Journal of Community Health

, Volume 38, Issue 5, pp 847–855 | Cite as

Predictors of Hypertension Among Filipino Immigrants in the Northeast US

  • Rhodora A. Ursua
  • Nadia Shilpi Islam
  • David E. Aguilar
  • Laura C. Wyatt
  • S. Darius Tandon
  • Noilyn Abesamis-Mendoza
  • Potri Ranka Manis Queano Nur
  • Josephine Rago-Adia
  • Benjamin Ileto
  • Mariano J. Rey
  • Chau Trinh-Shevrin
Original Paper

Abstract

Hypertension remains disproportionately high among Filipinos compared to other racial and ethnic minority populations, and little research on cardiovascular disease risk factors has been conducted among Filipino immigrants in the Northeastern part of the United States. To determine hypertension prevalence and risk factors among Filipino Americans in the New York City area, blood pressure and other clinical measurements were taken from a sample of Filipino Americans during 119 community health screenings conducted between 2006 and 2010. Additional socio-demographic and health-related characteristics were also collected via a cross-sectional survey. A total of 1,028 Filipino immigrants completed the survey and had clinical readings collected. Bivariate analyses and logistic regression were performed in order to predict and assess risk factors for hypertension among our sample. Fifty-three percent of individuals were hypertensive, and half of hypertensive individuals were uninsured. Logistic regression indicated that older age, male gender, living in the United States for over 5 years, a BMI greater than 23.0 kg/m2, an elevated glucose reading, a family history of hypertension, and fair or poor self-reported health status were predictors of hypertension. There is a great need to develop more effective community-based interventions in the Filipino community to address cardiovascular health disparities.

Keywords

Hypertension Blood pressure Ethnicity Filipino Americans Health status 

References

  1. 1.
    Centers for Disease Control and Prevention (CDC). (2011). Vital signs: Prevalence, treatment, and control of hypertension—United States, 1999–2002 and 2005–2008. Morbidity and Mortality Weekly Report, 60(4), 103–108.Google Scholar
  2. 2.
    Stavig, G. R., Igra, A., & Leonard, A. R. (1984). Hypertension among Asians and Pacific islanders in California. American Journal of Epidemiology, 119(5), 677–691.PubMedGoogle Scholar
  3. 3.
    Klatsky, A. L., & Armstrong, M. A. (1991). Cardiovascular risk factors among Asian Americans living in northern California. American Journal of Public Health, 81(11), 1423–1428.PubMedCrossRefGoogle Scholar
  4. 4.
    Klatsky, A. L., Tekawa, I. S., & Armstrong, M. A. (1996). Cardiovascular risk factors among Asian Americans. Public Health Reports, 111(Suppl 2), 62–64.PubMedGoogle Scholar
  5. 5.
    Angel, A., Armstrong, M. A., & Klatsky, A. L. (1989). Blood pressure among Asian-Americans living in northern California. American Journal of Cardiology, 64(3), 237–240.PubMedCrossRefGoogle Scholar
  6. 6.
    Grandinetti, A., Chang, H. K., Theriault, A., & Mor, J. (2005). Metabolic syndrome in a multiethnic population in rural Hawaii. Ethnicity and Disease, 15(2), 233–237.PubMedGoogle Scholar
  7. 7.
    Palaniappan, L. P., Wong, E. C., Shin, J. J., Fortmann, S. P., & Lauderdale, D. S. (2011). Asian Americans have greater prevalence of metabolic syndrome despite lower body mass index. International Journal of Obesity (London), 35(3), 393–400.CrossRefGoogle Scholar
  8. 8.
    Ryan, C., Shaw, R., Pliam, M., et al. (2000). Coronary heart disease in Filipino and Filipino-American patients: Prevalence of risk factors and outcomes of treatment. Journal of Invasive Cardiology, 12(3), 134–139.PubMedGoogle Scholar
  9. 9.
    Araneta, M. R., Wingard, D. L., & Barrett-Connor, E. (2002). Type 2 diabetes and metabolic syndrome in Filipina-American women: A high-risk nonobese population. Diabetes Care, 25(3), 494–499.PubMedCrossRefGoogle Scholar
  10. 10.
    U.S. Department of Health and Human Services and National Heart Lung and Blood Institute. (2004). Cardiovascular risk in the Filipino community: Formative research from Daly City and San Francisco, California. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health.Google Scholar
  11. 11.
    Maxwell, A. E., Bernaards, C. A., & McCarthy, W. J. (2005). Smoking prevalence and correlates among Chinese- and Filipino-American adults: Findings from the 2001 California health interview survey. Preventive Medicine, 41(2), 693–699.PubMedCrossRefGoogle Scholar
  12. 12.
    Punzalan, F. E., Sy, R. G., Santos, R. S., et al. (2005). Low density lipoprotein-receptor (LDL-R) gene mutations among Filipinos with familial hypercholesterolemia. Journal of Atherosclerosis and Thrombosis, 12(5), 276–283.PubMedCrossRefGoogle Scholar
  13. 13.
    Lauderdale, D. S., & Rathouz, P. J. (2000). Body mass index in a US national sample of Asian Americans: Effects of nativity, years since immigration and socioeconomic status. International Journal of Obesity and Related Metabolic Disorders, 24(9), 1188–1194.PubMedCrossRefGoogle Scholar
  14. 14.
    Mampilly, C. M., Yore, M. M., Maddock, J. E., Nigg, C. R., Buchner, D., & Heath, G. W. (2005). Prevalence of physical activity levels by ethnicity among adults in Hawaii, BRFSS 2001. Hawaii Medical Journal, 64(10), 270, 272--273.Google Scholar
  15. 15.
    A. D. A. M. (2011). High blood pressure in-depth report. In New York Times. Google Scholar
  16. 16.
    Stavig, G. R., Igra, A., & Leonard, A. R. (1988). Hypertension and related health issues among Asians and Pacific Islanders in California. Public Health Reports, 103(1), 28–37.PubMedGoogle Scholar
  17. 17.
    Smith, S. C., Jr, Clark, L. T., Cooper, R. S., et al. (2005). Discovering the full spectrum of cardiovascular disease: Minority health summit 2003: Report of the obesity, metabolic syndrome, and hypertension writing group. Circulation, 111(10), e134–e139.PubMedCrossRefGoogle Scholar
  18. 18.
    Taira, D. A., Gelber, R. P., Davis, J., Gronley, K., Chung, R. S., & Seto, T. B. (2007). Antihypertensive adherence and drug class among Asian Pacific Americans. Ethnicity Health, 12(3), 265–281.PubMedCrossRefGoogle Scholar
  19. 19.
    Branigin, B. C., & Melegrito, J. (2011). US 2010 census: Filipinos in the US increased by 38 %; Nevada has fastest growing population. National Federation of Filipino American Associations.Google Scholar
  20. 20.
    U.S. Census Bureau, United States 2010 census summary file 2.Google Scholar
  21. 21.
    Posadas, B. M. (Ed) (1999). The new Americans: The Filipino Americans contemporary issues among Filipino Americans. Westport, CT: Greenwood.Google Scholar
  22. 22.
    dela Cruz, F. A., McBride, M. R., Compas, L. B., Calixto, P. R., & Van Derveer, C. P. (2002). White paper on the health status of Filipino Americans and recommendations for research. Nursing Outlook, 50(1), 7–15.PubMedCrossRefGoogle Scholar
