Hypertension Prevalence among Hispanics/Latinos of Dominican Background: A Transnational Comparison of HCHS/SOL and ENPREFAR-HAS-17

Luisa Alvarez; Ayana April-Sanders; Priscilla Duran Luciano; Un Jung Lee; Katrina Swett; Cesar Herrera; Donaldo Collado; Robert Kaplan; Franklyn Gonzalez II; Martha Daviglus; Olga Garcia-Bedoya; Tali Elfassy; Neil Schneiderman; Krista Perreira; Gregory A. Talavera; Leonor Corsino; Carlos J. Rodriguez

doi:10.5334/gh.1352

Hypertension Prevalence among Hispanics/Latinos of Dominican Background: A Transnational Comparison of HCHS/SOL and ENPREFAR-HAS-17

Volume 19 (2024): Issue 1

By: Luisa Alvarez, Ayana April-Sanders , Priscilla Duran Luciano , Un Jung Lee , Katrina Swett, Cesar Herrera , Donaldo Collado, Robert Kaplan , Franklyn Gonzalez II, Martha Daviglus , Olga Garcia-Bedoya , Tali Elfassy , Neil Schneiderman , Krista Perreira , Gregory A. Talavera , Leonor Corsino and Carlos J. Rodriguez

Open Access

|Aug 2024

Abstract

Background: Hispanics/Latinos of Dominican background living in United States (US) have the highest hypertension prevalence compared with other Hispanic/Latino persons.

Objective: To understand cardiovascular health among Dominicans, we evaluated hypertension prevalence and risk factors among Dominicans from the US and Dominican Republic (DR) using data from Hispanic Community Health Study/ Study of Latinos [HCHS/SOL] and the Prevalencia de Hipertension Arterial y Factores de Riesgo Cardiovasculares en la República Dominicana al 2017 (ENPREFAR-HAS 17) study.

Methods: Hypertension was defined as blood pressure ≥140/90 mmHg, self-reported hypertension, or antihypertensive use. Exposures included sociodemographic/socioeconomic, clinical, and lifestyle/behavioral characteristics. Weighted generalized linear models were used to estimate associations between study characteristics and hypertension prevalence (PR = prevalence ratio), age-and-sex adjusted. HCHS/SOL (n = 1,473, US Dominicans; mean age 41 years, 60.4% female) was analyzed with survey procedures, while ENPREFAR-HAS 17 (n = 2,015 DR Dominicans; mean age 40 years, 50.3% female) was analyzed with statistical analyses for simple random sampling.

Results: Hypertension prevalence was 30.5% and 26.9% for DR and US Dominicans, respectively. Hypertension control was low in both cohorts (36.0% DR, 35.0% US). Alcohol use among DR Dominicans was inversely associated with hypertension prevalence (PR_DR = 0.8) with no association among US Dominicans. In both settings, diabetes (PR_DR = 1.4; PR_US = 1.4) and obesity (PR_DR = 1.8; PR_US = 2.0) were associated with greater hypertension prevalence in Hispanics/Latinos of Dominican background. Physical activity was lower among US Dominicans (PR = 0.80) but higher among DR Dominicans (PR = 1.16); all p < 0.05.

Conclusions: Variations in social, lifestyle/behavioral, and clinical characteristics associated with hypertension among Dominicans in the US and DR were identified, suggesting that social context and cultural factors matter among immigrant populations.

