200090 Chronic conditions among Hispanic adults: Results from the 2003-2007 National Health Interview Surveys

Sunday, November 8, 2009

Jeannine S. Schiller, MPH , Division of Health Interview Statistics, National Center for Health Statistics (CDC), Hyattsville, MD
Objectives: This study examines age-adjusted average annual estimates of selected chronic conditions among U.S. Hispanic adults ≥18 years. Methods: Data from the 2003-2007 National Health Interview Surveys, conducted by the National Center for Health Statistics, were analyzed to produce estimates for the U.S. adult civilian noninstitutionalized population. In separate questions, respondents were asked if they had ever been told by a doctor or other health professional that they had: hypertension; coronary heart disease, angina, heart attack, any other heart condition; stroke; emphysema; diabetes; cancer; arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia; or asthma (with follow-up regarding current asthma). Results: Hispanic adults (40%) were less likely to have ≥1 of the chronic conditions studied, compared with non-Hispanic white (47%) and non-Hispanic black adults (51%). Eight percent of Hispanic adults had ≥3 chronic conditions, but rates varied within Hispanic subgroups. Central or South American (5%) and Cuban adults (6%) were least likely and Puerto Rican adults (13%) were most likely to have ≥3 chronic conditions. Puerto Rican adults were also most likely to have cancer, asthma, emphysema, and hypertension, compared with other Hispanic subgroups studied. Central or South Americans had the lowest prevalence of hypertension. Among Hispanic adults with ≥3 chronic conditions, 84% had hypertension, 73% had arthritis, and 57% had heart disease. Conclusion: Although Hispanic adults as a whole may have lower prevalence of selected chronic conditions, within Hispanic subgroups, prevalence of multiple and specific chronic conditions may vary considerably. Closer examination of these subgroups can help target disease prevention strategies.

Learning Objectives:
1. Compare chronic condition prevalence of Hispanics and other racial/ethnic groups. 2. Compare chronic condition prevalence among Hispanic subgroups. 3. Evaluate the health status and prevalence of specific chronic conditions among Hispanics with three or more chronic conditions.

Keywords: Chronic Diseases, Hispanic

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a background in public health, specifically in epidemiology and biostatistics. I routinely conduct research based on the National Health Interview Survey and publish estimates of chronic conditions for various subgroups in CDC (and other) publications.
Any relevant financial relationships? No

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.