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Nativity and Cardiovascular Disease Screening Practices

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Abstract

Cardiovascular diseases (CVD) are the leading causes of death among Mexican American adults living in the United States. Using data from a modified Behavioral Risk Factor Surveillance Survey and guided by the Anderson Model, this study examined the effect of nativity on CVD screening practices among 423 Mexican American adults living in Chicago. Dependent variables included having had a blood pressure and cholesterol screening and a routine check up in the past 2 years. Multivariate analyses were used to control for sociodemographic factors, while accounting for complex sampling design. Compared to those born in Mexico, US-born Mexican Americans had significantly greater odds of obtaining blood pressure (OR=5.61), and cholesterol screenings (OR=1.60) and having a routine checkup (OR=2.69) in the past 2 years. Health professionals with an agenda to increase screenings for CVD risk factors among Mexican Americans living in northern cities should understand the impact of nativity on screening practices.

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References

  1. American Heart Association. Heart Disease and Stroke Update—2003 Update. Dallas (TX); 2002

  2. Kaiser Permanente. A Provider's Handbook on Culturally Competent care: Latino Population. Oakland, CA: Kaiser Permanente National Diversity Council; 2001

    Google Scholar 

  3. Centers for Disease Control and Prevention. Progress in chronic disease prevention treatment and perceived blood pressure control among self-reported hypertensives—Behavioral Risk Factor Surveillance System, 1986. MMWR 1987; 36(17):260–267

    Google Scholar 

  4. Jurkowski JM: Cardiovascular disease behaviors among Latinas, non-Hispanic black and non-Hispanic white women. Dissertation Abstracts International 2003; DAI-B 64/03:1206

    Google Scholar 

  5. Diaz VA: Cultural factors in preventive care: Latinos. Prim Care Clin Off Pract 2002; 29:495–502

    Article  Google Scholar 

  6. Scott, LW, et al. U.S. Minority Health A Chartbook. New York: The Commonwealth Fund; 1999

    Google Scholar 

  7. DeLaet DE, et al. Receipt of preventive services among privately insured minorities in managed care versus fee-for-service insurance plans. J Gen Intern Med 2002; 17(6):451–457

    Article  PubMed  Google Scholar 

  8. Guendelman S, Wagner TH: Health services utilization among Latinos and White-non-Latinos. Results from a national survey. J Health Care Poor Underserved 2000; 11:179–194

    PubMed  CAS  Google Scholar 

  9. Borrayo EA, Guarnaccia CA: Differences in Mexican-born and US-born women of Mexican Decent regarding factors related to breast cancer screening behaviors. Health Care Women Int 2000; 21:599–613

    Article  PubMed  CAS  Google Scholar 

  10. Jurkowski JM, Johnson TP: Acculturation and cardiovascular disease screening practices among Mexican Americans living in Chicago. Ethn Dis 2005; 15(3)

  11. de la Torre A, et al. The health insurance status of US Latino women: A profile from the 1982–1984 HHANES. Am J Public Health 1996; 86:533–537

    PubMed  Google Scholar 

  12. Collins KS, et al. Health Concerns Across A Woman's Lifespan: The Commonwealth Fund 1998 Survey of Women's Health. New York: The Commonwealth Fund; 1999

    Google Scholar 

  13. Chicago Fact Book. Chicago: City of Chicago Department of Commerce; 2000

  14. United States Bureau of the Census. Profiles of General Demographic Characteristics: 2000 Census of Population and Housing. Washington DC: United States Department of Commerce; 2001

    Google Scholar 

  15. Brick JM, et al. Bias in list-assisted telephone samples. Public Opin Q 1995; 59:218–223

    Article  Google Scholar 

  16. Trodahl V, Carter R Random selection of respondents within households. J Mark Res 1964; 1:71–76

    Article  Google Scholar 

  17. Bryant BE Respondent selection in a time of changing household composition. J Mark Res 1975; 12:129–135

    Article  Google Scholar 

  18. American Association for Public Opinion Research. Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. Ann Arbor, MI: American Association for Public Opinion Research; 2000

    Google Scholar 

  19. Survey Research Laboratory. Report on Health Behaviors in Greater Lawn. Report No. 842. Chicago: Survey Research Laboratory, University of Illinois at Chicago; 2000

    Google Scholar 

  20. Survey Research Laboratory. Report on Health Behaviors in Lawndale. Report No. 849. Chicago: Survey Research Laboratory, University of Illinois at Chicago; 2000

    Google Scholar 

  21. Keeter S, Miller C, Kohut A: Consequences of reducing non-response in a national telephone survey. Public Opin Q 2000; 64:125–148

