Nativity Status and Cardiovascular Disease Mortality Among Hispanic Adults

Rodríguez, Fátima; Hastings, Katherine; Hu, Junjie; López, Lenny; Cullen, Mark R.; Harrington, Robert A.; Palaniappan, Latha

doi:10.1161/jaha.117.007207

Cited by 43 publications

(20 citation statements)

References 38 publications

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“…Our meta-analysis included studies published between January, 2001, and March, 2017. We updated our search from March 31, 2017, to Sept 3, 2018, which yielded ten additional papers49, 50, 51, 52, 53, 54, 55, 56, 57, 58 that met our inclusion criteria that had been published since the original search. Of these ten studies, nine were done in high-income countries (two from the same dataset in Belgium), and were focused on international migrants with no disaggregation by subgroup.…”

Section: Discussionmentioning

confidence: 99%

Global patterns of mortality in international migrants: a systematic review and meta-analysis

et al. 2018

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SummaryBackground258 million people reside outside their country of birth; however, to date no global systematic reviews or meta-analyses of mortality data for these international migrants have been done. We aimed to review and synthesise available mortality data on international migrants.MethodsIn this systematic review and meta-analysis, we searched MEDLINE, Embase, the Cochrane Library, and Google Scholar databases for observational studies, systematic reviews, and randomised controlled trials published between Jan 1, 2001, and March 31, 2017, without language restrictions. We included studies reporting mortality outcomes for international migrants of any age residing outside their country of birth. Studies that recruited participants exclusively from intensive care or high dependency hospital units, with an existing health condition or status, or a particular health exposure were excluded. We also excluded studies limited to maternal or perinatal outcomes. We screened studies using systematic review software and extracted data from published reports. The main outcomes were all-cause and International Classification of Diseases, tenth revision (ICD-10) cause-specific standardised mortality ratios (SMRs) and absolute mortality rates. We calculated summary estimates using random-effects models. This study is registered with PROSPERO, number CRD42017073608.FindingsOf the 12 480 articles identified by our search, 96 studies were eligible for inclusion. The studies were geographically diverse and included data from all global regions and for 92 countries. 5464 mortality estimates for more than 15·2 million migrants were included, of which 5327 (97%) were from high-income countries, 115 (2%) were from middle-income countries, and 22 (<1%) were from low-income countries. Few studies included mortality estimates for refugees (110 estimates), asylum seekers (144 estimates), or labour migrants (six estimates). The summary estimate of all-cause SMR for international migrants was lower than one when compared with the general population in destination countries (0·70 [95% CI 0·65–0·76]; I2=99·8%). All-cause SMR was lower in both male migrants (0·72 [0·63–0·81]; I2=99·8%) and female migrants (0·75 [0·67–0·84]; I2=99·8%) compared with the general population. A mortality advantage was evident for refugees (SMR 0·50 [0·46–0·54]; I2=89·8%), but not for asylum seekers (1·05 [0·89–1·24]; I2=54·4%), although limited data was available on these groups. SMRs for all causes of death were lower in migrants compared with the general populations in the destination country across all 13 ICD-10 categories analysed, with the exception of infectious diseases and external causes. Heterogeneity was high across the majority of analyses. Point estimates of all-cause age-standardised mortality in migrants ranged from 420 to 874 per 100 000 population.InterpretationOur study showed that international migrants have a mortality advantage compared with general populations, and that this advantage persisted across the majority of ICD-10 disease catego...

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Section: Discussionmentioning

confidence: 99%

Global patterns of mortality in international migrants: a systematic review and meta-analysis

et al. 2018

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“…We measured nativity with a dichotomous indicator of whether the person was born in any of the 50 states or outside of the US. Although Puerto Rico is a US territory, Puerto Ricans born in the island do not consider themselves to be “US‐born” and generally have a different health profile than those born in the mainland US . Therefore, we considered Puerto Ricans born outside the US as “non‐US‐born.” A total of 78 individuals identified as “other” race/ethnicity.…”

Section: Methodsmentioning

confidence: 99%

Assessing the Role of Health Behaviors, Socioeconomic Status, and Cumulative Stress for Racial/Ethnic Disparities in Obesity

