Abstract TP277: Family Types and Stroke Risk Factors: Examining Hypertension and Obesity Prevalence Among Hispanic Adults in the SERVE OC Study

Abstract

Background: The Hispanic community in the US experiences disproportionate burdens of stroke risk. Family types could impact health outcomes as a mechanism of social support, urging examination of their impact on stroke-related risk factors. We study associations between family types and hypertension/obesity prevalence among Hispanic adults and secondarily assess modification by nativity. Methods: The SERVE OC (Skills-Based Educational Strategies for Reduction of Vascular Events in Orange County) study, initiated in late 2022, is an ongoing community-based RCT focused on Hispanic populations to enhance their health behaviors. We collected baseline bio-measures, demographics, and household data. Hypertension and obesity were defined using AHA and CDC guidelines. We used logistic regression to estimate the odds of hypertension and obesity among family types adjusted for age and gender and assessed nativity modification using an interaction term. Results: Among 147 Hispanic adults, 56.0% had hypertension, 58.2% had obesity. The mean age was 44.9 years, with 68.5% females and 19.6% foreign-born. Family types included nuclear (44.4%), multigenerational (32.5%), and other (23.1%). Compared with nuclear, multigenerational households showed higher hypertension and obesity odds yet did not reach statistical significance. Individuals in other (6.52; 1.55-27.46) family types had significantly higher obesity odds and differential associations with obesity by nativity (interaction p=0.067). The modifying effect of nativity factors for hypertension was not steadily shown. Conclusion: Our study reveals the interrelation of family types and stroke risk factors, particularly obesity, in Hispanic populations. This highlights the need for culturally tailored prevention strategies. SERVE OC emerges as a vital platform to dissect these intricacies and formulated targeted interventions, alleviating stroke risk within the Hispanic community in the US.