Abstract P216: Relationships of Nativity and Length of Residence in the U.S. with Favorable Cardiovascular Health Among Hispanics/Latinos of Diverse Backgrounds: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Abstract

Objectives: Little is known about the relationship of acculturation and favorable cardiovascular (CV) health (i.e., low CV risk) in the Hispanic/Latino population. Methods: Age-adjusted prevalences (weighted for sampling probability and non-response) are reported. Logistic regression was used to examine associations of acculturation (measured using nativity and length of residence: <10 years, ≥10 years, and US-born) with low CV risk (not currently smoking; no diabetes; untreated total cholesterol <200mg/dL; untreated blood pressure <120/<80; body mass index <25 kg/m 2 ; and no major ECG abnormalities) in 15,047 HCHS/SOL participants (52.4% women) of Central American, South American, Cuban, Dominican, Mexican, Puerto Rican background, and Hispanic/Latino men and women identifying as other or >1 background group. We also tested whether these associations varied by Hispanic/Latino background. Results: Among women, age-adjusted low CV risk prevalence was highest for those living in the US < 10 years (15.4%) and similar for those living in the US ≥ 10 years (9.4%) and born in the US (9.2%). Low CV risk prevalence in was lower in men, but patterns were similar by acculturation (<10 years: 4.5%; ≥ 10 years: 5.6%; US-born: 6.0%). In multivariable-adjusted models (Table), women living in the US<10 years were more likely to be low CV risk than US-born women; these associations did not vary by Hispanic/Latino background (P for interaction=0.72). Findings varied significantly in men (P for interaction <0.001), but there was no strong patterning in low CV risk prevalence by length of residence for most groups. Conclusions: These findings highlight the role that acculturation plays in shaping cardiovascular health in Hispanics/Latinos.