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Erschienen in: Current Atherosclerosis Reports 6/2021

01.06.2021 | Evidence-Based Medicine, Clinical Trials and Their Interpretations (K. Nasir, Section Editor)

Understanding Immigration as a Social Determinant of Health: Cardiovascular Disease in Hispanics/Latinos and South Asians in the United States

verfasst von: Jenny S. Guadamuz, Karan Kapoor, Mariana Lazo, Andrea Eleazar, Tamer Yahya, Alka M. Kanaya, Miguel Cainzos-Achirica, Usama Bilal

Erschienen in: Current Atherosclerosis Reports | Ausgabe 6/2021

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Abstract

Purpose of Review

The main purpose of this review is to summarize the epidemiology of cardiovascular disease and its risk factors among two of the largest and most diverse immigrant groups in the United States (Hispanics/Latinos and South Asians).

Recent Findings

While the migration process generates unique challenges for individuals, there is a wide heterogeneity in the characteristics of immigrant populations, both between and within regions of origin. Hispanic/Latino immigrants to the United States have lower levels of cardiovascular risk factors, prevalence, and mortality, but this assessment is limited by issues related to the “salmon bias.” South Asian immigrants to the United States generally have higher levels of risk factors and higher mortality. In both cases, levels of risk factors and mortality generally increase with time of living in the United States (US).

Summary

While immigration acts as a social determinant of health, associations between immigration and cardiovascular disease and its risk factors are complex and vary across subpopulations.
Literatur
2••.
Zurück zum Zitat Abubakar I, Aldridge RW, Devakumar D, Orcutt M, Burns R, Barreto ML, et al. The UCL-Lancet Commission on Migration and Health: the health of a world on the move. Lancet. 2018;392(10164):2606–54. https://doi.org/10.1016/S0140-6736(18)32114-7Comprehensive overview of the social challenges that migrants face worldwide and how their health is affected by these social factors.CrossRefPubMed Abubakar I, Aldridge RW, Devakumar D, Orcutt M, Burns R, Barreto ML, et al. The UCL-Lancet Commission on Migration and Health: the health of a world on the move. Lancet. 2018;392(10164):2606–54. https://​doi.​org/​10.​1016/​S0140-6736(18)32114-7Comprehensive overview of the social challenges that migrants face worldwide and how their health is affected by these social factors.CrossRefPubMed
4.
Zurück zum Zitat Havranek EP, Mujahid MS, Barr DA, Blair IV, Cohen MS, Cruz-Flores S, et al. Social determinants of risk and outcomes for cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2015;132(9):873–98.CrossRef Havranek EP, Mujahid MS, Barr DA, Blair IV, Cohen MS, Cruz-Flores S, et al. Social determinants of risk and outcomes for cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2015;132(9):873–98.CrossRef
8.
Zurück zum Zitat Kumanyika S. Health disparities research in global perspective: new insights and new directions. Annu Rev Public Health. 2012;33:1–5.CrossRef Kumanyika S. Health disparities research in global perspective: new insights and new directions. Annu Rev Public Health. 2012;33:1–5.CrossRef
9.
Zurück zum Zitat Diez Roux AV. Conceptual approaches to the study of health disparities. Annu Rev Public Health. 2012;33:41–58.CrossRef Diez Roux AV. Conceptual approaches to the study of health disparities. Annu Rev Public Health. 2012;33:41–58.CrossRef
10.
Zurück zum Zitat Williams DR, Collins C. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Rep. 2016;116(5):404–16.CrossRef Williams DR, Collins C. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Rep. 2016;116(5):404–16.CrossRef
11.
Zurück zum Zitat Fiscella K, Sanders MR. Racial and ethnic disparities in the quality of health care. Annu Rev Public Health. 2016;37:375–94.CrossRef Fiscella K, Sanders MR. Racial and ethnic disparities in the quality of health care. Annu Rev Public Health. 2016;37:375–94.CrossRef
12.
Zurück zum Zitat Zajacova A, Lawrence EM. The relationship between education and health: reducing disparities through a contextual approach. Annu Rev Public Health. 2018;39:273–89.CrossRef Zajacova A, Lawrence EM. The relationship between education and health: reducing disparities through a contextual approach. Annu Rev Public Health. 2018;39:273–89.CrossRef
13.
Zurück zum Zitat Jackson CL, Redline S, Emmons KM. Sleep as a potential fundamental contributor to disparities in cardiovascular health. Annu Rev Public Health. 2015;36:417–40.CrossRef Jackson CL, Redline S, Emmons KM. Sleep as a potential fundamental contributor to disparities in cardiovascular health. Annu Rev Public Health. 2015;36:417–40.CrossRef
14.
Zurück zum Zitat Spencer KL, Grace M. Social foundations of health care inequality and treatment bias. Annu Rev Sociol. 2016;42:101–20.CrossRef Spencer KL, Grace M. Social foundations of health care inequality and treatment bias. Annu Rev Sociol. 2016;42:101–20.CrossRef
15.
Zurück zum Zitat Krieger N. Measures of racism, sexism, heterosexism, and gender binarism for health equity research: From structural injustice to embodied harm—An ecosocial analysis. Annu Rev Public Health. 2020;41:37–62.CrossRef Krieger N. Measures of racism, sexism, heterosexism, and gender binarism for health equity research: From structural injustice to embodied harm—An ecosocial analysis. Annu Rev Public Health. 2020;41:37–62.CrossRef
24.
Zurück zum Zitat Migration Policy Institute. Profile of the Unauthorized Population: United States 2019. Migration Policy Institute. Profile of the Unauthorized Population: United States 2019.
27•.
