Awareness of high blood pressure by nativity among black men : implications for interpreting the immigrant health paradox
Cole, Helen (Universitat Autònoma de Barcelona. Institut de Ciència i Tecnologia Ambientals)
Reed, Holly E. (Queens College. Department of Sociology)
Tannis, Candace (Icahn School of Medicine at Mount Sinai (Nova York, Estats Units d'Amèrica). Department of Environmental Medicine and Public Health)
Trinh-Shevrin, Chau (New York University School of Medicine. Department of Population Health)
Ravenell, Joseph E. (New York University School of Medicine. Department of Population Health)

Data:	2018
Resum:	Introduction: differences in the social determinants of health and cardiovascular health outcomes by nativity have implications for understanding the immigrant health paradox among black immigrants. We aimed to understand whether blood pressure awareness, a precursor to achieving blood pressure control among hypertensive patients, varied by nativity among a sample of black men. - Methods: data were collected from 2010 through 2014. In 2016, we conducted logistic regression models using data from a large sample of urban-dwelling middle-aged and older black men. All men in the study had measured high blood pressure at the time of enrollment and were also asked whether they were aware of having high blood pressure. Independent variables included demographics, socioeconomic status, access to care, and health-related behaviors. - Results: foreign-born participants were significantly less likely than US-born participants to report awareness of having high blood pressure (P < . 001). We observed a significant positive relationship between proportion of life spent in the US and being aware of having hypertension (β = 0. 863; 95% CI, 0. 412-1. 314; P < . 001). This relationship remained after adjusting the model for salient independent variables (β = 0. 337; 95% CI, 0. 041-0. 634; P = . 03). - Conclusions: difference in hypertension awareness by nativity may skew surveillance estimates used to track health disparities by large heterogeneous racial categories. Our results also indicate that prior health care experience and circumstances should be considered when studying the immigrant health paradox.
Nota:	Unidad de excelencia María de Maeztu MdM-2015-0552
Nota:	This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited
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Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	Preventing chronic disease, Vol. 15 (Oct. 2018) , art. 170570

DOI: 10.5888/pcd15.170570
PMID: 30289105

12 p, 353.6 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències > Institut de Ciència i Tecnologia Ambientals (ICTA) > Barcelona Lab for Urban Environmental Justice and Sustainability (BCNUEJ)
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