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Cardiovascular disease and psychiatric disorders among Latinos in the United States

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Abstract

Purpose

Cardiovascular disease (CVD) is the leading cause of death among Latinos and disproportionately impacts people with psychiatric disorders. The aim of this study was to examine the relationships between CVD and psychiatric disorders among different Latino subgroups using a nationally representative sample.

Methods

Latinos participants (N = 6359) were drawn from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. A structured diagnostic interview was used to determine psychiatric diagnoses for any past-year mood, anxiety, and substance use disorders. A self-reported measure of physician-confirmed CVD was used. The relationships between CVD and psychiatric disorders among Latino subgroups were examined with logistic regression models adjusting for sociodemographics, CVD-risk factors, and acculturation.

Results

CVD were highest among Puerto Ricans (12%) and Cubans (11%), followed by Other Latinos (7%) and Mexicans (5%). The relationship between psychiatric disorders and CVD differed by Latino subgroups. Significantly increased odds of CVD were found among Mexicans with any past-year mood and anxiety disorders, Puerto Ricans with any past-year psychiatric disorders, Cubans with any past-year mood and substance abuse disorders, and Other Latinos with any past-year mood, anxiety, and lifetime schizophrenia/psychotic disorders.

Conclusions

The associations between CVD and psychiatric disorders are not uniform among Latinos. Efforts to address the need for health and mental health services must carefully consider this heterogeneity.

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Acknowledgements

This work was supported by Grants from the National Institute of Mental Health (K01 MH09118 and R01MH104574) and the National Institute on Drug Abuse (R01 DA019606 and K02 DA023200). The content of this article is solely the responsibility of the authors and does not represent the official views of the National Institutes of Health.

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Authors and Affiliations

  1. Columbia University School of Social Work, 1255 Amsterdam Ave., New York, NY, 10027, USA

    Leopoldo J. Cabassa

  2. New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA

    Roberto Lewis-Fernández & Shuai Wang

  3. National Institute on Drug Abuse, 6001 Executive Blvd., Rockville, MD, 20852, USA

    Carlos Blanco

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  1. Leopoldo J. Cabassa
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  2. Roberto Lewis-Fernández
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  3. Shuai Wang
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Correspondence to Leopoldo J. Cabassa.

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The authors declare that they have no conflict of interest.

Ethical standards statement

The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) research protocol and informed consent procedures received full ethical review and approval from the US Census Bureau and the Office of Management and Budget. All potential NESARC respondents were informed in writing about the nature of the survey, the statistical uses of the data, the voluntary nature of their participation in the study, and the adherence to federal laws protecting confidentiality of identifiable survey information. This information was shared and consent obtained prior to any interviews. The authors of this manuscript had no access to raw data and data analysis only involved de-identified data. The original NESARC data were collected following ethical standards initially established in the 1964 Declaration of Helsinki and all later amendments as relevant.

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Cabassa, L.J., Lewis-Fernández, R., Wang, S. et al. Cardiovascular disease and psychiatric disorders among Latinos in the United States. Soc Psychiatry Psychiatr Epidemiol 52, 837–846 (2017). https://doi.org/10.1007/s00127-016-1325-1

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