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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
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نویسنده
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daviglus m.l. ,pirzada a. ,durazo-arvizu r. ,chen j. ,allison m. ,avilés-santa l. ,cai j. ,gonzález h.m. ,kaplan r.c. ,schneiderman n. ,sorlie p.d. ,talavera g.a. ,wassertheil-smoller s. ,stamler j.
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منبع
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journal of the american heart association - 2016 - دوره : 5 - شماره : 8
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چکیده
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Background: favorable levels of all readily measurable major cardiovascular disease risk factors (ie,low risk [lr]) are associated with lower risks of cardiovascular disease morbidity and mortality. data are not available on lr prevalence among hispanic/latino adults of diverse ethnic backgrounds. this study aimed to describe the prevalence of a low cardiovascular disease risk profile among hispanic/latino adults in the united states and to examine cross-sectional associations of lr with measures of acculturation. methods and results: the multicenter,prospective,population-based hispanic community health study/study of latinos examined 16 415 men and women aged 18 to 74 years at baseline (2008-2011) with diverse hispanic/latino backgrounds. analyses involved 14 757 adults (mean age 41.3 years; 60.6% women). lr was defined using national guidelines for favorable levels of serum cholesterol,blood pressure,and body mass index and by not having diabetes mellitus and not currently smoking. age-adjusted lr prevalence was low (8.4% overall; 5.1% for men,11.2% for women) and varied by background (4.2% in men of mexican heritage versus 15.0% in women of cuban heritage). lower acculturation (assessed using proxy measures) was significantly associated with higher odds of a lr profile among women only: age-adjusted odds ratios of having lr were 1.64 (95% ci 1.24-2.17) for foreign-born versus us-born women and 1.96 (95% ci 1.49-2.58) for women residing in the united states <10 versus ≥10 years. conclusions: among diverse us hispanic/latino adults,the prevalence of a lr profile is low. lower acculturation is associated with higher odds of a lr profile among women but not men. comprehensive public health strategies are needed to improve the cardiovascular health of us hispanic/latino adults. © 2016 the authors. published on behalf of the american heart association,inc.,by wiley blackwell.
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کلیدواژه
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Cardiovascular disease prevention; Cardiovascular disease risk factors; Low risk
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آدرس
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institute for minority health research,university of illinois at chicagoil,united states,department of preventive medicine,northwestern university,chicago,il, United States, institute for minority health research,university of illinois at chicagoil, United States, institute for minority health research,university of illinois at chicagoil,united states,department of public health sciences,loyola university,chicago,il, United States, institute for minority health research,university of illinois at chicagoil, United States, department of family and preventive medicine,university of california,san diego,la jolla,ca, United States, division of cardiovascular sciences,national heart,lung,and blood institute,national institutes of health,bethesda,md, United States, department of biostatistics,collaborative studies coordinating center,university of north carolina at chapel hillnc, United States, department of epidemiology and biostatistics,michigan state university,east lansing,mi, United States, department of epidemiology and biostatistics,albert einstein college of medicine,bronx,ny, United States, department of psychology,behavioral medicine research center,university of miamifl, United States, division of cardiovascular sciences,national heart,lung,and blood institute,national institutes of health,bethesda,md, United States, graduate school of public health,san diego state university,san diego,ca, United States, department of epidemiology and biostatistics,albert einstein college of medicine,bronx,ny, United States, department of preventive medicine,northwestern university,chicago,il, United States
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Authors
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