Hispanic Paradox in Biological Risk Profiles
- 1 July 2007
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 97 (7), 1305-1310
- https://doi.org/10.2105/ajph.2006.091892
Abstract
Objectives. We examined biological risk profiles by race, ethnicity, and nativity to evaluate evidence for a Hispanic paradox in measured health indicators. Methods. We used data on adults aged 40 years and older (n = 4206) from the National Health and Nutrition Examination Surveys (1999–2002) to compare blood pressure, metabolic, and inflammatory risk profiles for Whites, Blacks, US-born and foreign-born Hispanics, and Hispanics of Mexican origin. We controlled for age, gender, and socioeconomic status. Results. Hispanics have more risk factors above clinical risk levels than do Whites but fewer than Blacks. Differences between Hispanics and Whites disappeared after we controlled for socioeconomic status, but results differed by nativity. After we controlled for socioeconomic status, the differences between foreign-born Hispanics and Whites were eliminated, but US-born Mexican Americans still had higher biological risk scores than did both Whites and foreign-born Mexican Americans. Conclusions. There is no Hispanic paradox in biological risk profiles. However, our finding that foreign-born Hispanics and Whites had similar biological risk profiles, but US-born Mexican Americans had higher risk, was consistent with hypothesized effects of migrant health selectivity (healthy people in-migrating and unhealthy people out-migrating) as well as some differences in health behaviors between US-born and foreign-born Hispanics.Keywords
This publication has 53 references indexed in Scilit:
- Prevalence of Overweight and Obesity in the United States, 1999-2004JAMA, 2006
- State of Disparities in Cardiovascular Health in the United StatesCirculation, 2005
- Cumulative biological risk and socio-economic differences in mortality: MacArthur Studies of Successful AgingSocial Science & Medicine, 2004
- C-Reactive protein levels among women of various ethnic groups living in the United States (from the Women's Health Study)The American Journal of Cardiology, 2004
- Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood PressureHypertension, 2003
- Relation of fibrinogen to cardiovascular events is independent of preclinical cardiovascular disease: The strong heart studyAmerican Heart Journal, 2003
- Racial and ethnic disparities in self‐assessed health status: Evidence from the national survey of families and householdsEthnicity & Health, 1996
- Prevalence of Hypertension in the US Adult PopulationHypertension, 1995
- Socioeconomic status and health: The challenge of the gradient.American Psychologist, 1994
- Diet and exercise are equally effective in reducing risk for cardiovascular disease. Results of a randomized controlled study in men with slightly to moderately raised cardiovascular risk factorsAtherosclerosis, 1993