Zurück zum Zitat Guadamuz JS, Durazo-Arvizu RA, Daviglus ML, Calip GS, Nutescu EA, Qato DM. Citizenship status and the prevalence, treatment, and control of cardiovascular disease risk factors among adults in the United States, 2011-2016. Circ Cardiovasc Qual Outcomes. 2020;13(3):e006215. https://doi.org/10.1161/CIRCOUTCOMES.119.006215Among the first studies to acknowledge that citizenship status (and, therefore, immigration) is a social determinant of health that influences the prevalence, treatment, and control of cardiovascular disease risk factors.CrossRefPubMedPubMedCentral Guadamuz JS, Durazo-Arvizu RA, Daviglus ML, Calip GS, Nutescu EA, Qato DM. Citizenship status and the prevalence, treatment, and control of cardiovascular disease risk factors among adults in the United States, 2011-2016. Circ Cardiovasc Qual Outcomes. 2020;13(3):e006215. https://​doi.​org/​10.​1161/​CIRCOUTCOMES.​119.​006215Among the first studies to acknowledge that citizenship status (and, therefore, immigration) is a social determinant of health that influences the prevalence, treatment, and control of cardiovascular disease risk factors.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Rosenbaum S The new “public charge” rule affecting immigrants has major implications for Medicaid and entire communities. To the Point. 2019. Rosenbaum S The new “public charge” rule affecting immigrants has major implications for Medicaid and entire communities. To the Point. 2019.
32.
Zurück zum Zitat Artiga S, Garfield R, Damico A. Estimated impacts of final public charge inadmissibility rule on immigrants and Medicaid coverage. Kaiser Family Foundation. 2019. Artiga S, Garfield R, Damico A. Estimated impacts of final public charge inadmissibility rule on immigrants and Medicaid coverage. Kaiser Family Foundation. 2019.
34.
Zurück zum Zitat Perreira KM, Yoshikawa H, Oberlander J. A New Threat to Immigrants’ Health–The Public-Charge Rule. N Engl J Med. 2018;379(10):901–3.CrossRef Perreira KM, Yoshikawa H, Oberlander J. A New Threat to Immigrants’ Health–The Public-Charge Rule. N Engl J Med. 2018;379(10):901–3.CrossRef
37.
Zurück zum Zitat Samari G. Islamophobia and public health in the United States. Am J Public Health. 2016;106(11):1920–5.CrossRef Samari G. Islamophobia and public health in the United States. Am J Public Health. 2016;106(11):1920–5.CrossRef
38.
Zurück zum Zitat Ruggles S, Flood S, Goeken R, Grover J, Meyer E, Pacas J et al. IPUMS USA: Version 10.0 [dataset]. 2020. Ruggles S, Flood S, Goeken R, Grover J, Meyer E, Pacas J et al. IPUMS USA: Version 10.0 [dataset]. 2020.
40.
Zurück zum Zitat Heron MP. Deaths: leading causes for 2017. Natl Vital Stat Rep. 2019;68(6):1–77.PubMed Heron MP. Deaths: leading causes for 2017. Natl Vital Stat Rep. 2019;68(6):1–77.PubMed
42•.
Zurück zum Zitat Daviglus ML, Pirzada A, Durazo-Arvizu R, Chen J, Allison M, Avilés-Santa L, et al. Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation: The Hispanic Community Health Study/Study of Latinos. J Am Heart Assoc. 2016;5(8):e003929. https://doi.org/10.1161/JAHA.116.003929Less than 10% of the diverse Hispanic/Latino population in the US has a low-risk cardiovascular profile; the prevalence of a low-risk profile varies across the country of origin and socioeconomic status.CrossRefPubMedPubMedCentral Daviglus ML, Pirzada A, Durazo-Arvizu R, Chen J, Allison M, Avilés-Santa L, et al. Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation: The Hispanic Community Health Study/Study of Latinos. J Am Heart Assoc. 2016;5(8):e003929. https://​doi.​org/​10.​1161/​JAHA.​116.​003929Less than 10% of the diverse Hispanic/Latino population in the US has a low-risk cardiovascular profile; the prevalence of a low-risk profile varies across the country of origin and socioeconomic status.CrossRefPubMedPubMedCentral
43••.
