Stroke incidence in older US Hispanics: is foreign birth protective?

Stroke; a Journal of Cerebral Circulation
J Robin MoonM Maria Glymour

Abstract

Although Hispanics are the fastest growing ethnic group in the United States, relatively little is known about stroke risk in US Hispanics. We compare stroke incidence and socioeconomic predictors in US- and foreign-born Hispanics with patterns among non-Hispanic whites. Health and Retirement Study participants aged 50+ years free of stroke in 1998 (mean baseline age, 66.3 years) were followed through 2008 for self- or proxy-reported first stroke (n=15 784; 1388 events). We used discrete-time survival analysis to compare stroke incidence among US-born (including those who immigrated before age 7 years) and foreign-born Hispanics with incidence in non-Hispanic whites. We also examined childhood and adult socioeconomic characteristics as predictors of stroke among Hispanics, comparing effect estimates with those for non-Hispanic whites. In age- and sex-adjusted models, US-born Hispanics had higher odds of stroke onset than non-Hispanic whites (OR, 1.44; 95% CI, 1.08-1.90), but these differences were attenuated and nonsignificant in models that controlled for childhood and adulthood socioeconomic factors (OR, 1.07; 95% CI, 0.80-1.42). In contrast, in models adjusted for all demographic and socioeconomic factors, foreign-born Hispa...Continue Reading

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Citations

Jan 22, 2014·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Benjamin D CapistrantM Maria Glymour
Jul 10, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Oscar H Del BruttoDaniel Tettamanti
Dec 26, 2015·Journal of Neurology·Ugo FedeliMario Saugo
Oct 10, 2015·Environmental Research·Jeffrey J WingLynda D Lisabeth
May 8, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Cristina M ArceWolfgang C Winkelmayer
May 15, 2013·Journal of the American Geriatrics Society·Benjamin D CapistrantM Maria Glymour
Jul 22, 2015·The Canadian Journal of Cardiology·Qazi Zain SohailJack V Tu
May 26, 2016·Annals of Epidemiology·Félice Lê-ScherbanAna V Diez Roux
Aug 8, 2014·Circulation·Carlos J RodriguezUNKNOWN American Heart Association Council on Cardiovascular and Stroke Nursing
Feb 6, 2017·Circulation Research·Amelia K BoehmeMitchell S V Elkind
Oct 31, 2014·Stroke; a Journal of Cerebral Circulation·James F MeschiaUNKNOWN Council on Hypertension
Jan 18, 2014·Stroke; a Journal of Cerebral Circulation·George Howard, Armin Grau
Apr 12, 2019·Journal of Palliative Medicine·Ana I TergasPaul K Maciejewski
Feb 23, 2020·Stroke; a Journal of Cerebral Circulation·Hannah GardenerMitchell S V Elkind

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