Department of Medicine, Cambridge Health Alliance, and Harvard Medical School, Cambridge, MA 02139, USA.
J Immigr Minor Health. 2013 Oct;15(5):858-65. doi: 10.1007/s10903-012-9695-2.
Cardiovascular disease is a major cause of mortality and disability. We analyzed the National Health and Nutrition Examination Survey (1998-2008). We used logistic regression analysis to compare the odds of having undiagnosed and uncontrolled hypertension and hyperlipidemia among FB and US born adults sequentially adjusting for (1) age and gender, (2) income and education, and (3) insurance status. Among FB individuals, we identified factors independently associated with having each outcome using logistic regression analyses. Of 27,596 US adults, 22.6 % were foreign-born. In age- and -gender adjusted analyses, FB were more likely to have undiagnosed hypertension (OR 1.35, 95 % CI 1.13-1.63, p < 0.001), uncontrolled hypertension (OR 1.37, 95 % CI 1.15-1.64, p < 0.001), and uncontrolled hyperlipidemia (OR 1.35, 95 % CI 1.11-1.63, p = 0.002), while undiagnosed hyperlipidemia approached significance (OR 1.24, 95 % CI 0.99-1.56, p = 0.057). Having insurance was associated with a 5-15 % decrease in FB-US born disparities. Immigrants are at increased risk of undiagnosed and uncontrolled hypertension and hyperlipidemia.
心血管疾病是死亡和残疾的主要原因。我们分析了 1998-2008 年的国家健康和营养检查调查（National Health and Nutrition Examination Survey，NHANES）。我们使用逻辑回归分析，依次比较了 FB 和美国出生的成年人中未确诊和未控制的高血压和高血脂的几率，调整了（1）年龄和性别，（2）收入和教育，以及（3）保险状况。在 FB 个体中，我们使用逻辑回归分析确定了与每种结果相关的独立因素。在 27596 名美国成年人中，有 22.6%是外国出生的。在年龄和性别调整分析中，FB 更有可能患有未确诊的高血压（OR 1.35，95%置信区间 1.13-1.63，p<0.001）、未控制的高血压（OR 1.37，95%置信区间 1.15-1.64，p<0.001）和未控制的高血脂（OR 1.35，95%置信区间 1.11-1.63，p=0.002），而未确诊的高血脂也接近显著（OR 1.24，95%置信区间 0.99-1.56，p=0.057）。拥有保险与 FB-US 出生差异减少 5-15%相关。移民患未确诊和未控制的高血压和高血脂的风险增加。
