Key result
Hispanic populations show lower CHD mortality than Anglo and Black peers despite higher risk factor burdens.
Why the study?
This review examined epidemiological studies to summarize the coronary heart disease risk factor status among Hispanic populations.
This narrative review highlights heterogeneity in coronary heart disease risk profiles across Hispanic subgroups despite overall lower CHD mortality rates compared with Anglo Americans and Blacks.
Hispanic CHD heterogeneity warrants subgroup-specific risk evaluation; leaves open explanations for mortality-risk factor discordance.
Epidemiological studies of coronary heart disease (CHD) risk factors among Hispanics were examined. Hispanics as compared with Anglo Americans and blacks appear to have somewhat lower mortality rates of CHD. This suggests that Hispanics may have lifestyle patterns which reduce CHD risk in the areas of stress, diet, exercise, hypertension, and smoking. However, independent studies report that their samples of Mexican American subjects, but not Puerto Rican subjects, had higher blood lipid levels, greater rates of being overweight, and participate in less aerobic exercises as compared with same sex and aged Anglo American cohorts. By contrast, adult Mexican Americans and Puerto Ricans tend to smoke less than do Anglo American cohorts, although some evidence suggests that Hispanic adolescents may smoke more than do their Anglo American peers. The CHD risk status of Hispanics is summarized and recommendations for future research and health promotion programs are made.
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Castro et al. (1985) conducted a review in Coronary heart disease risk factors. Hispanic ethnicity and associated lifestyle patterns vs. Anglo American and Black cohorts was evaluated on Coronary heart disease mortality and cardiovascular risk factors. Hispanic populations have somewhat lower CHD mortality than Anglo Americans and Blacks, though Mexican Americans show higher lipids and overweight rates than Anglo Americans.
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