Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017).

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  • Additional Information
    • Subject Terms:
    • NAICS/Industry Codes:
      325410 Pharmaceutical and medicine manufacturing
      524292 Third Party Administration of Insurance and Pension Funds
      525190 Other Insurance Funds
      524298 All Other Insurance Related Activities
    • Abstract:
      Objectives. To estimate treatment rates of high cholesterol, hypertension, and diabetes among Hispanic/Latino immigrants by immigration status (i.e., naturalized citizens, documented immigrants, or undocumented immigrants). Methods. We performed a cross-sectional analyses of the Hispanic Community Health Study/Study of Latinos (visit 2, 2014–2017). We restricted our analysis to Hispanic/Latino immigrants with high cholesterol (n = 3974), hypertension (n = 3353), or diabetes (n = 2406); treatment was defined as use of statins, antihypertensives, and antidiabetics, respectively. Results. When compared with naturalized citizens, undocumented and documented immigrants were less likely to receive treatment for high cholesterol (38.4% vs 14.1%; prevalence ratio [PR] = 0.37 [95% confidence interval [CI] = 0.27, 0.51] and 25.7%; PR = 0.67 [95% CI = 0.58, 0.76]), hypertension (77.7% vs 57.7%; PR = 0.74 [95% CI = 0.62, 0.89] and 68.1%; PR = 0.88 [95% CI = 0.82, 0.94]), and diabetes (60.3% vs. 50.4%; PR = 0.84 [95% CI = 0.68, 1.02] and 55.8%; PR = 0.93 [95% CI = 0.83, 1.03]); the latter did not reach statistical significance. Undocumented and documented immigrants had less access to health care, including insurance coverage or a usual health care provider, than naturalized citizens. Therefore, adjusting for health care access largely explained treatment disparities across immigration status. Conclusions. Preventing cardiovascular disease among Hispanic/Latino immigrants should focus on undertreatment of high cholesterol, hypertension, and diabetes by increasing health care access, especially among undocumented immigrants. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Full Text Word Count:
      7357
    • ISSN:
      0090-0036
    • Accession Number:
      10.2105/AJPH.2020.305745
    • Accession Number:
      145072231
  • Citations
    • ABNT:
      GUADAMUZ, J. S. et al. Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017). American Journal of Public Health, [s. l.], v. 110, n. 9, p. 1397–1404, 2020. DOI 10.2105/AJPH.2020.305745. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=bsu&AN=145072231. Acesso em: 26 nov. 2020.
    • AMA:
      Guadamuz JS, Durazo-Arvizu RA, Daviglus ML, et al. Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017). American Journal of Public Health. 2020;110(9):1397-1404. doi:10.2105/AJPH.2020.305745
    • APA:
      Guadamuz, J. S., Durazo-Arvizu, R. A., Daviglus, M. L., Perreira, K. M., Calip, G. S., Nutescu, E. A., Gallo, L. C., Castaneda, S. F., Gonzalez II, F., & Qato, D. M. (2020). Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017). American Journal of Public Health, 110(9), 1397–1404. https://doi.org/10.2105/AJPH.2020.305745
    • Chicago/Turabian: Author-Date:
      Guadamuz, Jenny S., Ramon A. Durazo-Arvizu, Martha L. Daviglus, Krista M. Perreira, Gregory S. Calip, Edith A. Nutescu, Linda C. Gallo, Sheila F. Castaneda, Franklyn Gonzalez II, and Dima M. Qato. 2020. “Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017).” American Journal of Public Health 110 (9): 1397–1404. doi:10.2105/AJPH.2020.305745.
    • Harvard:
      Guadamuz, J. S. et al. (2020) ‘Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017)’, American Journal of Public Health, 110(9), pp. 1397–1404. doi: 10.2105/AJPH.2020.305745.
    • Harvard: Australian:
      Guadamuz, JS, Durazo-Arvizu, RA, Daviglus, ML, Perreira, KM, Calip, GS, Nutescu, EA, Gallo, LC, Castaneda, SF, Gonzalez II, F & Qato, DM 2020, ‘Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017)’, American Journal of Public Health, vol. 110, no. 9, pp. 1397–1404, viewed 26 November 2020, .
    • MLA:
      Guadamuz, Jenny S., et al. “Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017).” American Journal of Public Health, vol. 110, no. 9, Sept. 2020, pp. 1397–1404. EBSCOhost, doi:10.2105/AJPH.2020.305745.
    • Chicago/Turabian: Humanities:
      Guadamuz, Jenny S., Ramon A. Durazo-Arvizu, Martha L. Daviglus, Krista M. Perreira, Gregory S. Calip, Edith A. Nutescu, Linda C. Gallo, Sheila F. Castaneda, Franklyn Gonzalez II, and Dima M. Qato. “Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017).” American Journal of Public Health 110, no. 9 (September 2020): 1397–1404. doi:10.2105/AJPH.2020.305745.
    • Vancouver/ICMJE:
      Guadamuz JS, Durazo-Arvizu RA, Daviglus ML, Perreira KM, Calip GS, Nutescu EA, et al. Immigration Status and Disparities in the Treatment of Cardiovascular Disease Risk Factors in the Hispanic Community Health Study/Study of Latinos (Visit 2, 2014–2017). American Journal of Public Health [Internet]. 2020 Sep [cited 2020 Nov 26];110(9):1397–404. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=bsu&AN=145072231