Program on Medicines and Public Health, Titus Family Department of Clinical Pharmacy, University of Southern California School of Pharmacy, Los Angeles, CA, USA.
Centre de Recherche Politiques et Systèmes de Santé, Université Libre de Bruxelles Ecole de Santé Publique, Brussels, Belgium.
Curr Atheroscler Rep. 2021 Mar 27;23(6):25. doi: 10.1007/s11883-021-00920-9.
The main purpose of this review is to summarize the epidemiology of cardiovascular disease and its risk factors among two of the largest and most diverse immigrant groups in the United States (Hispanics/Latinos and South Asians).
While the migration process generates unique challenges for individuals, there is a wide heterogeneity in the characteristics of immigrant populations, both between and within regions of origin. Hispanic/Latino immigrants to the United States have lower levels of cardiovascular risk factors, prevalence, and mortality, but this assessment is limited by issues related to the "salmon bias." South Asian immigrants to the United States generally have higher levels of risk factors and higher mortality. In both cases, levels of risk factors and mortality generally increase with time of living in the United States (US). While immigration acts as a social determinant of health, associations between immigration and cardiovascular disease and its risk factors are complex and vary across subpopulations.
本文综述的主要目的是总结美国两个最大、最多样化的移民群体（西班牙裔/拉丁裔和南亚裔）的心血管疾病及其危险因素的流行病学情况。
尽管移民过程给个人带来了独特的挑战，但移民群体的特征在原籍地区之间和内部存在很大的异质性。移居美国的西班牙裔/拉丁裔移民的心血管危险因素、患病率和死亡率水平较低，但这种评估受到与“鲑鱼偏倚”相关的问题的限制。移居美国的南亚裔移民的危险因素和死亡率一般较高。在这两种情况下，随着在美国生活时间的增加，危险因素和死亡率的水平通常会增加。虽然移民是健康的社会决定因素，但移民与心血管疾病及其危险因素之间的关联是复杂的，并且在不同亚群中有所不同。
