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Yahya T, Acquah I, Taha MB, Valero-Elizondo J, Al-Mallah MH, Chamsi-Pasha MA, Zoghbi WA, Soliman A, Faza N, Cainzos-Achirica M, Nasir K. Cardiovascular risk profile of Middle Eastern immigrants living in the United States-the National Health Interview Survey. Am J Prev Cardiol 2022; 9:100312. [PMID: 35024678 PMCID: PMC8732795 DOI: 10.1016/j.ajpc.2021.100312] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 12/17/2021] [Accepted: 12/22/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Middle Eastern (ME) immigrants are one of the fastest-growing groups in the US. Although ME countries have a high burden of atherosclerotic cardiovascular disease (ASCVD), the cardiovascular health status among ME immigrants in the US has not been studied in detail. This study aims to characterize the cardiovascular health status (CVD risk factors and ASCVD burden) among ME immigrants in the US. METHODS We used 2012-2018 data from the National Health Interview Survey, a US nationally representative survey. ME origin, CVD risk factors, and ASCVD status were self-reported. We compared these to US-born non-Hispanic white (NHW) individuals in the US. RESULTS Among 139,778 adults included, 886 (representing 1.3 million individuals, mean age 46.8) were of ME origin, and 138,892 were US-born NHWs (representing 150 million US adults, mean age 49.3). ME participants were more likely to have higher education, lower income and be uninsured. The age-adjusted prevalence of hypertension (22.4% vs 27.4%) and obesity (21.4% vs 31.4%) were significantly lower in ME vs NHW participants, respectively. There were no significant differences between the groups in the age-adjusted prevalence of ASCVD, diabetes, hyperlipidemia, and smoking. Only insufficient physical activity was higher among ME individuals. ME immigrants living in the US for 10 years or more reported higher age-adjusted prevalence of hypertension, hyperlipidemia, and ASCVD. CONCLUSIONS ME immigrants in the US have lower odds of hypertension and obesity, and of having a suboptimal CRF profile compared to US-born NHWs. Further studies are needed to determine whether these findings are related to lower risk, selection of a healthier ME subgroup in NHIS, or possible under-detection of cardiovascular risk factors in ME immigrants living in the US.
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Affiliation(s)
- Tamer Yahya
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
| | - Isaac Acquah
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
- Center for Outcomes Research, Houston Methodist, Houston TX, USA
| | - Mohamad B Taha
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
| | | | - Mouaz H. Al-Mallah
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
| | - Mohammed A. Chamsi-Pasha
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
| | - William A. Zoghbi
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
| | - Ahmed Soliman
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
| | - Nadeen Faza
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
| | - Miguel Cainzos-Achirica
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
- Center for Outcomes Research, Houston Methodist, Houston TX, USA
| | - Khurram Nasir
- Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin St Suite 1801, Houston TX 77030, USA
- Center for Outcomes Research, Houston Methodist, Houston TX, USA
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