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Journal of Behavioral Medicine

, Volume 40, Issue 2, pp 271–280 | Cite as

Fatalism and hypertension prevalence, awareness, treatment and control in US Hispanics/Latinos: results from HCHS/SOL Sociocultural Ancillary Study

  • Angela P. Gutierrez
  • Jessica L. McCurley
  • Scott C. Roesch
  • Patricia Gonzalez
  • Sheila F. Castañeda
  • Frank J. Penedo
  • Linda C. Gallo
Article

Abstract

Compared with non-Hispanic whites, US Hispanics/Latinos display similar hypertension prevalence, but lower awareness, treatment, and control. Sociocultural factors may affect these patterns. Fatalism, the belief that health is predetermined by fate, relates to poorer adoption of risk reducing health behaviors. We examined the association of fatalism with hypertension prevalence, awareness, treatment, and control among 5313 Hispanics/Latinos, ages 18–74, who were enrolled from four US communities in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. After accounting for socioeconomic status and acculturation in logistic regression analyses, higher fatalism was associated with increased odds of hypertension (OR 1.14, 95 % CI 1.02, 1.28). This association was non-significant when diabetes and other health-related covariates were statistically adjusted. Fatalism was not associated with hypertension awareness, treatment, or control. Findings suggest that the association of fatalism with hypertension may be due largely to its association with SES, acculturation, or related health conditions.

Keywords

Fatalism Hispanic Hypertension Latino Sociocultural 

Notes

Acknowledgments

The Hispanic Community Health Study/Study of Latinos was carried out as a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following Institutes/Centers/Offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Institute on Minority Health and Health Disparities, National Institute on Deafness and Other Communication Disorders, National Institute of Dental and Craniofacial Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, NIH Institution-Office of Dietary Supplements. The HCHS/SOL Sociocultural Ancillary Study was supported by grant 1 RC2 HL101649 from the NIH/NHLBI (Gallo/Penedo PIs). The authors thank the staff and participants of HCHS/SOL and of the HCHS/SOL Sociocultural Ancillary Study for their important contributions.

Compliance with ethical standards

Conflict of interest

Angela P. Gutierrez, Jessica L. McCurley, Scott C. Roesch, Patricia Gonzalez, Sheila F. Castañeda, Frank J. Penedo, and Linda C. Gallo declare that they do not have any conflict of interest.

Human and animal rights and Informed consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Angela P. Gutierrez
    • 1
  • Jessica L. McCurley
    • 1
  • Scott C. Roesch
    • 2
  • Patricia Gonzalez
    • 3
  • Sheila F. Castañeda
    • 3
  • Frank J. Penedo
    • 4
  • Linda C. Gallo
    • 2
  1. 1.Joint Doctoral Program in Clinical PsychologySan Diego State University/University of California San DiegoSan DiegoUSA
  2. 2.Department of PsychologySan Diego State UniversitySan DiegoUSA
  3. 3.Graduate School of Public HealthSan Diego State UniversitySan DiegoUSA
  4. 4.Department of Medical Social Sciences, Feinberg School of MedicineNorthwestern UniversityChicagoUSA

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