References

Virani SS, Alonso A, Aparicio HJ, Benjamin EJ, Bittencourt MS, Callaway CW, et al. Heart disease and stroke statistics—2021 update: a report from the American Heart Association. Circulation [Internet]. 2021 Feb 23 [cited 2022 Jul 29]; 143(8). Available from: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000950
Search in Google Scholar Back to article
Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020 Oct; 396(10258):1204–1222. DOI: 10.1016/S0140-6736(20)30925-9
Open DOI Search in Google Scholar Back to article
Rodriguez CJ, Allison M, Daviglus ML, Isasi CR, Keller C, Leira EC, et al. Status of cardiovascular disease and stroke in Hispanics/Latinos in the United States: a science advisory from the American Heart Association. Circulation. 2014 Aug 12; 130(7):593–625. DOI: 10.1161/CIR.0000000000000071
Open DOI Search in Google Scholar Back to article
Egan BM. US trends in prevalence, awareness, treatment, and control of hypertension, 1988–2008. JAMA. 2010 May 26; 303(20):2043. DOI: 10.1001/jama.2010.650
Open DOI Search in Google Scholar Back to article
Cutler JA, Sorlie PD, Wolz M, Thom T, Fields LE, Roccella EJ. Trends in hypertension prevalence, awareness, treatment, and control rates in United States adults between 1988–1994 and 1999–2004. Hypertension. 2008 Nov; 52(5):818–827. DOI: 10.1161/HYPERTENSIONAHA.108.113357
Open DOI Search in Google Scholar Back to article
Daviglus ML, Pirzada A, Durazo-Arvizu R, Chen J, Allison M, Avilés-Santa L, et al. Prevalence of low cardiovascular risk profile among diverse Hispanic/Latino adults in the United States by age, sex, and level of acculturation: the Hispanic Community Health Study/Study of Latinos. J Am Heart Assoc. 2016 Aug 8; 5(8):e003929. DOI: 10.1161/JAHA.116.003929
Open DOI Search in Google Scholar Back to article
Elfassy T, Zeki Al Hazzouri A, Cai J, Baldoni PL, Llabre MM, Rundek T, et al. Incidence of hypertension among US Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos, 2008 to 2017. J Am Heart Assoc. 2020 Jun 16; 9(12):e015031. DOI: 10.1161/JAHA.119.015031
Open DOI Search in Google Scholar Back to article
Pabon-Nau LP, Cohen A, Meigs JB, Grant RW. Hypertension and diabetes prevalence among U.S. hispanics by country of origin: the National Health Interview Survey 2000–2005. J Gen Intern Med. 2010 Aug; 25(8):847–852. DOI: 10.1007/s11606-010-1335-8
Open DOI Search in Google Scholar Back to article
Fei K, Rodriguez-Lopez JS, Ramos M, Islam N, Trinh-Shevrin C, Yi SS, et al. Racial and ethnic subgroup disparities in hypertension prevalence, New York City Health and Nutrition Examination Survey, 2013–2014. Prev Chronic Dis. 2017 Apr 20; 14:160478. DOI: 10.5888/pcd14.160478
Open DOI Search in Google Scholar Back to article
Campos CL, Rodriguez CJ. High blood pressure in Hispanics in the United States: a review. Curr Opin Cardiol. 2019 Jul; 34(4):350–358. DOI: 10.1097/HCO.0000000000000636
Open DOI Search in Google Scholar Back to article
Lin H, Bermudez OI, Falcon LM, Tucker KL. Hypertension among Hispanic elders of a Caribbean origin in Massachusetts. Ethn Dis. 2002; 12(4):499–507. PMID: 12477135.
Search in Google Scholar Back to article
Krogstad JM, Passel JS, Moslimani M, Noe-Bustamante L. Key facts about U.S. Latinos for National Hispanic Heritage Month. Pew Research Center [Internet]. 2022 Sep 23 [cited 20 March 2024]; [about 10 p.]. Available from: https://pewrsr.ch/3UCtRyX
Search in Google Scholar Back to article
LaVange LM, Kalsbeek WD, Sorlie PD, Avilés-Santa LM, Kaplan RC, Barnhart J, et al. Sample design and cohort selection in the Hispanic Community Health Study/Study of Latinos. Ann Epidemiol. 2010 Aug; 20(8):642–649. DOI: 10.1016/j.annepidem.2010.05.006
Open DOI Search in Google Scholar Back to article
Sorlie PD, Avilés-Santa LM, Wassertheil-Smoller S, Kaplan RC, Daviglus ML, Giachello AL, et al. Design and implementation of the Hispanic Community Health Study/Study of Latinos. Ann Epidemiol. 2010 Aug; 20(8):629–641. DOI: 10.1016/j.annepidem.2010.03.015
Open DOI Search in Google Scholar Back to article
Collado DD, Arias Ceballos M, Diaz Ruiz P, Sanchez A, Almanzar B, Henriquez P, et al. Prevalencia de hipertension arterial y factores de riesgo cardiovasculares en Republica Dominicana. ENPREFARHAS 17 [Prevalence of arterial hypertension and cardiovascular risk factors in the Dominican Republic. ENPREFAR-HAS 17]. Archivos Dominicanos de Cardiología. 2017; 12–33.
Search in Google Scholar Back to article
National High Blood Pressure Education Program. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. [Internet]. Bethesda (MD): National Heart, Lung, and Blood Institute (US); 2004 [cited 20 March 2024]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK9630/
Search in Google Scholar Back to article
Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection evaluation, and management of high blood pressure in adults: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018 Jun; 71(6):1269–1324. DOI: 10.1161/HYP.0000000000000066
Open DOI Search in Google Scholar Back to article
Zou G. A modified Poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004 Apr 1; 159(7):702–706. DOI: 10.1093/aje/kwh090
