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October 26, 2020Public Health Nursing

Association between acculturation and sociodemographic factors and cardiovascular disease among immigrants to the United States

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Key result

U.S. citizenship among immigrants was associated with significantly higher odds of cardiovascular disease compared to non-citizens (6.2% vs 1.7%; OR 3.80, 95% CI 1.91-7.56).

Why the study?

This study investigated relationships among acculturation, sociodemographic, and health characteristics of adult U.S. immigrants and cardiovascular disease.

Is acculturation (specifically U.S. citizenship) associated with increased odds of cardiovascular disease in adult U.S. immigrants?

Population

1,945 immigrant participants in the 2017 NHIS

Comparison

Acculturation factors including citizenship status, years in the U.S., and English proficiency

Design

Secondary data analysis of survey data

Authors

DHDaniel A. HopgoodZHZelalem T. HaileSCSean Conley

Discussion

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Overview

Acculturation factors may associate with CVD in immigrants; hypothesis-generating, prospective studies needed before clinical application.

Study Design

Type

Cross-Sectional (n=1,945)

Structured PICO

Is acculturation (specifically U.S. citizenship) associated with increased odds of cardiovascular disease in adult U.S. immigrants?

P
Population
1,945 adult U.S. immigrant participants from the 2017 National Health Interview Survey evaluated for cardiovascular disease.
E
Exposure
Acculturation (specifically U.S. citizenship)
C
Comparator
Immigrants without U.S. citizenship
O
Outcome
Cardiovascular diseasehard clinical

Main Result

Odds Ratio: 3.8 (95% CI 1.91–7.56)

Absolute Event Rate: 6.2% vs 1.7%

p-value: p=<0.001

Increased acculturation, specifically acquiring U.S. citizenship, is associated with significantly higher odds of cardiovascular disease among immigrants to the United States.

Cite This Study

Hopgood et al. (2020) conducted a cross-sectional in Cardiovascular disease (n=1,945). U.S. citizenship vs. Non-citizen immigrants was evaluated on Cardiovascular disease (OR 3.80, 95% CI 1.91-7.56, p=<0.001). U.S. citizenship among immigrants was associated with significantly higher odds of cardiovascular disease compared to non-citizens (6.2% vs 1.7%; OR 3.80, 95% CI 1.91-7.56).

synapsesocial.com/papers/6a7b4411e357fbdac589cf10https://doi.org/10.1111/phn.12825
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Status of cardiovascular health in United States immigrants using the American Heart Association's Life's Essential 8 framework: a population-based study of prevalence estimates and determinants2025 · 1 citations
  2. 2Associations of Acculturation and Socioeconomic Status With Subclinical Cardiovascular Disease in the Multi-Ethnic Study of Atherosclerosis2008 · 127 citations
  3. 3Association of US Nativity and Length of US Residence With Cardiometabolic Risk Factors, by Disaggregated Race and Ethnicity.2025
  4. 4Acculturation is associated with higher prevalence of cardiovascular disease risk-factors among Chinese immigrants in Australia: Evidence from a large population-based cohort2017 · 60 citations
  5. 5Abstract P486: Dietary Acculturation is Associated With Altered Gut Microbiome, Circulating Metabolites, and Cardiovascular Disease Risk in US Hispanics/ Latinos: Results From the Hispanic Community Health Study/Study of Latinos2024