TY - JOUR
T1 - Pulmonary disease and age at immigration among hispanics
T2 - Results from the hispanic community health study/study of latinos
AU - Barr, R. Graham
AU - Avilés-Santa, Larissa
AU - Davis, Sonia M.
AU - Aldrich, Tom K.
AU - Gonzalez, Franklyn
AU - Henderson, Ashley G.
AU - Kaplan, Robert C.
AU - La Vange, Lisa
AU - Liu, Kiang
AU - Loredo, Jose S.
AU - Mendes, Eliana S.
AU - Ni, Ai
AU - Ries, Andrew
AU - Salathe, Matthias
AU - Smith, Lewis J.
N1 - Funding Information:
The HCHS/SOL (Hispanic Community Health Study/Study of Latinos) was performed as a collaborative study supported by contracts from the NHLBI to the University of North Carolina (N01-HC65233), the University of Miami (N01-HC65234), the Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following institutes, centers, or offices contribute to the HCHS/ SOL through a transfer of funds to the NHLBI: the National Center on Minority Health and Health Disparities, the National Institute on Deafness and Other Communication Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. MESA (Multi-Ethnic Study of Atherosclerosis) and the MESA Lung Study were supported by NHLBI grants R01-HL077612, RC1-HL100543, and R01-HL083091 and contracts N01-HC-95159, N01-HC-95160, N01-HC-95161, N01-HC-95162, N01-HC-95163, N01-HC-95164, N01-HC-95165, N01-HC-95166, N01-HC-95167, N01-HC-95168, and N01-HC-95169. They were also supported by National Center for Research Resources grants UL1-TR-000040 and UL1-TR-001079
PY - 2016/2/15
Y1 - 2016/2/15
N2 - Rationale: Asthma has been reported to be more prevalent among Hispanics of Puerto Rican heritage than among other Hispanics and among Hispanics born in the United States or who immigrated as children than among those who came as adults; however, direct comparisons across Hispanic groups are lacking. Objectives: To test whether asthma is more prevalent among Hispanics of Puerto Rican heritage than among other Hispanic groups, whether asthma is associated with age of immigration, and whether chronic obstructive pulmonary disease varies by heritage in a large, population-based cohort of Hispanics in the United States. Methods: The Hispanic Community Health Study/Study of Latinos researchers recruited a population-based probability sample of 16,415 Hispanics/Latinos, 18-74 years of age, in New York City, Chicago, Miami, and San Diego. Participants self-reported Puerto Rican, Cuban, Dominican, Mexican, Central American, or South American heritage; birthplace; and, if relevant, age at immigration. A respiratory questionnaire and standardized spirometry were performed with postbronchodilator measures for those with airflow limitation. Measurements and Main Results: The prevalence of physiciandiagnosed asthma among Puerto Ricans (36.5%; 95% confidence interval, 33.6-39.5%)washigher thanamongotherHispanics (odds ratio, 3.9; 95% confidence interval, 3.3-4.6). Hispanics who were born in the mainland United States or had immigrated as children had a higher asthma prevalence than those who had immigrated as adults (19.6, 19.4, and 14.1%, respectively; P<0.001). Current asthma, bronchodilator responsiveness, and wheeze followed similar patterns. Chronic obstructive pulmonary disease prevalence was higher among Puerto Ricans (14.1%) andCubans (9.8%) thanamongother Hispanics (<6.0%), but it did not vary acrossHispanic heritages after adjustment for smoking and prior asthma (P = 0.22), by country of birth, or by age at immigration. Conclusions: Asthma was more prevalent among Puerto Ricans, other Hispanics born in the United States, and those who had immigrated as children than among other Hispanics. In contrast, the higher prevalence of chronic obstructive pulmonary disease among Puerto Ricans and Cubans was largely reflective of differential smoking patterns and asthma.
AB - Rationale: Asthma has been reported to be more prevalent among Hispanics of Puerto Rican heritage than among other Hispanics and among Hispanics born in the United States or who immigrated as children than among those who came as adults; however, direct comparisons across Hispanic groups are lacking. Objectives: To test whether asthma is more prevalent among Hispanics of Puerto Rican heritage than among other Hispanic groups, whether asthma is associated with age of immigration, and whether chronic obstructive pulmonary disease varies by heritage in a large, population-based cohort of Hispanics in the United States. Methods: The Hispanic Community Health Study/Study of Latinos researchers recruited a population-based probability sample of 16,415 Hispanics/Latinos, 18-74 years of age, in New York City, Chicago, Miami, and San Diego. Participants self-reported Puerto Rican, Cuban, Dominican, Mexican, Central American, or South American heritage; birthplace; and, if relevant, age at immigration. A respiratory questionnaire and standardized spirometry were performed with postbronchodilator measures for those with airflow limitation. Measurements and Main Results: The prevalence of physiciandiagnosed asthma among Puerto Ricans (36.5%; 95% confidence interval, 33.6-39.5%)washigher thanamongotherHispanics (odds ratio, 3.9; 95% confidence interval, 3.3-4.6). Hispanics who were born in the mainland United States or had immigrated as children had a higher asthma prevalence than those who had immigrated as adults (19.6, 19.4, and 14.1%, respectively; P<0.001). Current asthma, bronchodilator responsiveness, and wheeze followed similar patterns. Chronic obstructive pulmonary disease prevalence was higher among Puerto Ricans (14.1%) andCubans (9.8%) thanamongother Hispanics (<6.0%), but it did not vary acrossHispanic heritages after adjustment for smoking and prior asthma (P = 0.22), by country of birth, or by age at immigration. Conclusions: Asthma was more prevalent among Puerto Ricans, other Hispanics born in the United States, and those who had immigrated as children than among other Hispanics. In contrast, the higher prevalence of chronic obstructive pulmonary disease among Puerto Ricans and Cubans was largely reflective of differential smoking patterns and asthma.
KW - Asthma
KW - Chronic obstructive pulmonary disease
KW - Race/ethnicity
KW - Social determinants of health
UR - http://www.scopus.com/inward/record.url?scp=84988727899&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84988727899&partnerID=8YFLogxK
U2 - 10.1164/rccm.201506-1211OC
DO - 10.1164/rccm.201506-1211OC
M3 - Article
C2 - 26451874
AN - SCOPUS:84988727899
SN - 1073-449X
VL - 193
SP - 386
EP - 395
JO - American journal of respiratory and critical care medicine
JF - American journal of respiratory and critical care medicine
IS - 4
ER -