Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states

Maldonado, Adriana; Baquero, Barbara; Afifi, Rima; Hoffman, Richard M.; Laroche, Helena H.; Garcia, David O.; Gilbert, Paul A.

doi:10.1016/j.ssmqr.2023.100250

SSM - Qualitative Research in Health

2023

DOI: 10.1016/j.ssmqr.2023.100250

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Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states

Adriana Maldonado

Barbara Baquero

Rima Afifi

et al.

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2024

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Cited by 2 publications

References 69 publications

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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

Benjasirisan,

Elias,

Lim

et al. 2024

JAHA

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Background Immigrants are disproportionately affected by cardiovascular disease burden. Heart health screenings, including blood pressure, fasting blood glucose (FBG), and blood cholesterol screenings, can help identify cardiovascular disease risk. Evidence on heart health screenings among diverse immigrant groups is still limited. This study examined the disparities in heart health screenings among the immigrant population compared with US‐born White adults. Methods and Results A cross‐sectional design was used to analyze data from the 2011 to 2018 National Health Interview Survey. Generalized linear models with Poisson distribution were applied to compare the prevalence of annual blood pressure, fasting blood glucose, and blood cholesterol screenings among Latino, Black, and Asian immigrants and US‐born White adults. The analysis included 145 149 adults (83.60% US‐born White adults, 9.55% Latino immigrants, 1.89% Black immigrants, and 4.96% Asian immigrants), with a mean age of 50 years and 53.62% women. Latino (adjusted odds ratio [aOR], 0.92 [95% CI, 0.91–0.93]) and Asian (aOR, 0.93 [95% CI, 0.92–0.94]) immigrants were less likely to have blood pressure screening than US‐born White adults. Latino (aOR, 1.22 [95% CI, 1.19–1.25]), Black (aOR, 1.15 [95% CI, 1.09–1.21]), and Asian (aOR, 1.12 [95% CI, 1.08–1.15]) immigrants were more likely to have fasting blood glucose screening, and Latino (aOR, 1.11 [95% CI, 1.09–1.13]), Black or (aOR, 1.12 [95% CI, 1.09–1.16]), and Asian (aOR, 1.05 [95% CI, 1.04–1.07]) immigrants were more likely to have blood cholesterol screening than US‐born White adults. Conclusions Latino and Asian immigrants have lower odds of annual blood pressure screenings than US‐born White adults. More studies exploring facilitators and barriers to the accessibility and use of heart health screenings are needed.

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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

Benjasirisan,

Elias,

Lim

et al. 2024

JAHA

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Hypertension Prevalence, Treatment, and Control 90 Days After Acute Stroke Among Mexican American and Non‐Hispanic White Adults

Springer,

Levine,

Han

et al. 2024

JAHA

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Background High blood pressure (BP) increases recurrent stroke risk. Methods and Results We assessed hypertension prevalence, treatment, control, medication adherence, and predictors of uncontrolled BP 90 days after ischemic or hemorrhagic stroke among 561 Mexican American and non‐Hispanic White (NHW) survivors of stroke from the BASIC (Brain Attack Surveillance in Corpus Christi) cohort from 2011 to 2014. Uncontrolled BP was defined as average BP ≥140/90 mm Hg at 90 days poststroke. Hypertension was uncontrolled BP or antihypertensive medication prescribed or hypertension history. Treatment was antihypertensive use. Adherence was missing zero antihypertensive doses per week. We investigated predictors of uncontrolled BP using logistic regression adjusting for patient factors. Median (interquartile range) age was 68 (59–78) years, 64% were Mexican American, and 90% of strokes were ischemic. Overall, 94.3% of survivors of stroke had hypertension (95.6% Mexican American versus 92.0% non‐Hispanic White; P =0.09). Of these, 87.9% were treated (87.3% Mexican American versus 89.1% non‐Hispanic White; P =0.54). Among the total population, 38.3% (95% CI, 34.4%–42.4%) had uncontrolled BP. Among those with uncontrolled BP prescribed an antihypertensive, 84.5% reported treatment adherence (95% CI, 78.8%–89.3%). Uncontrolled BP 90 days poststroke was less likely in patients with stroke who had a primary care physician (adjusted odds ratio [aOR], 0.45 [95% CI, 0.24–0.83]; P =0.01), greater stroke severity (aOR per‐1‐point‐higher National Institutes of Health Stroke Scale score, 0.96 [95% CI, 0.93–0.99]; P =0.02), or more depressive symptoms (aOR per‐1‐point‐higher Personal Health Questionnaire Depression Scale‐8 score, 0.95 [95% CI, 0.92–0.99] among those with a history of hypertension at baseline; P =0.009). Conclusions Greater than one third of survivors of stroke have uncontrolled BP at 90 days poststroke in this population‐based study. Interventions are needed to improve BP control after stroke.

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Hypertension management among Latinos: A qualitative investigation comparing Latinos experiences in established and new Latino destination states

Cited by 2 publications

References 69 publications

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

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

Hypertension Prevalence, Treatment, and Control 90 Days After Acute Stroke Among Mexican American and Non‐Hispanic White Adults

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