Open DOI Search in Google Scholar Back to article
Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987 Jun; 9(2):183–205. DOI: 10.1177/07399863870092005
Open DOI Search in Google Scholar Back to article
Daviglus ML, Talavera GA, Avilés-Santa ML, Allison M, Cai J, Criqui MH, et al. Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. JAMA. 2012 Nov 7; 308(17):1775. DOI: 10.1001/jama.2012.14517
Open DOI Search in Google Scholar Back to article
Allison MA, Budoff MJ, Wong ND, Blumenthal RS, Schreiner PJ, Criqui MH. Prevalence of and risk factors for subclinical cardiovascular disease in selected US Hispanic ethnic groups: the Multi-Ethnic Study of Atherosclerosis. Am J Epidemiol. 2008 Feb 25; 167(8):962–969. DOI: 10.1093/aje/kwm402
Open DOI Search in Google Scholar Back to article
Schargrodsky H, Hernández-Hernández R, Champagne BM, Silva H, Vinueza R, Silva Ayçaguer LC, et al. CARMELA: Assessment of cardiovascular risk in seven Latin American cities. Am J Med. 2008 Jan; 121(1):58–65. DOI: 10.1016/j.amjmed.2007.08.038
Open DOI Search in Google Scholar Back to article
Vaeth PAC, Willett DL. Level of acculturation and hypertension among Dallas County Hispanics: findings from the Dallas Heart Study. Ann Epidemiol. 2005 May; 15(5):373–380. DOI: 10.1016/j.annepidem.2004.11.003
Open DOI Search in Google Scholar Back to article
Itzigsohn J, Dore-Cabral C. Competing identities? Race, ethnicity and panethnicity among Dominicans in the United States. Vol. 15. Sociological Forum; 2000. DOI: 10.1023/A:1007517407493
Open DOI Search in Google Scholar Back to article
Duany J. Quisqueya on the Hudson: The transnational identity of Dominicans in Washington Heights. 2nd ed. New York, NY: CUNY Dominican Studies Institute; 2008. https://academicworks.cuny.edu/dsi_pubs/1/
Search in Google Scholar Back to article
Peña JB, Zayas LH, Cabrera-Nguyen P, Vega WA. US cultural involvement and its association with suicidal behavior among youths in the Dominican Republic. Am J Public Health. 2012 Apr; 102(4):664–671. DOI: 10.2105/AJPH.2011.300344
Open DOI Search in Google Scholar Back to article
Moran A, Diezroux A, Jackson S, Kramer H, Manolio T, Shrager S, et al. Acculturation is associated with hypertension in a multiethnic sample. Am J Hypertens. 2007 Apr; 20(4):354–363. DOI: 10.1016/j.amjhyper.2006.09.025
Open DOI Search in Google Scholar Back to article
Puddey IB, Mori TA, Barden AE, Beilin LJ. Alcohol and hypertension—new insights and lingering controversies. Curr Hypertens Rep. 2019 Oct; 21(10):79. DOI: 10.1007/s11906-019-0984-1
Open DOI Search in Google Scholar Back to article
Roerecke M, Kaczorowski J, Tobe SW, Gmel G, Hasan OSM, Rehm J. The effect of a reduction in alcohol consumption on blood pressure: a systematic review and meta-analysis. Lancet Public Health. 2017 Feb; 2(2):e108–e120. DOI: 10.1016/S2468-2667(17)30003-8
Open DOI Search in Google Scholar Back to article
Beilin LJ, Puddey IB. Alcohol and hypertension: an update. Hypertension. 2006 Jun; 47(6):1035–1038. DOI: 10.1161/01.HYP.0000218586.21932.3c
Open DOI Search in Google Scholar Back to article
Pescatello LS, Buchner DM, Jakicic JM, Powell KE, Kraus WE, Bloodgood B, et al. Physical activity to prevent and treat hypertension: a systematic review. Med Sci Sports Exerc. 2019 Jun; 51(6):1314–1323. DOI: 10.1249/MSS.0000000000001943
Open DOI Search in Google Scholar Back to article
Arredondo EM, Sotres-Alvarez D, Stoutenberg M, Davis SM, Crespo NC, Carnethon MR, et al. Physical activity levels in U.S. Latino/Hispanic adults. Am J Prev Med. 2016 Apr; 50(4):500–508. DOI: 10.1016/j.amepre.2015.08.029
Open DOI Search in Google Scholar Back to article
Castro-Dominguez Y, Trejo Paredes MC, Mones P, Spatz ES, Lombo B, Sepulveda P, et al. Patient awareness and clinical inertia: obstacles to hypertension control in rural communities in the Dominican Republic. Am J Hypertens. 2021 Sep 22; 34(9):939–947. DOI: 10.1093/ajh/hpab054
Open DOI Search in Google Scholar Back to article
Valdez-Tiburcio O, Gonzalez-Medina A, Valdez-Valoy L, Santillan-Pascual M, Baez-Noyer N, Diaz-Montero B, et al. May measurement month 2017–2019: an analysis of blood pressure screening results from Dominican Republic. Eur Heart J Suppl. 2022 Oct 7; 24(Supplement_F):F12–F15. DOI: 10.1093/eurheartjsupp/suac040
Open DOI Search in Google Scholar Back to article

Articles in this issue

DOI: https://doi.org/10.5334/gh.1352 | Journal eISSN: 2211-8179

Journal RSS Feed

Language: English

Submitted on: Mar 25, 2024

Accepted on: Aug 8, 2024

Published on: Aug 26, 2024

Published by: Ubiquity Press

In partnership with: Paradigm Publishing Services

Publication frequency: 1 issue per year

Keywords:

Hypertension,

Dominican Background,

Cardiovascular Disease

© 2024 Luisa Alvarez, Ayana April-Sanders, Priscilla Duran Luciano, Un Jung Lee, Katrina Swett, Cesar Herrera, Donaldo Collado, Robert Kaplan, Franklyn Gonzalez II, Martha Daviglus, Olga Garcia-Bedoya, Tali Elfassy, Neil Schneiderman, Krista Perreira, Gregory A. Talavera, Leonor Corsino, Carlos J. Rodriguez, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 19 (2024): Issue 1