Immigration disparities in cardiovascular disease risk factor awareness

Brent A. Langellier, Jeremiah R. Garza, Deborah Glik, Michael L. Prelip, Ron Brookmeyer, Christian K. Roberts, Anne Peters, Alexander N. Ortega

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


The association between immigration status and cardiovascular disease (CVD) risk factor awareness is unknown. Using physical examination-based data and participants' self-report of prior diagnosis, we assessed immigration-based disparities in awareness of diabetes, hypertension, hypercholesterolemia, and overweight among 12,124 participants in the 2003-2008 National Health and Nutrition Examination Survey. Unawareness of CVD risk factors is high among all groups, but tends to be higher among foreign-born English and non-English speaking participants than among US-born participants. After adjusting for demographic factors and access to health care, foreign-born participants appear more likely to be unaware of their hypertension and overweight than US-born participants. Immigrants are more likely than those born in the US to be unaware of their CVD risk factors, and therefore may be less motivated to seek treatment and modify their behavior to prevent negative CVD outcomes.

Original languageEnglish (US)
Pages (from-to)918-925
Number of pages8
JournalJournal of Immigrant and Minority Health
Issue number6
StatePublished - Dec 2012
Externally publishedYes


  • Cardiovascular diseases
  • Epidemiology
  • Hypertension
  • Obesity
  • Risk factors

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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