Vaeth Patrice A C, Willett Duwayne L
Donald W. Reynolds Cardiovascular Clinical Research Center, University of Texas Southwestern Medical Center, Dallas, TX 75390-9034, USA.
Ann Epidemiol. 2005 May;15(5):373-80. doi: 10.1016/j.annepidem.2004.11.003.
The purpose of this study is to examine whether the prevalence of hypertension differs by acculturation status among Hispanics in Dallas County, Texas. The authors test the hypothesis that compared with those of low acculturation, those of mid- and high-level acculturation will be at greater risk for having hypertension.
Conducted from July 2000 through October 2002, the Dallas Heart Study (DHS) is a general population cross-sectional study of cardiovascular risk factors among Dallas County residents. These analyses focus on the 1163 DHS participants who self-reported Hispanic ethnicity, completed a household interview, and had blood pressures measured. Acculturation was assessed with a validated 12-item scale that measured the following dimensions of cultural adaptation: language; media preference; social interaction; and ease of relationships with those of other ethnicities.
The majority of participants were born in Mexico (57.5%) and ranged in age from 18 to 65 years (mean age 33 years). Women made up just under half of the sample (47.81%). The unadjusted prevalence of hypertension was 9.78%. When age-adjusted for the 2000 US Standard Population, the prevalence was 17.27%. The chi(2) analysis showed that those of low acculturation were significantly less likely to have hypertension (6.05%) than those of mid- and high-level acculturation (10.78% and 12.80%, respectively). After controlling for the effects of possible confounders (i.e., sociodemographic factors, health care access and utilization, health behaviors, and health status), logistic regression showed that when compared with Hispanics of low acculturation, those of middle and high acculturation were at greater risk of having hypertension (OR=3.04, 95% CI, 1.27, 7.29 and OR=2.62, 95% CI, 1.04, 6.59, respectively).
These findings demonstrate that acculturation is significantly associated with hypertensive status.
本研究旨在探讨德克萨斯州达拉斯县西班牙裔人群中高血压患病率是否因文化适应状况而异。作者检验了以下假设：与低文化适应程度者相比，中、高文化适应程度者患高血压的风险更高。
达拉斯心脏研究（DHS）于2000年7月至2002年10月进行，是一项针对达拉斯县居民心血管危险因素的普通人群横断面研究。这些分析聚焦于1163名自我报告为西班牙裔、完成家庭访谈并测量了血压的DHS参与者。采用经过验证的12项量表评估文化适应情况，该量表测量了文化适应的以下维度：语言；媒体偏好；社交互动；以及与其他种族人群建立关系的难易程度。
大多数参与者出生于墨西哥（57.5%），年龄在18至65岁之间（平均年龄33岁）。女性占样本的近一半（47.81%）。未经调整的高血压患病率为9.78%。根据2000年美国标准人口进行年龄调整后，患病率为17.27%。卡方分析表明，低文化适应程度者患高血压的可能性（6.05%）显著低于中、高文化适应程度者（分别为10.78%和12.80%）。在控制了可能的混杂因素（即社会人口统计学因素、医疗保健的可及性和利用率、健康行为以及健康状况）的影响后，逻辑回归显示，与低文化适应程度的西班牙裔相比，中、高文化适应程度者患高血压的风险更高（比值比分别为3.04，95%置信区间为1.27至7.29；以及比值比为2.62，95%置信区间为1.04至6.59）。
这些发现表明文化适应与高血压状态显著相关。
