Abstract P348: Association of Social Determinants of Health and Hypertension and Diabetes Among Middle Eastern Immigrants in the United States: Evidence From the 2010-2018 National Health Interview Survey

Abstract

Introduction: Recent literature has documented a high prevalence of cardiovascular disease (CVD) risk factors among Middle Eastern (ME) population. Yet, literature is sparse regarding the association of social determinants of health (SDoH) and CVD risk factors among ME immigrants. The objective of this study was to examine the associations between SDoH and hypertension and diabetes among ME immigrants in the U.S. Methods: A cross-sectional analysis was conducted using data from the 2010-2018 National Health Interview Survey (NHIS). SDoH were defined as income, education, employment, and health insurance. Hypertension and diabetes diagnoses were self-reported. Generalized linear models using Poisson distribution were fitted to examine the associations between the SDoH and hypertension and diabetes, separately. Results: We included 3,271 ME immigrants, 45% female, with mean age 46 years, 85.3% were insured, 44% had at least a college education, and 21% lived below poverty level. Almost 3% had diabetes and 8% had hypertension. Participants with higher income had lower odds (Adjusted Odds Ratio(aOR): 0.35, 95% CI): 0.18-0.69), while those who had health insurance had higher odds (aOR: 5.77, 95% CI: 1.37–24.32) of diabetes diagnosis. There were no significant associations between SDoH and hypertension diagnosis. Conclusion: Our analysis yielded significant associations of SDoH and diabetes among ME immigrants. Future investigations should focus on addressing health inequities to establish SDoH-informed care targeting CVD risk factors.