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331858
Interactive effects of acculturation and pro-inflammatory factors on C-reactive protein among childbearing age Mexican-American women in the United States


Tuesday, November 3, 2015

Natalya Rosenberg, PhD, Institute for Minority Health Research College of Medicine, University of Illinois at Chicago, Chicago, IL
Chang Gi Park, PhD, College of Nursing Department of Health Systems Science, University of Illinois at Chicago, Chicago, IL
Kamal Eldeirawi, PhD, College of Nursing Department of Health Systems Science, University of Illinois at Chicago, Chicago, IL
Maternal pro-inflammatory states have been linked with increased risk of diabetes and obesity in offspring. Childbearing-age Mexican-American women (CAMAW) have the highest fertility rates and one of the highest levels of inflammation in the United States.  A significant proportion migrates to the U.S. during early reproductive years.  How acculturation interacts with various pro-inflammatory risk factors to influence inflammation risk in this population has not been examined.   

Purpose: To examine interactive effects of acculturation and various pro-inflammatory factors on elevated C-reactive protein, (CRP) (3.01-10.0 mg/L) among CAMAW.

Method: Non-pregnant MA women participants (age 18-49) in the National Health and Nutrition Examination Survey, 1999-2010 (N=1,539). Logistic regression was used to examine the association of parity (live birth (LB) within 1 year, LB >1 year ago, nulliparous), diabetes (A1cHgb), total cholesterol, infection burden (seropositivity for Hepatitis B, Herpes simplex-1 and 2), total fat and fiber intake (based on 24-hour food recall) with CRP in low, moderate, and high acculturation groups. Acculturation scale previously published in Kandula et al., 2008.

Results: In low acculturation group, LB within 1 year (OR = 3.74, 95%CI 1.54-9.06) and diabetes (OR=2.21 (95%CI 1.13-4.33), and in high acculturation group, elevated total cholesterol (OR 2.07 95%CI 1.03-4.16) and low fiber intake (OR 4.85 95% 1.56-15.05) were significantly associated with elevated CRP, after adjustment for age, education, healthcare access, waist circumference, birth control pill use, and recent acute illness. 

Conclusion:  Public health measures that address health vulnerabilities among recent immigrants and promote healthy diet among highly acculturated women may reduce inflammation risk among CAMAW

Learning Areas:

Chronic disease management and prevention
Public health or related nursing
Public health or related research

Learning Objectives:
Identify different pro-inflammatory risk factors that are associated with elevated C-reactive protein in low-, moderate- and high-acculturated Mexican American women of childbearing age

Keyword(s): Minority Health, Women's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD student at the UIC College of Nursing and have conducted presented research as part of my doctoral dissertation. I have previously presented and published my research on health-related topics.
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.

Back to: 4385.0: Perinatal & Women's Health Poster Session