Document Detail


The association of language with prevalence of undiagnosed hypertension among older Mexican Americans.
MedLine Citation:
PMID:  18072382     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Language barriers have been shown to negatively impact health care for immigrants. We evaluated the association between language use and the diagnosis of hypertension among elderly Mexican Americans. STUDY POPULATION: We studied subjects from the Hispanic Established Populations for Epidemiologic Studies of the Elderly, a cohort of 3050 Mexican American subjects age > or =65. PREDICTORS: Measures of language included Spanish and/or English language read/spoken, language used in social situations, and language of mass media use. OUTCOME MEASURE: Undiagnosed hypertension on physical exam was defined as systolic blood pressure > or =140 mm Hg and/or diastolic blood pressure > or =90 mm Hg in persons who did not report previous hypertension diagnosis or were not current users of anti-hypertensive medications. RESULTS: The age- and sex-adjusted prevalence of diagnosed hypertension and undiagnosed hypertension were 50.5% and 19.3%, respectively. Among 1347 older adults without previous diagnosis of hypertension that were included in the primary analysis, the mean age was 72 years and 43% were immigrants. After adjusting for age, gender, and education, Spanish use more often than English use in mass media was significantly associated with undiagnosed hypertension (adjusted OR 2.2 [1.3-3.6]). Other measures of acculturation were not independently associated with undiagnosed hypertension. In analyses restricted to persons with hypertension, similar language factors distinguished those who had been diagnosed from those whose hypertension was undiagnosed. CONCLUSIONS: Mexican American elders who reported using Spanish more often than English use in mass media were more likely to have undiagnosed hypertension compared to those using English language in mass media. Further studies are needed to elucidate the role of mass media language in hypertension awareness and management among Hispanic elders.
Authors:
Pracha P Eamranond; Kushang V Patel; Anna T R Legedza; Edward R Marcantonio; Suzanne G Leveille
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, N.I.H., Intramural    
Journal Detail:
Title:  Ethnicity & disease     Volume:  17     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  2007  
Date Detail:
Created Date:  2007-12-12     Completed Date:  2008-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  699-706     Citation Subset:  IM    
Affiliation:
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02246, USA. peamrano@bidmc.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Acculturation
Aged
Aged, 80 and over
Cohort Studies
Communication Barriers*
Female
Humans
Hypertension / diagnosis*,  epidemiology,  ethnology*
Interviews as Topic
Language*
Male
Mexican Americans*
Prevalence
Southwestern United States / epidemiology
United States / epidemiology
Grant Support
ID/Acronym/Agency:
T32 HP11001//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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