    Article  PubMed  CAS  Google Scholar 

  22. Groves RM, Couper MP: Non-Response in Household Interview Surveys. New York: Wiley Publishers; 1998

    Google Scholar 

  23. Pearson TA, et al. AHA prevention conference III: Behavior change and compliance: Keys to improving cardiovascular health, January 15–17, 1993, Monterrey, California: Lipids: Workshop IV. Circulation 1993; 88:1397–1401

    PubMed  CAS  Google Scholar 

  24. Andersen RM: Revisiting the behavioral model and access to care: Does it matter? J Health Soc Behav 1995; 36:1–10

    Article  PubMed  CAS  Google Scholar 

  25. Long JS: Regression Models for Categorical and Limited Dependent Variables. Thousand Oaks, CA: Sage; 1997

    Google Scholar 

  26. Wright RE: Logistic Regression. In Grimm LG, Yarnold PR, eds. Reading and understanding multivariate statistics (pp. 217–244). Washington, DC: American Psychological Association; 2000

    Google Scholar 

  27. Hamilton LC: Statistics with STATA. Updated for Version 7. Belmont, CACA: Duxbury; 2003

    Google Scholar 

  28. Public Health Action Plan to Prevent Heart Disease and Stroke. National Center for Chronic Disease Prevention and Health Promotion. http://www.cdc.gov/cvh/Action_Plan/full_appendix_c.htm Date of last review: December 01, 2004. Viewed: May 31, 2005

  29. MMWR: State-specific cholesterol screening trends–United States, 1991–1999.. 2000; 49(33):750–5

  30. MMWR: State-specific trends in self-reported blood pressure screening and high blood pressure—United States, 1991–1999. 2002; 51(21):456–460

  31. Illinois Behavioral Risk Factor Surveillance System (BRFSS): http://apps.nccd.cdc.gov/brfss/display.asp?cat=CA&yr=1999&qkey=2728&state=IL

  32. Bertakis KD, et al. Gender differences in the utilization of health care services. J Fam Pract 2000; 49(2):147–52

    PubMed  CAS  Google Scholar 

  33. National Center for Health Statistics. Third National Health and Nutrition Examination Survey. Vital and Health Statistics, Series 2. US Department of Health and Human Services; 1992

  34. Waksberg J, et al. Assessment of Major Federal Data Sets for Analyses of Hispanic and Asian or Pacific Islander Subgroups and Native Americans, Extending the Utility of Federal Data Bases. Washington, DC: Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services; 2000

    Google Scholar 

  35. Guzman B: The Hispanic Population: Census 2000 Brief. 2001. U.S. Census Bureau.Report number: C2kBR/01–3

  36. Casper ML, et al. Women and Heart Disease: An Atlas of Racial and Ethnic Disparities in Mortality (2nd ed.). Morgantown WV: Office for Social Environment and Health Research; 2000

    Google Scholar 

  37. Garbers S, et al. Barriers to breast cancer screening for low income Mexican and Dominican women in New York City. J Urban Health 2003; 80(1):81–91

    PubMed  Google Scholar 

  38. Chavez LR, et al.Understanding knowledge and attitudes about breast cancer: A cultural analysis. Arch Fam Med 1995; 4:145–152

    Article  PubMed  CAS  Google Scholar 

  39. Barnett E, et al. Men and Heart Disease: An Atlas of Racial and Ethnic Disparities in Mortality. First Edition. Morgantown WV: Office for Social Environment and Health Research; 2001

    Google Scholar 

  40. Jackson C, et al. The behavioral risk factor survey and the stanford five-city project survey: A comparison of cardiovascular risk behavior estimates. Am J Public Health 1992; 82:412–416

    Article  PubMed  CAS  Google Scholar 

  41. Bowlin SJ, et al. Reliability and changes in validity of self-reported cardiovascular disease risk factors using dual response: The behavioral risk factor surveillance system. J Clin Epidemiol 1996; 49:511–517

    Article  PubMed  CAS  Google Scholar 

  42. Shea S, et al. Reliability of the behavioral risk factor survey in a triethnic population. Am J Epidemiol 1991; 133:489–500

    PubMed  CAS  Google Scholar 

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Acknowledgements

The author would like to thank Susan R. Levy, Professor Emeritus at the University of Illinois at Chicago for access to the data set and Timothy Johnson, Director of the Survey Research Laboratory, University of Illinois at Chicago for his contribution to the methods section.

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Correspondence to Janine M. Jurkowski.

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Jurkowski, J.M. Nativity and Cardiovascular Disease Screening Practices. J Immigrant Health 8, 339–346 (2006). https://doi.org/10.1007/s10903-006-9004-z

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