Department of Community Health Sciences, UCLA School of Public Health, Los Angeles, CA, USA.
J Immigr Minor Health. 2012 Dec;14(6):918-25. doi: 10.1007/s10903-011-9566-2.
The association between immigration status and cardiovascular disease (CVD) risk factor awareness is unknown. Using physical examination-based data and participants' self-report of prior diagnosis, we assessed immigration-based disparities in awareness of diabetes, hypertension, hypercholesterolemia, and overweight among 12,124 participants in the 2003-2008 National Health and Nutrition Examination Survey. Unawareness of CVD risk factors is high among all groups, but tends to be higher among foreign-born English and non-English speaking participants than among US-born participants. After adjusting for demographic factors and access to health care, foreign-born participants appear more likely to be unaware of their hypertension and overweight than US-born participants. Immigrants are more likely than those born in the US to be unaware of their CVD risk factors, and therefore may be less motivated to seek treatment and modify their behavior to prevent negative CVD outcomes.
移民身份与心血管疾病（CVD）风险因素知晓率之间的关系尚不清楚。本研究利用体检数据和参与者自述的既往诊断，评估了 12124 名 2003-2008 年全国健康和营养调查参与者中，基于移民身份的糖尿病、高血压、高胆固醇血症和超重知晓率的差异。所有人群的 CVD 风险因素知晓率都很高，但与美国出生的参与者相比，出生在外国的英语和非英语国家的参与者往往更高。在调整人口统计学因素和获得医疗保健后，与美国出生的参与者相比，外国出生的参与者似乎更容易不知道自己患有高血压和超重。移民比在美国出生的人更有可能不知道自己的 CVD 风险因素，因此可能不太愿意寻求治疗并改变行为来预防不良的 CVD 结局。
