 Back to Annual Meeting
|
|
Back to Annual Meeting
|
APHA Scientific Session and Event Listing |
Abstract #162780
Audio (mp3) recordingSona Tumanyan, DMD, MPH, Division of Public Health, University of Puerto Rico, School of Dentistry, Medical Sciences Campus, 1st Floor, Main Bldg, Office A107, San Juan, PR 00935, 6176690809, stumanya@hsph.harvard.edu, Juan Carlos Zevallos, MD, Southern Nevada Health District, 2612 Huber Heights Lane, Las Vegas, NV 89128, and Kaumudi J. Joshipura, BDS, ScD, School of Dentistry, University of Puerto Rico, Medical Sciences Campus, 1st Floor, Main Bldg, Office A141 E, San Juan, PR 00935.
BACKGROUND: Behavioral Risk Factors Surveillance System (BRFSS) data suggests higher hypertension rates among Puerto Rican Hispanics, compared to Hispanics in the US. However, it is unclear whether the differences can be explained by traditional risk factors. METHODS: Data from 2005 BRFSS were used to explore the differences in hypertension prevalence between Hispanics residing in Puerto Rico and those residing in the mainland US. The analysis was limited to respondents who identified themselves as Hispanics, residing in Puerto Rico (N=3,035) and in the mainland U.S. (N=19,249); diabetics were excluded. Multivariate logistic models were run to assess whether self-reported diagnosis of hypertension was higher among Puerto Rican residents vs. US Hispanics, adjusting for age (in 10-year categories), sex, relative weight (overweight and obese vs. normal BMI), smoking (never, former, current), heavy drinking (men consuming >2 drinks/day and women consuming >1 drink/ day), binge drinking (>5 drinks/ occasion), 5-level physical activity index, and 4-level fruit and vegetable intake index. RESULTS: Age-adjusted prevalence of hypertension was significantly higher among Puerto Ricans (OR of 1.54; 95% CI: 1.40, 1.68). After adjusting for all additional confounders (sex, BMI, alcohol intake, smoking, physical activity and diet) the prevalence of self-reported hypertension diagnosis among PR residents remained significantly higher than mainland Hispanics (OR of 1.59, 95%CI: 1.42-1.78). CONCLUSIONS: After adjusting for traditional cardiovascular risk factors, Hispanics residing in Puerto Rico had higher prevalence of hypertension compared to the mainland U.S. Hispanic population.
Learning Objectives:
- Describe the differences between Puerto Rican Hispanics and mainland US Hispanics population with respect to hypertension prevalence
- Understand whether the differences can be explained by traditional cardiovascular risk factors.
Keywords: Hypertension, Hispanic
Presenting author's disclosure statement:
Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA