Risk Factors for Liver Disease and Associated Knowledge and Practices Among Mexican Adults in the US and Mexico
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Latinos in the US are disproportionately affected by chronic liver disease, which is the sixth most common cause of death among this group. In Mexico, cirrhosis and other liver diseases are the fourth leading cause of general mortality. The objective of this study was to contrast the liver disease risk factors, knowledge, and prevention practices reported among separate samples of Mexicans living in Los Angeles, CA and in Cuernavaca, Mexico. We assessed the prevalence of specific risk factors (body mass index, waist circumference, and alcohol consumption), the level of knowledge about liver disease in general, hepatitis B (HBV), and hepatitis C (HCV), as well as prevention activities such as screening and vaccination. Data were collected from in-person interviews and anthropometric measures obtained from Mexican adults aged 18–70 years. Chi-square and t tests were used to compare the results between groups. Numerous similarities were observed in the bi-national samples, including high prevalence of obesity, abdominal obesity, and high levels of alcohol consumption. Most participants in both countries recognized that excessive alcohol consumption is a risk factor for liver disease, but only 60% correctly identified hepatitis C, being overweight or obese, or having diabetes as risk factors. Few participants reported having been screened for HBV or HCV, vaccinated for HBV, or having the intention of getting screened for HBV or HCV. US participants reported significantly higher levels of prevention activities and screening intentions than those in Mexico. Identifying the specific risk factors, levels of knowledge and prevention activities that affect specific racial/ethnic populations is important in order to effectively target efforts to prevent liver disease.
KeywordsLiver disease Risk factors Knowledge Mexicans Prevention
- 3.National Center for Health Statistics. Health, U.S. (2010). Leading causes of death by race/ethnicity in 1980 and 2007. Hyattsville, MD, 2011. Available at: http://www.cdc.gov/nchs/data/hus/hus10.pdf. Accessed June 21, 2011.
- 5.U.S. Cancer Statistics Working Group. (2010). United States cancer statistics: 1999–2007 incidence and mortality web-based report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute 2010. Available at: http://apps.nccd.cdc.gov/uscs/. Accessed June 21, 2011.
- 6.North American Association of Central Cancer Registries (NAACCR). (2010). Cancer in North America: 2003–2007 Volume 1: Combined cancer incidence for the United States and Canada. Available at: http://www.naaccr.org/DataandPublications/CINAPubs.aspx. Accessed June 21, 2011.
- 7.Sistema Nacional de Información en Salud. (2011). Principales causas de mortalidad general, 2008. Available at: http://sinais.salud.gob.mx/mortalidad/. Accessed June 21, 2011.
- 28.Williams, G. D., Dufour, M., & Bertolucci, D. (1986). Drinking levels, knowledge, and associated characteristics, 1985 NHIS findings. Public Health Report, 101(6), 593–598.Google Scholar
- 30.Soto-Salgado, M., Suárez, E., Ortiz, A. P. et al. (2010). Knowledge of viral hepatitis among puerto rican adults: Implications for prevention. Journal of Community Health, 36(4), 565–573.Google Scholar
- 33.Grundy, S. M., Brewer, H. B., Jr, Cleeman, J. L., Smith, S. C., Jr, & Lenfant, C. (2004). American Heart Association; National Heart, Lung, and Blood Institute. definition of metabolic syndrome: Report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition. Circulation, 109(3), 433–438.PubMedCrossRefGoogle Scholar
- 34.Centers for Disease Control and Prevention. (2007). Surveillance for certain health behaviors among states and selected local areas, behavioral risk factor surveillance system, U.S. 2010. In Surveillance Summaries, December 2007. MMWR 2007; 59.Google Scholar
- 39.Greby, S. M., Lu, P., Euler, G., Williams, W. W., & Singleton, J. A. (2009). 2009 Adult vaccination coverage, NHIS national center for immunization and respiratory diseases, immunization services division. Available at: http://www.cdc.gov/vaccines/stats-surv/nhis/2009-nhis.htm. Accessed July 26, 2011.
- 40.U.S. Census 2010. (2011). 2010 Census shows America’s diversity. Available at: http://2010.census.gov/news/releases/operations/cb11-cn125.html. Accessed June 21, 2011.
- 41.U.S. Census 2010. (2011). Data for the State of California. Available at: http://2010.census.gov/news/releases/operations/cb11-cn68.html. Accessed June 21, 2011.
- 42.Borjas, G. J. (2007). Mexican migration to the United States. Chicago: University of Chicago Press.Google Scholar
- 43.U.S. Census Bureau. (2011) Top ten countries with which the U.S. trades. Available at: http://www.census.gov/foreign-trade/top/dst/current/balance.html. Accessed July 26, 2011.