Sundquist J, Winkleby M A
Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, Palo Alto, CA 94304-1825, USA.
Am J Public Health. 1999 May;89(5):723-30. doi: 10.2105/ajph.89.5.723.
This study examined the extent to which cardiovascular disease risk factors differ among subgroups of Mexican Americans living in the United States.
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.
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.
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.
本研究调查了居住在美国的墨西哥裔美国人亚组中心血管疾病风险因素的差异程度。
利用来自全国样本（1988 - 1994年）的1387名年龄在25至64岁之间的墨西哥裔美国女性和1404名墨西哥裔美国男性的数据，我们研究了冠心病死亡风险估计值以及5种主要心血管疾病风险因素：收缩压、体重指数、吸烟、非高密度脂蛋白胆固醇和2型糖尿病。通过出生国家和主要使用语言评估风险差异。
经年龄和教育程度调整后，每1000人中估计的10年冠心病死亡风险，在美国出生的讲西班牙语的男性和女性中最高（分别为27.5和11.4），在美国出生的讲英语的男性和女性中居中（22.5和7.0），在墨西哥出生的男性和女性中最低（20.0和6.6）。对于5种心血管疾病风险因素中的每一种，在美国出生的讲西班牙语的男性和女性中都表现出类似的较高风险模式。
这些发现说明了墨西哥裔美国人群体的异质性，并确定了一个面临心血管疾病重大风险且需要有效的心脏病预防计划的新群体。
