Key result
US-born Spanish-speaking Mexican Americans had the highest estimated 10-year CHD mortality risk per 1000 persons (27.5 in men, 11.4 in women) compared to Mexican-born counterparts (20.0 and 6.6).
Why the study?
Do cardiovascular disease risk factors differ among subgroups of Mexican Americans living in the United States based on country of birth and primary language?
Cross-Sectional (n=2,791)
Yes
Do cardiovascular disease risk factors differ among subgroups of Mexican Americans living in the United States based on country of birth and primary language?
US-born Spanish-speaking Mexican Americans have the highest estimated 10-year coronary heart disease mortality risk compared to US-born English-speaking and Mexican-born individuals, identifying a high-risk subgroup needing targeted prevention.
May identify US-born Spanish-speaking Mexican Americans as highest-risk for CHD; leaves open causal validation and targeted interventions.
OBJECTIVES: This study examined the extent to which cardiovascular disease risk factors differ among subgroups of Mexican Americans living in the United States. METHODS: Using data from a national sample (1988-1994) of 1387 Mexican American women and 1404 Mexican American men, aged 25 to 64 years, we examined an estimate of coronary heart disease mortality risk and 5 primary cardiovascular disease risk factors: systolic blood pressure, body mass index, cigarette smoking, non-high-density lipoprotein cholesterol, and type 2 diabetes mellitus. Differences in risk were evaluated by country of birth and primary language spoken. RESULTS: Estimated 10-year coronary heart disease mortality risk per 1000 persons, adjusted for age and education, was highest for US-born Spanish-speaking men and women (27.5 and 11.4, respectively), intermediate for US-born English-speaking men and women (22.5 and 7.0), and lowest for Mexican-born men and women (20.0 and 6.6). A similar pattern of higher risk among US-born Spanish-speaking men and women was demonstrated for each of the 5 cardiovascular disease risk factors. CONCLUSIONS: These findings illustrate the heterogeneity of the Mexican American population and identify a new group at substantial risk for cardiovascular disease and in need of effective heart disease prevention programs.
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Sundquist et al. (1999) conducted a cross-sectional in Cardiovascular disease risk factors (n=2,791). US-born Spanish-speaking vs. US-born English-speaking and Mexican-born was evaluated on Estimated 10-year coronary heart disease mortality risk per 1000 persons. US-born Spanish-speaking Mexican Americans had the highest estimated 10-year CHD mortality risk per 1000 persons (27.5 in men, 11.4 in women) compared to Mexican-born counterparts (20.0 and 6.6).
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