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Risk factors for liver disease among adults of Mexican descent in the United States and Mexico

World Journal of Gastroenterology 2018年第37期24卷 4281-4290页

作者： Yvonne N Flores Zuo-Feng Zhang Roshan Bastani Mei Leng Catherine M Crespi Paula Ramírez-Palacios Heather Stevens Jorge Salmerón Unidad de Investigación Epidemiológica y en Servicios de Salud Delegación MorelosInstituto Mexicano del Seguro SocialCuernavacaMorelos 62000México UCLA Department of Health Policy and Management and Kaiser Permanente Center for Health Equity Fielding School of Public HealthLos AngelesCA 90095United States UCLA Cancer Prevention and Control Research Center Fielding School of Public Health and Jonsson Comprehensive Cancer CenterLos AngelesCA 90095United States UCLA Division of General Internal Medicine and Health Services Research Los AngelesCA 90095United States UCLA Department of Biostatistics Fielding School of Public HealthLos AngelesCA 90095United States University of Washington School of MedicineSeattleWA 98195United States Universidad Nacional Autónoma de México Academic Epidemiology Research UnitAvenida Universidad 3000Ciudad UniversitariaCoyoacánMexico City 04510México Centro de Investigación en Salud Poblacional Instituto Nacional de Salud PúblicaCuernavacaMorelos 62100México

AIM To compare the prevalence of chronic liver disease(CLD) risk factors in a representative sample of MexicanAmericans born in the United States(US) or Mexico, to a sample of adults in Mexico.METHODS Data for Mexican-Americans in the US were obtained from the 1999-2014 National Health and Nutrition Examination Survey(NHANES), which includes persons of Mexican origin living in the US(n = 4274). The NHANES sample was restricted to Mexican-American participants who were 20 years and older, born in the US or Mexico, not pregnant or breastfeeding, and with medical insurance.The data in Mexico were obtained from the 2004-2013 Health Worker Cohort Study in Cuernavaca, Mexico(n =9485). The following known risk factors for liver disease/cancer were evaluated: elevated aminotransferase levels(elevated alanine aminotransferase was defined as > 40 IU/L for males and females; elevated aspartate aminotransferase was defined as > 40 IU/L for males and females), infection with hepatitis B or hepatitis C,metabolic syndrome, high total cholesterol, diabetes,obesity, abdominal obesity, and heavy alcohol use. The main independent variables for this study classified individuals by country of residence(i.e., Mexico vs the US) and place of birth(i.e., US-born vs Mexico-born).Regression analyses were used to investigate CLD risk factors.RESULTS After adjusting for socio-demographic characteristics,Mexican-American males were more likely to be obese,diabetic, heavy/binge drinkers or have abdominal obesity than males in Mexico. The adjusted multivariate results for females also indicate that Mexican-American females were significantly more likely to be obese, diabetic, be heavy/binge drinkers or have abdominal obesity than Mexican females. The prevalence ratios and prevalence differences mirror the multivariate analysis findings for the aforementioned risk factors, showing a greater risk among US-born as compared to Mexico-born MexicanAmericans. CONCLUSION In this study, Mexican-Americans in the US had more risk factors for CLD than thei

关键词： Liver disease Risk factors Health disparities Mexico Mexican Americans latinos

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Sleep Quality among Hispanics of Mexican Descent and Non-Hispanic Whites: Results from the Sleep Health and Knowledge in US Hispanics Study

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Open Journal of Respiratory Diseases 2013年第2期3卷 97-106页

作者： Xavier Soler Carolina Diaz-Piedra Wayne A. Bardwell Sonia Ancoli-Israel Lawrence A. Palinkas Joel E. Dimsdale Jose S. Loredo University of California San Diego San Diego USA University of Granada Granada Spain University of Southern California Los Angeles USA

Objectives: To investigate differences in sleep quality between Hispanics of Mexican descent (HMD) and Non-Hispanic Whites (NHW) and evaluate the effect of acculturation to the US lifestyle in sleep health. We hypothesize that the detrimental effect of acculturation on health outcomes will impact sleep quality among HMD. Design: We performed a population-based random digit dialing telephone survey to determine sleep quality in HMD and NHW. We collected from 3667 subjects, demographics, previous diagnosis of depression or anxiety, past treatment for sleep disorders, the Pittsburgh Sleep Quality Index (PSQI) and the Short Acculturation Scale for Hispanics. Results: The prevalence of poor sleep quality (PSQI > 5) was 64.4% for HMD and 64.3% for NHW (p = 0.93). A prior diagnosis of depression or anxiety was an independent predictor of poor sleep quality in both groups (OR 3.4 and 2.7 for HMD and NHW. Ethnicity was not a predictor of poor sleep quality in HMD or NHW. Acculturation was not a predictor of poor sleep quality in HMD. However, highly acculturated young HMD males had significantly more prevalence of poor sleep quality compared to NHW (64.8% vs. 49.8%, p Conclusion: The absence of sleep quality differences in a large sample of HMD and NHW living in San Diego County is contrary to current data of having poorer sleep quality among latinos. We found that neither ethnicity nor acculturation were predictors of poor sleep quality in HMD. However, we demonstrated a highly prevalent poor sleep quality among the two ethnic groups. The finding of significantly lower sleep quality in young highly acculturated HMD men may represent the heterogeneity of ethnicity related to sleep. Programs to improve sleep quality in subjects with depression and/or anxiety, and in young highly-acculturated HMD seems warranted.

关键词： Sleep Quality Race/Ethnicity Acculturation Hispanics latinos Mexican-Americans PSQI

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