ArticleAmerican journal of hypertension2019
Hypertension Prevalence Jointly Influenced by Acculturation and Gender in US Immigrant Groups.
Article in American journal of hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Cardiometabolic Health of African Immigrants in High-Income Countries: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Acculturation and biological stress markers: A systematic review.Psychoneuroendocrinology · 2021Pooled it
- Intersectionality in quantitative health disparities research: A systematic review of challenges and limitations in empirical studies.Social science & medicine (1982) · 2021Pooled it
- Acculturation is associated with 12-month adherence to combined MVPA and sedentary behavior guidelines in a sample of midlife and older Latino/a adults: findings from the COMPASS physical activity trial.BMC public health · 2025Trial
- Article
- Greater Hypertension Risk among Foreign-born Adults: Examining the Roles of Language, Nativity, and Neighborhood Deprivation in an Ethnoracially Diverse U.S. Sample.Journal of racial and ethnic health disparities · 2026Article
- From Race and Ethnicity as Proxy Variables to Measuring What It Means: The Next Evolution of Health Equity Research.American journal of public health · 2025Article
- The Role of Social Integration in Chronic Disease Prevalences Among the Internal Migrant Populations in China: Evidence from a National Survey.Healthcare (Basel, Switzerland) · 2025Article
- Hypertension Prevalence, Awareness, Treatment, Control and Risk Factors in Tribal Population of India: a Multi-Centric Cross-Sectional Study.Journal of racial and ethnic health disparities · 2024Article
- Disparities in the Use of Annual Heart Health Screenings Among Latino, Black, and Asian Immigrants: Evidence from the 2011 to 2018 National Health Interview Survey.Journal of the American Heart Association · 2024Article
- Examining the Hypertension Control Cascade in Adults With Uncontrolled Hypertension in the US.JAMA network open · 2024Article
- Hypertension Prevalence and Related Risk Factors Among Mexican American Adults Are Increasing: National Health and Nutrition Examination Survey 1999 to 2018.Journal of the American Heart Association · 2024Article
- Cardiovascular Risk Factors Among Asian Americans: Perspectives on the Role of Acculturation in Cardiovascular Diseases Health Disparities.Journal of immigrant and minority health · 2024Review
- Associations of depression with hypertension and citizenship among U.S. adults: A cross-sectional study of the interactions of hypertension and citizenship.Preventive medicine reports · 2023Article
- Stress and Health Outcomes in Midwestern Latinx Youth: The Moderating Role of Ethnic Pride.International journal of environmental research and public health · 2022Article
- Association of U.S. birth, duration of residence in the U.S., and atherosclerotic cardiovascular disease risk factors among Asian adults.Preventive medicine reports · 2022Article
- Advancing Equity in Blood Pressure Control: A Response to the Surgeon General's Call-to-Action.American journal of hypertension · 2022Review
- Immigration Status and Sex Differences in Primary Cardiovascular Disease Prevention: A Retrospective Study of 5 Million Adults.Journal of the American Heart Association · 2021Article
- Ethnic and Gender Differences in 10-Year Coronary Heart Disease Risk: a Cross-Sectional Study in Hawai'i.Journal of racial and ethnic health disparities · 2021Article
- Implementing Hypertension Management Interventions in Immigrant Communities in the U.S.: a Narrative Review of Recent Developments and Suggestions for Programmatic Efforts.Current hypertension reports · 2021Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundLatinos and Asians in the United States are disproportionately burdened by hypertension, a leading risk factor for cardiovascular disease. Few studies have used multicomponent measures of acculturation to compare cardiovascular risk factors across immigrant-origin groups. Additionally, little is known about how acculturation and gender shape hypertension risk among immigrants.
methodsWe created an acculturation score composed of language use, nativity, and years in the United States and fit separate race/ethnicity log-binomial models examining associations with hypertension prevalence (≥130/80 mm Hg) among Latino (n = 4,267) and Asian (n = 2,142) National Health and Nutrition Examination Survey 2011-2016 participants aged 18+. Joint effect models tested the concept of "intersectionality" between acculturation and gender.
resultsAdjusting for age, gender, and socioeconomic position, Latinos and Asians with high acculturation were 25% and 27% more likely to have hypertension, respectively, compared with low acculturation groups. Latino and Asian American men with high levels of acculturation were 74-79% more likely to have hypertension compared with women with low acculturation (adjusted prevalence ratios (aPR) for Latinos = 1.74, 95% confidence interval (CI): 1.49-2.03; aPR for Asians = 1.79, 95% CI: 1.42-2.25). The gradient of increasing hypertension with increasing acculturation was most apparent among Latino men (adjusted risk differences (aRD) = 12.0%, P < 0.001) and Asian women (aRD = 14.0%, P = 0.003) and nonsignificant among Latino women and Asian men when comparing high vs. low acculturation categories.
conclusionsOur results correspond with prior literature demonstrating increased morbidity among immigrants with increasing acculturation but also suggest differing patterns by race/ethnicity and gender. Future research should explore how migration processes differentially influence hypertension among men and women.
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