  23. 23.
    Agbayani-Siewert, P. (1994). Filipino American culture and family: Guidelines for practitioners. Families in Society: The Journal of Contemporary Human Services, 44, 429–438.Google Scholar
  24. 24.
    Abesamis-Mendoza, N., Kadag, C., Nadal, K., Ursua, R., Gavin, N. P., & Divino, L. A. (2007). Community health needs & resource assessment: An exploratory study of Filipino Americans in the New York metropolitan area. New York, NY: New York University School of Medicine Institute of Community Health and Research.Google Scholar
  25. 25.
    Belza, B., Walwick, J., Shiu-Thornton, S., Schwartz, S., Taylor, M., & LoGerfo, J. (2004). Older adult perspectives on physical activity and exercise: Voices from multiple cultures. Preventing Chronic Disease, 1(4), A09.PubMedGoogle Scholar
  26. 26.
    Nandi, A., Galea, S., Lopez, G., Nandi, V., Strongarone, S., & Ompad, D. C. (2008). Access to and use of health services among undocumented Mexican immigrants in a US urban area. American Journal of Public Health, 98(11), 2011–2020.PubMedCrossRefGoogle Scholar
  27. 27.
    Muhib, F. B., Lin, L. S., Stueve, A., et al. (2001). A venue-based method for sampling hard-to-reach populations. Public Health Reports, 116(Suppl 1), 216–222.PubMedCrossRefGoogle Scholar
  28. 28.
    Semaan, S., Lauby, J., & Liebman, J. (2002). Street and network sampling in evaluation studies of HIV risk-reduction interventions. AIDS Review, 4(4), 213–223.Google Scholar
  29. 29.
    The WHO Expert Consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet, 363, 157–163.CrossRefGoogle Scholar
  30. 30.
    The New York City Department of Health and Mental Hygiene. (2010). EpiQuery.Google Scholar
  31. 31.
    Colin Bell, A., Adair, L. S., & Popkin, B. M. (2002). Ethnic differences in the association between body mass index and hypertension. American Journal of Epidemiology, 155(4), 346–353.PubMedCrossRefGoogle Scholar
  32. 32.
    Farrales, L. L., & Chapman, G. E. (1999). Filipino women living in Canada: Constructing meanings of body, food, and health. Health Care for Women International, 20(2), 179–194.PubMedCrossRefGoogle Scholar
  33. 33.
    dela Cruz, F. A., & Galang, C. B. (2008). The illness beliefs, perceptions, and practices of Filipino Americans with hypertension. Journal of the American Academy of Nurse Practitioners, 20(3), 118–127.PubMedCrossRefGoogle Scholar
  34. 34.
    Gee, G. C., Chen, J., Spencer, M. S., et al. (2006). Social support as a buffer for perceived unfair treatment among Filipino Americans: Differences between San Francisco and Honolulu. American Journal of Public Health, 96(4), 677–684.PubMedCrossRefGoogle Scholar
  35. 35.
    Bailis, D. S., Segall, A., & Chipperfield, J. G. (2003). Two views of self-rated general health status. Social Science and Medicine, 56(2), 203–217.PubMedCrossRefGoogle Scholar
  36. 36.
    Bureau, U. S. C. (2011). American community survey: Selected population profile in the United States. Google Scholar
  37. 37.
    Lee, S. K., & Cheng, Y. Y. (2006). Reaching Asian Americans: Sampling strategies and incentives. Journal of Immigrant and Minority Health, 8(3), 245–250.PubMedCrossRefGoogle Scholar
  38. 38.
    Davis, A. M., Vinci, L. M., Okwuosa, T. M., Chase, A. R., & Huang, E. S. (2007). Cardiovascular health disparities: A systematic review of health care interventions. Medical Care Research and Review, 64(5 Suppl), 29S–100S.PubMedCrossRefGoogle Scholar
  39. 39.
    Garvin, C. C., Cheadle, A., Chrisman, N., Chen, R., & Brunson, E. (2004). A community-based approach to diabetes control in multiple cultural groups. Ethnicity and Disease, 14(3 Suppl 1), S83–S92.PubMedGoogle Scholar
  40. 40.
    Martinez, J., Ro, M., Villa, N. W., Powell, W., & Knickman, J. R. (2011). Transforming the delivery of care in the post-health reform era: What role will community health workers play? American Journal of Public Health, 101(12), e1–e5.PubMedCrossRefGoogle Scholar
  41. 41.
    Hill, M. N., Han, H. R., Dennison, C. R., et al. (2003). Hypertension care and control in underserved urban African American men: Behavioral and physiologic outcomes at 36 months. American Journal of Hypertension, 16(11 Pt 1), 906–913.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Rhodora A. Ursua
    • 1
  • Nadia Shilpi Islam
    • 1
  • David E. Aguilar
    • 1
  • Laura C. Wyatt
    • 1
  • S. Darius Tandon
    • 2
  • Noilyn Abesamis-Mendoza
    • 3
  • Potri Ranka Manis Queano Nur
    • 3
  • Josephine Rago-Adia
    • 3
  • Benjamin Ileto
    • 3
  • Mariano J. Rey
    • 4
  • Chau Trinh-Shevrin
    • 1
  1. 1.Center for the Study of Asian American Health, Departments of Population Health and MedicineNew York University School of MedicineNew YorkUSA
  2. 2.General Pediatrics and Adolescent MedicineJohns Hopkins University School of MedicineBaltimoreUSA
  3. 3.Kalusugan Coalition, Inc.WoodsideUSA
  4. 4.Institute of Community Health and ResearchNew York University School of MedicineNew YorkUSA

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