Espino D V, Maldonado D
Department of Family Practice, University of Texas Health Science Center, San Antonio.
J Gerontol. 1990 Nov;45(6):M209-13. doi: 10.1093/geronj/45.6.m209.
The purpose of our study was to describe the relationship between acculturation and hypertension in elderly Mexican Americans. Two age groups, 55-64 and 65-74, were examined from data provided in the Hispanic Health and Nutrition Examination Survey (HHANES). The prevalence of hypertension among subgroups of different acculturation was ascertained based on the modified Cuellar Acculturation Scale. Each age group was also stratified using the HHANES poverty index, with those above the index compared to those below. A stepwise logistic regression was performed among the variables of poverty, gender, age, and acculturation in relation to hypertension. The results indicate that acculturation and age are stronger predictors of hypertension than poverty in elderly Mexican Americans, with acculturation being a stronger predictor among those age 55-64. Factors related to acculturation may have a stronger influence on the prevalence of hypertension in older Mexican Americans than differences related to socioeconomic status.
我们研究的目的是描述墨西哥裔美国老年人文化适应与高血压之间的关系。根据西班牙裔健康与营养检查调查（HHANES）提供的数据，对55 - 64岁和65 - 74岁这两个年龄组进行了研究。基于改良的库埃拉尔文化适应量表确定了不同文化适应程度亚组中的高血压患病率。每个年龄组还根据HHANES贫困指数进行分层，将指数以上的人群与指数以下的人群进行比较。针对贫困、性别、年龄和文化适应与高血压相关的变量进行了逐步逻辑回归分析。结果表明，在墨西哥裔美国老年人中，文化适应和年龄比贫困更能预测高血压，在55 - 64岁人群中文化适应是更强的预测因素。与文化适应相关的因素对老年墨西哥裔美国人高血压患病率的影响可能比与社会经济地位相关的差异更强。
