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Biological Risk Profiles Among Latino Subgroups in the Health and Retirement Study

BACKGROUND AND OBJECTIVES: Latinos residing in the United States exhibit an increased risk for cardiovascular and metabolic diseases compared to non-Latino whites. This elevated risk contributes to a significantly higher prevalence of diabetes and hypertension among Latino adults. Examining biologic...

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Autores principales: García, Catherine, Ailshire, Jennifer A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599425/
https://www.ncbi.nlm.nih.gov/pubmed/31276052
http://dx.doi.org/10.1093/geroni/igz017
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author García, Catherine
Ailshire, Jennifer A
author_facet García, Catherine
Ailshire, Jennifer A
author_sort García, Catherine
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description BACKGROUND AND OBJECTIVES: Latinos residing in the United States exhibit an increased risk for cardiovascular and metabolic diseases compared to non-Latino whites. This elevated risk contributes to a significantly higher prevalence of diabetes and hypertension among Latino adults. Examining biological risk profiles of older Latinos as a “pan-ethnic group” and by Latino subpopulations may help to explain the increased burden of disease in later life among this population. The objective of this study is to document biological risk profiles among a nationally representative sample of older U.S. Latinos by nativity and country of origin. RESEARCH DESIGN AND METHODS: We use the 2006–2012 Health and Retirement Study to compare cardiovascular, metabolic, inflammatory and cumulative biological risk among U.S.-born Mexicans, foreign-born Mexicans, U.S.-born Puerto Ricans, island-born Puerto Ricans, U.S.-born “other” Latinos, foreign-born “other” Latinos, and non-Latino whites. RESULTS: Older Latinos exhibit heterogeneous biological risk profiles. U.S.-born Mexicans, foreign-born Mexicans, U.S.-born “other” Latinos, and foreign-born “other” Latinos exhibited a higher rate of cardiovascular risk relative to non-Latino whites. In addition, U.S.-born Mexicans, foreign-born Mexicans, island-born Puerto Ricans, and foreign-born “other” Latinos had a higher rate of metabolic risk than non-Latino whites. Island-born Puerto Ricans were the only group to exhibit higher inflammation than non-Latino whites. The observed differences were largely attenuated by socioeconomic status, indicating that high levels of risk among older Latino subpopulations compared to non-Latino whites are associated with lower socioeconomic status. DISCUSSION AND IMPLICATIONS: Older U.S. Latinos are a demographically diverse population with unique sociocultural characteristics which may contribute to differences in biological risk across the life course that influence disease progression. Examining Latinos by nativity and country of origin may help identify risks specific to individual subpopulations that can lead to culturally appropriate interventions which help prevent and reduce the burden of cardiovascular and metabolic diseases.
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spelling pubmed-65994252019-07-03 Biological Risk Profiles Among Latino Subgroups in the Health and Retirement Study García, Catherine Ailshire, Jennifer A Innov Aging Special Section: Latino Aging and Health BACKGROUND AND OBJECTIVES: Latinos residing in the United States exhibit an increased risk for cardiovascular and metabolic diseases compared to non-Latino whites. This elevated risk contributes to a significantly higher prevalence of diabetes and hypertension among Latino adults. Examining biological risk profiles of older Latinos as a “pan-ethnic group” and by Latino subpopulations may help to explain the increased burden of disease in later life among this population. The objective of this study is to document biological risk profiles among a nationally representative sample of older U.S. Latinos by nativity and country of origin. RESEARCH DESIGN AND METHODS: We use the 2006–2012 Health and Retirement Study to compare cardiovascular, metabolic, inflammatory and cumulative biological risk among U.S.-born Mexicans, foreign-born Mexicans, U.S.-born Puerto Ricans, island-born Puerto Ricans, U.S.-born “other” Latinos, foreign-born “other” Latinos, and non-Latino whites. RESULTS: Older Latinos exhibit heterogeneous biological risk profiles. U.S.-born Mexicans, foreign-born Mexicans, U.S.-born “other” Latinos, and foreign-born “other” Latinos exhibited a higher rate of cardiovascular risk relative to non-Latino whites. In addition, U.S.-born Mexicans, foreign-born Mexicans, island-born Puerto Ricans, and foreign-born “other” Latinos had a higher rate of metabolic risk than non-Latino whites. Island-born Puerto Ricans were the only group to exhibit higher inflammation than non-Latino whites. The observed differences were largely attenuated by socioeconomic status, indicating that high levels of risk among older Latino subpopulations compared to non-Latino whites are associated with lower socioeconomic status. DISCUSSION AND IMPLICATIONS: Older U.S. Latinos are a demographically diverse population with unique sociocultural characteristics which may contribute to differences in biological risk across the life course that influence disease progression. Examining Latinos by nativity and country of origin may help identify risks specific to individual subpopulations that can lead to culturally appropriate interventions which help prevent and reduce the burden of cardiovascular and metabolic diseases. Oxford University Press 2019-06-29 /pmc/articles/PMC6599425/ /pubmed/31276052 http://dx.doi.org/10.1093/geroni/igz017 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Special Section: Latino Aging and Health
García, Catherine
Ailshire, Jennifer A
Biological Risk Profiles Among Latino Subgroups in the Health and Retirement Study
title Biological Risk Profiles Among Latino Subgroups in the Health and Retirement Study
title_full Biological Risk Profiles Among Latino Subgroups in the Health and Retirement Study
title_fullStr Biological Risk Profiles Among Latino Subgroups in the Health and Retirement Study
title_full_unstemmed Biological Risk Profiles Among Latino Subgroups in the Health and Retirement Study
title_short Biological Risk Profiles Among Latino Subgroups in the Health and Retirement Study
title_sort biological risk profiles among latino subgroups in the health and retirement study
topic Special Section: Latino Aging and Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599425/
https://www.ncbi.nlm.nih.gov/pubmed/31276052
http://dx.doi.org/10.1093/geroni/igz017
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