OBJECTIVES:To investigate the association between race and hypertension among Hispanics and non-Hispanics by using data from the National Health Interview Survey (NHIS), an annual survey of US households and to compare the strength of these associations among Hispanics and non-Hispanics. DESIGN AND METHODS:Analyses were limited to Hispanics and non-Hispanics 18 years of age and older who self-identified as White or Black/African-American during the 2000-2002 NHIS for a final sample of 88,453 adults including 12,083 Hispanics. Hypertension was self-reported during the survey interview. Covariates included in the analyses as potential confounders were sociodemographic characteristics and risk factors for hypertension. RESULTS:Hispanic Blacks had higher prevalence of self-reported hypertension than Hispanic Whites. Hispanic Blacks had higher odds of hypertension than non-Hispanic and Hispanic Whites. However, these associations did not achieve significance level. No difference was seen on the strength of the association between race and hypertension among Hispanics and non-Hispanics (OR 1.31 vs 1.52, P interaction for race and ethnicity .91). The protective effect for hypertension on Hispanics had been disappearing over time (P interaction race/ethnicity and survey year .002). CONCLUSIONS:This study underscores that racial categorization could be a significant predictor of health status for Hispanics in our society. As time goes by, we are curious to see how embedding in US racial categories and assimilation into Western culture influence the life and health of Hispanics.

译文

目的:通过使用美国国家年度健康调查(NHIS)的数据,调查西班牙裔和非西班牙裔之间种族和高血压之间的联系,并比较这些联系在西班牙裔和非西班牙裔之间的强度。
设计与方法:分析仅限于18岁及以上的西班牙裔和非西班牙裔,他们在2000-2002年NHIS期间自认是白人或黑人/非裔美国人,最终样本为88,453名成人,其中包括12,083名西班牙裔。高血压是在调查访谈中自我报告的。由于潜在的混杂因素,分析中包括的协变量是社会人口统计学特征和高血压的危险因素。
结果:西班牙裔黑人的自我报告的高血压患病率高于西班牙裔白人。西班牙裔美国人的黑人患高血压的几率高于非西班牙裔美国人和西班牙裔美国人。但是,这些关联没有达到显着性水平。西班牙裔和非西班牙裔之间种族和高血压之间的关联强度没有差异(OR 1.31 vs 1.52,种族和族裔的P交互作用为.91)。随着时间的流逝,对高血压对西班牙裔的保护作用逐渐消失(P相互作用种族/民族和调查年份.002)。
结论:本研究强调种族分类可能是我们社会中西班牙裔健康状况的重要预测指标。随着时间的流逝,我们很好奇地看到,嵌入美国种族类别和同化西方文化如何影响西班牙裔的生活和健康。

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