TY  - JOUR
AU  - Cole, Helen V. S.
AU  - Reed, Holly E.
AU  - Tannis, Candace
AU  - Trinh-Shevrin, Chau
AU  - Ravenell, Joseph E.
PY  - 2018
TI  - Awareness of High Blood Pressure by Nativity Among Black Men: Implications for Interpreting the Immigrant Health Paradox
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E121
VL  - 15
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Differences in the social determinants of health and cardiovascular health outcomes by nativity have implications for understanding the immigrant health paradox among black immigrants. We aimed to understand whether blood pressure awareness, a precursor to achieving blood pressure control among hypertensive patients, varied by nativity among a sample of black men. METHODS  Data were collected from 2010 through 2014. In 2016, we conducted logistic regression models using data from a large sample of urban-dwelling middle-aged and older black men. All men in the study had measured high blood pressure at the time of enrollment and were also asked whether they were aware of having high blood pressure. Independent variables included demographics, socioeconomic status, access to care, and health-related behaviors. RESULTS  Foreign-born participants were significantly less likely than US-born participants to report awareness of having high blood pressure (P < .001). We observed a significant positive relationship between proportion of life spent in the US and being aware of having hypertension (beta = 0.863; 95% CI, 0.412-1.314; P < .001). This relationship remained after adjusting the model for salient independent variables (beta = 0.337; 95% CI, 0.041-0.634; P = .03). CONCLUSIONS  Difference in hypertension awareness by nativity may skew surveillance estimates used to track health disparities by large heterogeneous racial categories. Our results also indicate that prior health care experience and circumstances should be considered when studying the immigrant health paradox.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd15.170570
DO  - 10.5888/pcd15.170570
ER  - 
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