| Titre : | Associations of Acculturation and Socioeconomic Status With Subclinical Cardiovascular Disease in the Multi-Ethnic Study of Atherosclerosis. (2008) |
| Auteurs : | Pamela-L LUTSEY ; BURKE (Gregory-L) : USA. Division of Public Health Sciences. Wake Forest University. Winston Salem. NC. ; DIEZ ROUX (Ana-V) : USA. Department of Epidemiology. University of Michigan. Ann Arbor. ; Aaron-R FOLSOM ; HARMAN (Jane) : USA. National Heart. Lung. And Blood Institute. Bethesda. MD. ; JACOBS (David-Rjr) : NOR. Department of Nutrition. University of Oslo. Oslo. ; SHEA (Steven) : USA. Departments of Medicine and Epidemiology. Columbia University. New York. NY. |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 98, n° 11, 2008) |
| Pagination : | 1963-1970 |
| Langues: | Anglais |
| Mots-clés : | Artériosclérose ; Association ; Facteur socioéconomique ; Ethnie ; Homme |
| Résumé : | [BDSP. Notice produite par INIST-CNRS DF7IR0xl. Diffusion soumise à autorisation]. Objectives. We assessed whether markers of acculturation (birth place and number of US generations) and socioeconomic status (SES) are associated with markers of subclinical cardiovascular disease-carotid artery plaque, internal carotid intima-media thickness, and albuminuria-in 4 racial/ethnic groups. Methods. With data from the Multi-Ethnic Study of Atherosclerosis (n=6716 participants aged 45-84 years) and race-specific binomial regression models, we computed prevalence ratios adjusted for demographics and traditional cardiovascular risk factors. Results. The adjusted US-to foreign-born prevalence ratio for carotid plaque was 1.20 (99% confidence interval [Cl]=0.97,1.39) among Whites, 1.91 (99% Cl=0.94,2.94) among Chinese, 1.62 (99% Cl=1.28,2.06) among Blacks, and 1.23 (99% Cl=1.15,1.31) among Hispanics. Greater carotid plaque prevalence was found among Whites, Blacks, and Hispanics with a greater number of generations with US residence (P<. 001) and among Whites with less education and among Blacks with lower incomes. Similar associations were observed with intima-media thickness. There was also evidence of an inverse association between albuminuria and SES among Whites and Hispanics. Conclusions. Greater US acculturation and lower SES were associated with a higher prevalence of carotid plaque and greater intima-media thickness but not with albuminuria. Maintenance of healthful habits among recent immigrants should be encouraged. |
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