Association of acculturation with cardiac structure and function among Hispanics/Latinos: a cross-sectional analysis of the echocardiographic study of Latinos
Year: 2019
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: Hispanics/Latinos, the largest immigrant population in the USA, undergo the process of acculturation and have a large burden of heart failure risk. Few studies have examined the association of acculturation on cardiac structure and function. DESIGN: Cross-sectional. SETTING: The Echocardiographic Study of Latinos. PARTICIPANTS: 1818 Hispanic adult participants with baseline echocardiographic assessment and acculturation measured by the Short Acculturation Scale, nativity, age at immigration, length of US residence, generational status and language. PRIMARY AND SECONDARY OUTCOME MEASURES: Echocardiographic assessment of left atrial volume index (LAVI), left ventricular mass index (LVMI), early diastolic transmitral inflow and mitral annular velocities. RESULTS: . Multivariable analyses demonstrated higher LAVI with increasing years of US residence. Foreign-born and first-generation participants had higher E/e' but lower LAVI and e' velocities compared with the second generation. Higher acculturation and income >$20K were associated with higher LVMI, LAVI and E/e' but lower e' velocities. Preferential Spanish-speakers with an income <$20K had a higher E/e'. CONCLUSIONS: Acculturation was associated with abnormal cardiac structure and function, with some effect modification by socioeconomic status.
Source: BMJ Open
Institutions: San Francisco VA Medical Center, Albert Einstein College of Medicine, Yeshiva University, Stanford Medicine, Stanford University, Northwestern University, San Diego State University, University of California San Diego, Baptist Health South Florida, University of North Carolina at Chapel Hill
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,839
Funders: Office of Dietary Supplements, Robert Wood Johnson Foundation, University of Miami, Northwestern University, San Diego State University, National Institutes of Health, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute on Deafness and Other Communication Disorders, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute on Minority Health and Health Disparities
Awards: G1004541261, G1042216835, G1081972346, G1247956922, G1301356587, G1312369436, Hispanic Community Health Study, G1455175283, G1587824183, G1666450717, G1917633662, G2135211244, G2135293100, G2466919156, HISPANIC COMMUNITY HEALTH STUDY - FIELD CENTER, G2501967490, G2528054427, G2575730562, G2644289446, G2970637568, G3062787641, Hispanic Community Health Study, G3677686024, G3838006641, G3952816605, Epidemiologic Determinants of Cardiac and Vascular Function among Hispanics (ECHO-SOL 2), G4121762840, Hispanic Community Health Study, G4552920371, G4860668542, G4989378220, SURPASS: (Statin Use and Risk Prediction of Atherosclerotic Cardiovascular Disease in minority Subgroups), G528357465, G5365244667, G543802643, G555858244, G5739677117, G5878028785, G5906656038, G6075306088, G6156511736, Association of Acculturation with Type 2 Diabetes Risk Among US Latinos, G658158409, G6585687856, G6744188800, G7057037114, G7203655167, G7239480477, G7272721675, G7278742613, G7408420985, G7513901258, G7678550560, G8102260223, G820454163, G8386326007, HISPANIC COMMUNITY HEALTH STUDY-268065233, G8840902395, G8904081916, Stanford Medicine Center for Longevity and Healthy Aging, New York Regional Center for Diabetes Translation Research
OpenAlex ID: W2991138050