Cuevas

Chen

Slopen

et al. 2019

Obesity

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Objective This study aimed to examine the explanatory role of health behaviors, socioeconomic position (SEP), and psychosocial stressors on racial/ethnic obesity disparities in a multiethnic and multiracial sample of adults. Methods Using data from the Chicago Community Adult Health Study (2001‐2003), Oaxaca‐Blinder decomposition analysis was conducted to quantify the extent to which health behaviors (fruit and vegetable consumption and physical activity), SEP, and cumulative stressors (e.g., perceived discrimination, financial strain) each explained differences in obesity prevalence in Black, US‐born Hispanic, and non‐US‐born Hispanic compared with non‐Hispanic White participants. Results SEP and health behaviors did not explain obesity differences between racial/ethnic minorities and White individuals. Having high levels of stress in four or more domains explained 4.46% of the differences between Black and White individuals, whereas having high levels of stress in three domains significantly explained 14.13% of differences between US‐born Hispanic and White. Together, the predictors explained less than 20% of differences between any racial/ethnic minority group and White individuals. Conclusions Exposure to stressors may play a role in obesity disparities, particularly among Black and US‐born Hispanic individuals. Other obesity‐related risk factors need to be examined to understand the underlying mechanisms explaining obesity disparities.

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“…Nativity status was not considered in this study because the numbers of U.S. born Hispanics are small for Cubans and Central or South Americans. However, studies have shown there are significant differences between foreign-born and U.S. born Hispanic cancer burden for most cancer sites (14,45,46). The study also did not account for racial differences between Hispanic Whites and Hispanic Blacks.…”

Section: Limitationsmentioning

confidence: 87%

Disaggregating Hispanic American Cancer Mortality Burden by Detailed Ethnicity

Zamora

Pinheiro

Gomez

et al. 2019

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Hispanics are the largest minority population in the United States (18%). They represent a heterogeneous and growing population. Cancer is the leading cause of death among Hispanics, yet few studies have described cancer mortality burden by specific Hispanic group nationwide. Methods: Cancer-related deaths from U.S. death certificates for the years 2003-2012 were analyzed for decedents identifying as Mexican, Puerto Rican, Cuban, and Central or South American. We calculated descriptive statistics, including potential years of lives lost (PYLL), ageadjusted rates, standardized mortality ratios, and fitted JoinPoint regression models, to evaluate annual trends by Hispanic group, using non-Hispanic Whites (NHW) as the reference population. Results: We identified 287,218 cancer-related deaths among Hispanics and 4,570,559 among NHWs. Mortality trends were heterogeneous across Hispanic groups. Female NHWs and male Puerto Ricans had the greatest rates of adjusted PYLL per 1,000 (NHWs, 19.6; Puerto Ricans, 16.5). Liver cancer was ranked among the top 5 cancer-related deaths for every Hispanic group, but not for NHWs. Stomach cancer mortality was twice as high for most Hispanic groups when compared with NHWs and especially high for Mexicans [male standardized mortality ratio (SMR), 2.07; 95% confidence interval (CI), 2.01-2.13; female SMR, 2.62; 95% CI, 2.53-2.71]. Conclusions: We observed marked heterogeneity in cancer mortality across Hispanic groups. Several cancers affect Hispanics disproportionately compared with NHWs. Screening programs in Hispanics should be considered for stomach and liver cancer. Impact: Disaggregated analysis of Hispanics is needed to fully understand cancer burden among the diverse Hispanic population and is critical for cancer prevention and control efforts.

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Nativity Status and Cardiovascular Disease Mortality Among Hispanic Adults

Cited by 43 publications

References 38 publications

Global patterns of mortality in international migrants: a systematic review and meta-analysis

Global patterns of mortality in international migrants: a systematic review and meta-analysis

Assessing the Role of Health Behaviors, Socioeconomic Status, and Cumulative Stress for Racial/Ethnic Disparities in Obesity

Disaggregating Hispanic American Cancer Mortality Burden by Detailed Ethnicity

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