Zurück zum Zitat Daviglus ML, Talavera GA, Avilés-Santa ML, Allison M, Cai J, Criqui MH, et al. Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. JAMA : the journal of the American Medical Association. 2012;308(17):1775–84. https://doi.org/10.1001/jama.2012.14517The landmark Hispanic Community Health Study/Study of Latinos found that a sizable proportion of Hispanic/Latino adults had major risk factors of CVD and that prevalence of CVD and its risk factors varies across the country of origin and socioeconomic status.CrossRefPubMed Daviglus ML, Talavera GA, Avilés-Santa ML, Allison M, Cai J, Criqui MH, et al. Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. JAMA : the journal of the American Medical Association. 2012;308(17):1775–84. https://​doi.​org/​10.​1001/​jama.​2012.​14517The landmark Hispanic Community Health Study/Study of Latinos found that a sizable proportion of Hispanic/Latino adults had major risk factors of CVD and that prevalence of CVD and its risk factors varies across the country of origin and socioeconomic status.CrossRefPubMed
49.
Zurück zum Zitat 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). Am J Public Health. 2020;110(9):1397–404. https://doi.org/10.2105/AJPH.2020.305745.CrossRefPubMed 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). Am J Public Health. 2020;110(9):1397–404. https://​doi.​org/​10.​2105/​AJPH.​2020.​305745.CrossRefPubMed
52••.
55••.
Zurück zum Zitat Rodriguez F, Hastings KG, Hu J, Lopez L, Cullen M, Harrington RA, et al. Nativity status and cardiovascular disease mortality among Hispanic adults. J Am Heart Assoc. 2017;6(12):e007207. https://doi.org/10.1161/JAHA.117.007207Using the National Center for Health Statistics mortality file (2003–2012), authors found that cardiovascular disease mortality rates are higher among Hispanic/Latino immigrants than among their US-born counterparts.CrossRefPubMedPubMedCentral Rodriguez F, Hastings KG, Hu J, Lopez L, Cullen M, Harrington RA, et al. Nativity status and cardiovascular disease mortality among Hispanic adults. J Am Heart Assoc. 2017;6(12):e007207. https://​doi.​org/​10.​1161/​JAHA.​117.​007207Using the National Center for Health Statistics mortality file (2003–2012), authors found that cardiovascular disease mortality rates are higher among Hispanic/Latino immigrants than among their US-born counterparts.CrossRefPubMedPubMedCentral
61.
Zurück zum Zitat López G, Ruiz NG, Patten E. Key facts about Asian Americans, a diverse and growing population. Pew Res Center. 2017;8. López G, Ruiz NG, Patten E. Key facts about Asian Americans, a diverse and growing population. Pew Res Center. 2017;8.
62.
Zurück zum Zitat South Asian Americans leading together. A demographic snapshot of South Asians in the United States 2015. South Asian Americans leading together. A demographic snapshot of South Asians in the United States 2015.
65••.
Zurück zum Zitat Volgman AS, Palaniappan LS, Aggarwal NT, Gupta M, Khandelwal A, Krishnan AV, et al. Atherosclerotic cardiovascular disease in South Asians in the United States: epidemiology, risk factors, and treatments: a scientific statement from the American Heart Association. Circulation. 2018;138(1):e1–e34 A key scientific statement put forth by the American Heart Association serving as a state-of-the-art review of the rising epidemic of atherosclerotic cardiovascular disease among South Asians in the US.CrossRef Volgman AS, Palaniappan LS, Aggarwal NT, Gupta M, Khandelwal A, Krishnan AV, et al. Atherosclerotic cardiovascular disease in South Asians in the United States: epidemiology, risk factors, and treatments: a scientific statement from the American Heart Association. Circulation. 2018;138(1):e1–e34 A key scientific statement put forth by the American Heart Association serving as a state-of-the-art review of the rising epidemic of atherosclerotic cardiovascular disease among South Asians in the US.CrossRef
66•.
Zurück zum Zitat Jose PO, Frank AT, Kapphahn KI, Goldstein BA, Eggleston K, Hastings KG, et al. Cardiovascular disease mortality in Asian Americans. J Am Coll Cardiol. 2014;64(23):2486–94 An important study of 10,442,034 death records demonstrating that proportionate mortality ratio from ischemic disease among Indian Americans was the highest among Asian subgroups.CrossRef Jose PO, Frank AT, Kapphahn KI, Goldstein BA, Eggleston K, Hastings KG, et al. Cardiovascular disease mortality in Asian Americans. J Am Coll Cardiol. 2014;64(23):2486–94 An important study of 10,442,034 death records demonstrating that proportionate mortality ratio from ischemic disease among Indian Americans was the highest among Asian subgroups.CrossRef
