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Volume 1:
No. 2, April 2004
SPECIAL TOPICS IN PUBLIC HEALTH
ORIGINAL RESEARCH: FEATURED
ABSTRACT FROM THE 18TH NATIONAL CONFERENCE ON CHRONIC DISEASE
PREVENTION AND CONTROL
Chronic Disease Risk
Factors by Ethnicity and Border Residence in Arizona: 10 Years of
Behavioral Risk Factor Surveillance System Data
MC McGorray, MA Veazie
Suggested citation for this article: McGorray
MC, Veazie MA. Chronic disease risk factors by ethnicity and border
residence in Arizona: 10 Years of Behavioral Risk Factor Surveillance System
data [abstract]. Prev Chronic Dis [serial online] 2004 Apr [date cited].
Available from: URL: http://www.cy118119.com/pcd/issues/2004/
apr/03_0034m.htm.
PEER REVIEWED
We estimated chronic disease risk factor prevalence by border county
residence and Hispanic ethnicity along the U.S.-Mexico border. Hispanics living along the U.S.-Mexico border suffer from high rates of
chronic diseases. Ongoing surveillance of chronic disease risk factors in
this population is lacking.
We combined 10 years of Arizona Behavioral Risk Factor Surveillance System (BRFSS)
data (1992–2001). The prevalence of selected risk factors was calculated for
Hispanics and non-Hispanics by border county residence. After adjusting for
the effects of survey design, age, and sex, we estimated the interaction
between Hispanic ethnicity and residence for each risk factor in counties with cities on the
border. We also mapped statewide telephone coverage
among Hispanics by census tract.
Of the 20,409 respondents, 3.1% were border Hispanics, 12.3% were
non-border Hispanics, 6.6% were border non-Hispanics, and 78.1% were
non-border non-Hispanics. When border Hispanics are compared with non-border
non-Hispanics, the age- and sex-adjusted odds ratios were 2.85 (95%
Confidence Interval [CI] = 1.92, 4.23) for diabetes; 0.33 (CI = 0.25, 0.44)
for self-reported good or excellent health; 1.48 (CI = 1.11, 1.98) for
obesity; 0.52 (CI = 0.42, 0.64) for recommended physical activity; and 0.48
(CI = 0.38, 0.60) for current smoking.
Arizona Hispanics (represented by BRFSS survey participants) suffer from
a higher prevalence of chronic disease risk factors than non-Hispanics,
regardless of whether they live on the border. Results document the need to
oversample on the border and to address the issue of low telephone coverage.
Corresponding Author: Matt McGorray, MS, Senior Research Specialist, Southwest Center for Community Health Promotion, Arizona College of Public
Health, Epi-Biostats, 1145 N Campbell Ave, PO Box 210228, Tucson, AZ
85721-0228. Telephone: 520-318-7270. E-mail: mcgorray@u.arizona.edu.
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