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Cardiovascular risk factors in Mexican American adults: A transcultural analysis of NHANES III, 1988-1994

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  • Sundquist, J.
  • Winkleby, M.A.

Abstract

Objectives. This study examined the extent to which cardiovascular disease risk factors differ among subgroups of Mexican Americans living in the United States. Methods. Using data from a national sample (1988-1994) of 1387 Mexican American women and 1404 Mexican American men, aged 25 to 64 years, we examined an estimate of coronary heart disease mortality risk and 5 primary cardiovascular disease risk factors: systolic blood pressure, body mass index, cigarette smoking, non-high-density lipoprotein cholesterol, and type 2 diabetes mellitus. Differences in risk were evaluated by country of birth and primary language spoken. Results. Estimated 10-year coronary heart disease mortality risk per 1000 persons, adjusted for age and education, was highest for US-born Spanish-speaking men and women (27.5 and 11.4, respectively), intermediate for US-born English-speaking men and women (22.5 and 7.0), and lowest for Mexican-born men and women (20.0 and 6.6). A similar pattern of higher risk among US-born Spanish-speaking men and women was demonstrated for each of the 5 cardiovascular disease risk factors. Conclusions. These findings illustrate the heterogeneity of the Mexican American population and identify a new group at substantial risk for cardiovascular disease and in need of effective heart disease prevention programs.

Suggested Citation

  • Sundquist, J. & Winkleby, M.A., 1999. "Cardiovascular risk factors in Mexican American adults: A transcultural analysis of NHANES III, 1988-1994," American Journal of Public Health, American Public Health Association, vol. 89(5), pages 723-730.
    • Handle: RePEc:aph:ajpbhl:1999:89:5:723-730_4
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    Cited by:

    1. Platt, Lucinda & K. Uskul, Ayse, 2014. "A note on maintenance of ethnic origin diet and healthy eating in Understanding Society," ISER Working Paper Series 2014-03, Institute for Social and Economic Research.
    2. Gorman, Bridget K. & Lariscy, Joseph T. & Kaushik, Charisma, 2014. "Gender, acculturation, and smoking behavior among U.S. Asian and Latino immigrants," Social Science & Medicine, Elsevier, vol. 106(C), pages 110-118.
    3. Fox, Molly & Thayer, Zaneta & Wadhwa, Pathik D., 2017. "Assessment of acculturation in minority health research," Social Science & Medicine, Elsevier, vol. 176(C), pages 123-132.
    4. Harley, Kim & Eskenazi, Brenda, 2006. "Time in the United States, social support and health behaviors during pregnancy among women of Mexican descent," Social Science & Medicine, Elsevier, vol. 62(12), pages 3048-3061, June.
    5. Lindström, Martin, 2008. "Social capital, anticipated ethnic discrimination and self-reported psychological health: A population-based study," Social Science & Medicine, Elsevier, vol. 66(1), pages 1-13, January.
    6. Viruell-Fuentes, Edna A., 2007. "Beyond acculturation: Immigration, discrimination, and health research among Mexicans in the United States," Social Science & Medicine, Elsevier, vol. 65(7), pages 1524-1535, October.

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