68.
Zurück zum Zitat Danaraj TJ, Acker M, Danaraj W, Ong WH, Yam TB. Ethnic group differences in coronary heart disease in Singapore: an analysis of necropsy records. Am Heart J. 1959;58:516–26.CrossRef Danaraj TJ, Acker M, Danaraj W, Ong WH, Yam TB. Ethnic group differences in coronary heart disease in Singapore: an analysis of necropsy records. Am Heart J. 1959;58:516–26.CrossRef
72•.
Zurück zum Zitat Cheng YJ, Kanaya AM, Araneta MRG, Saydah SH, Kahn HS, Gregg EW, et al. Prevalence of diabetes by race and ethnicity in the United States, 2011-2016. JAMA. 2019;322(24):2389–98 Important survey data from the National Health and Nutrition Examination Surveys (2011-2016) establishing the prevalence of diabetes among US South Asians, with a clear demonstration of discrepantly higher rates compared with non-Hispanic Whites.CrossRef Cheng YJ, Kanaya AM, Araneta MRG, Saydah SH, Kahn HS, Gregg EW, et al. Prevalence of diabetes by race and ethnicity in the United States, 2011-2016. JAMA. 2019;322(24):2389–98 Important survey data from the National Health and Nutrition Examination Surveys (2011-2016) establishing the prevalence of diabetes among US South Asians, with a clear demonstration of discrepantly higher rates compared with non-Hispanic Whites.CrossRef
73••.
Zurück zum Zitat Kanaya AM, Kandula N, Herrington D, Budoff MJ, Hulley S, Vittinghoff E, et al. Mediators of Atherosclerosis in South Asians Living in America (MASALA) study: objectives, methods, and cohort description. Clin Cardiol. 2013;36(12):713–20. https://doi.org/10.1002/clc.22219Cohort profile and methods description of the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study, the first cohort study of its kind systematically collecting cardiovascular data from individuals of different South Asian groups in the US.CrossRefPubMedPubMedCentral Kanaya AM, Kandula N, Herrington D, Budoff MJ, Hulley S, Vittinghoff E, et al. Mediators of Atherosclerosis in South Asians Living in America (MASALA) study: objectives, methods, and cohort description. Clin Cardiol. 2013;36(12):713–20. https://​doi.​org/​10.​1002/​clc.​22219Cohort profile and methods description of the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study, the first cohort study of its kind systematically collecting cardiovascular data from individuals of different South Asian groups in the US.CrossRefPubMedPubMedCentral
74•.
Zurück zum Zitat Kanaya A, Ewing S, Vittinghoff E, Herrington D, Tegeler C, Mills C, et al. Acculturation and Subclinical Atherosclerosis among U.S. South Asians: Findings from the MASALA study. J Clin Exp Res Cardiol. 2014;1(1):102 A cross-sectional analysis of the MASALA cohort demonstrating that longer duration of US residence was associated with higher levels of coronary artery calcium (a robust marker of subclinical atherosclerosis) after adjustment for covariates and lifestyle mediators, thus further emphasizing the interplay of acculturation strategy and atherosclerotic disease among South Asians.PubMedPubMedCentral Kanaya A, Ewing S, Vittinghoff E, Herrington D, Tegeler C, Mills C, et al. Acculturation and Subclinical Atherosclerosis among U.S. South Asians: Findings from the MASALA study. J Clin Exp Res Cardiol. 2014;1(1):102 A cross-sectional analysis of the MASALA cohort demonstrating that longer duration of US residence was associated with higher levels of coronary artery calcium (a robust marker of subclinical atherosclerosis) after adjustment for covariates and lifestyle mediators, thus further emphasizing the interplay of acculturation strategy and atherosclerotic disease among South Asians.PubMedPubMedCentral
77•.
