced CRN. The weighted prevalence of CRN was estimated overall and by age subgroups (<65 and ≥65 years). Logistic regression was used to identify sociodemographic characteristics independently associated with CRN. Results: Of the 20,326 NHIS participants with diabetes, 17.6% (weighted: 2.3 million) of those aged <65 reported CRN, compared with 6.9% (weighted: 0.7 million) among those aged ≥65. Financial hardship from medical bills, lack of insurance, low-income, high comorbidity burden and female sex were independently associated with CRN across age groups. Lack of insurance, duration of diabetes, current smoking, hypertension, and hypercholesterolemia were associated with higher odds of reporting CRN among the non-elderly, but not among the elderly. Among elderly, insulin use significantly increased the odds of reporting CRN (OR 1.51, 95% CI 1.18, 1.92). Conclusions: In the US, 1 in 6 non-elderly and 1 in 14 elderly adults with diabetes reported CRN. Removing financial barriers to accessing medications may improve medication adherence among these patients, with the potential to improve their outcomes.

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Social Class, Race/Ethnicity and All-Cause Mortality in the US: Longitudinal Results from the 1986–1994 National Health Interview Survey

European Journal of Epidemiology ◽

10.1023/b:ejep.0000036569.39399.68 ◽

2003 ◽

Vol 19 (8) ◽

pp. 777-784 ◽

Cited By ~ 28

Author(s):

Carles Muntaner ◽

Wilbur C. Hadden ◽

Nataliya Kravets

Keyword(s):

Social Class ◽

National Health ◽

National Health Interview Survey ◽

Health Interview Survey ◽

Health Interview ◽

The Us ◽

All Cause Mortality ◽

Interview Survey ◽

Race Ethnicity

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Country of Birth (Nativity) and Cancer Diagnosis: Findings From The National Health and Nutrition Examination Survey (NHANES) 2011-2018

10.21203/rs.3.rs-260557/v1 ◽

2021 ◽

Author(s):

Luceta McRoy ◽

Josue Epane ◽

Zo Ramamonjiarivelo ◽

Ferhat Zengul ◽

Robert Weech-Maldonado ◽

...

Keyword(s):

Cancer Diagnosis ◽

Smoking Status ◽

Routine Care ◽

Country Of Birth ◽

Foreign Born ◽

Age And Gender ◽

Health And Nutrition ◽

The Us ◽

Race Ethnicity ◽

And Gender

Abstract Purpose: Cancer incidence in the US remains higher among certain groups, regions, and communities and there are variations based on nativity. Research has primarily focused on specific groups and types of cancer. This study expands on previous studies to explore the relationship between country of birth (nativity) and all cancer site incidences among US and foreign-born residents using a nationally representative sample.Methods: This is a cross-sectional study of (unweighted n= 22,554; weighted n =231,175,933) participants between the ages of 20 and 80 from the National Health and Nutrition Examination Survey (NHANES) 2011-2018. Using weighted logistic regressions, we analyzed the impact of nativity on self-reported cancer diagnosis controlling for routine care, smoking status, overweight, race/ethnicity, age, and gender. We ran a partial model, adjusting only for age as a covariate, and a full model with all other covariates.Results: In the partial and full models, our findings indicate that US-born individuals were more likely to report a cancer diagnosis compared to their foreign-born counterparts (OR = 2.34, 95% CI [1.93; 2.84], p<0.01), and (OR=1. 39, 95 % CI [1.05; 1.84], p < 0.05), respectively. There was a significant association between cancer diagnosis and routine care (OR=1.48, 95% [1.14; 1.93], p<0.01), overweight (OR=1.16, 95% CI [1.01; 1.34], p<0.05), and smoking status (OR=1.30, 95% CI [1.13; 1.49], p<0.01). Race/ethnicity, age and gender were also significantly associated with cancer diagnosis.Conclusion: A variety of factors may reflect lower cancer diagnosis in foreign-born individuals in the US other than a healthy immigrant advantage, including environmental factors.

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