Zurück zum Zitat Gadgil MD, Anderson CA, Kandula NR, Kanaya AM. Dietary patterns in Asian Indians in the United States: an analysis of the metabolic syndrome and atherosclerosis in South Asians Living in America study. J Acad Nutr Diet. 2014;114(2):238–43 Analysis within MASALA demonstrating the association between dietary acculturation pattern and cardiometabolic profile.CrossRef Gadgil MD, Anderson CA, Kandula NR, Kanaya AM. Dietary patterns in Asian Indians in the United States: an analysis of the metabolic syndrome and atherosclerosis in South Asians Living in America study. J Acad Nutr Diet. 2014;114(2):238–43 Analysis within MASALA demonstrating the association between dietary acculturation pattern and cardiometabolic profile.CrossRef
80.
Zurück zum Zitat Ye J, Mack D, Fry-Johnson Y, Parker K. Health care access and utilization among US-born and foreign-born Asian Americans. J Immigr Minor Health. 2012;14(5):731–7.CrossRef Ye J, Mack D, Fry-Johnson Y, Parker K. Health care access and utilization among US-born and foreign-born Asian Americans. J Immigr Minor Health. 2012;14(5):731–7.CrossRef
82.
Zurück zum Zitat Szklo M, Nieto FJ. Epidemiology: beyond the basics. Jones & Bartlett Learning; 2014. Szklo M, Nieto FJ. Epidemiology: beyond the basics. Jones & Bartlett Learning; 2014.
83.
Zurück zum Zitat Hernán MA, Hernández-Díaz S, Robins JM. A structural approach to selection bias. Epidemiology. 2004;15:615–25.CrossRef Hernán MA, Hernández-Díaz S, Robins JM. A structural approach to selection bias. Epidemiology. 2004;15:615–25.CrossRef
84.
Zurück zum Zitat Turra CM, Elo IT. The impact of salmon bias on the Hispanic mortality advantage: new evidence from social security data. Popul Res Policy Rev. 2008;27(5):515–30.CrossRef Turra CM, Elo IT. The impact of salmon bias on the Hispanic mortality advantage: new evidence from social security data. Popul Res Policy Rev. 2008;27(5):515–30.CrossRef
90.
Zurück zum Zitat Gottesman RF, Rawlings AM, Sharrett AR, Albert M, Alonso A, Bandeen-Roche K, et al. Impact of differential attrition on the association of education with cognitive change over 20 years of follow-up: the ARIC neurocognitive study. Am J Epidemiol. 2014;179(8):956–66.CrossRef Gottesman RF, Rawlings AM, Sharrett AR, Albert M, Alonso A, Bandeen-Roche K, et al. Impact of differential attrition on the association of education with cognitive change over 20 years of follow-up: the ARIC neurocognitive study. Am J Epidemiol. 2014;179(8):956–66.CrossRef
91.
Zurück zum Zitat Prasad V, Bilal U. The role of censoring on progression free survival: oncologist discretion advised. Eur J Cancer. 2015;51(16):2269–71.CrossRef Prasad V, Bilal U. The role of censoring on progression free survival: oncologist discretion advised. Eur J Cancer. 2015;51(16):2269–71.CrossRef
100.
Zurück zum Zitat Deryugina T, Molitor D. Does when you die depend on where you live? Evidence from Hurricane Katrina: National Bureau of Economic Research 2018. Report No.: 0898-2937. Deryugina T, Molitor D. Does when you die depend on where you live? Evidence from Hurricane Katrina: National Bureau of Economic Research 2018. Report No.: 0898-2937.
105.
Zurück zum Zitat Arias E, Heron M, Hakes J. The Validity of Race and Hispanic-origin Reporting on Death Certificates in the United States: An Update. Vital Health Stat 2. 2016(172):1-21. Arias E, Heron M, Hakes J. The Validity of Race and Hispanic-origin Reporting on Death Certificates in the United States: An Update. Vital Health Stat 2. 2016(172):1-21.
110.
Zurück zum Zitat Tsai AC, Mendenhall E, Trostle JA, Kawachi I. Co-occurring epidemics, syndemics, and population health. Lancet. 2017;389(10072):978–82.CrossRef Tsai AC, Mendenhall E, Trostle JA, Kawachi I. Co-occurring epidemics, syndemics, and population health. Lancet. 2017;389(10072):978–82.CrossRef
111.
Zurück zum Zitat Sharma A. Syndemics: health in context. Lancet. 2017;389:10072. Sharma A. Syndemics: health in context. Lancet. 2017;389:10072.
Metadaten
Titel
Understanding Immigration as a Social Determinant of Health: Cardiovascular Disease in Hispanics/Latinos and South Asians in the United States
verfasst von
Jenny S. Guadamuz
Karan Kapoor
Mariana Lazo
Andrea Eleazar
Tamer Yahya
Alka M. Kanaya
Miguel Cainzos-Achirica
Usama Bilal
Publikationsdatum
01.06.2021
Verlag
Springer US
Erschienen in
Current Atherosclerosis Reports / Ausgabe 6/2021
Print ISSN: 1523-3804
Elektronische ISSN: 1534-6242
DOI
https://doi.org/10.1007/s11883-021-00920-9

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