Challenges in Preventing Heart Disease in Hispanics: Early Lessons Learned from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
Section snippets
Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
According to the 2010 US Census, there are approximately 50.5 million Hispanics in the US, comprising about 16% of the population.7 Demographers expect that the proportion of Hispanics will grow to 30% by the year 2050.8 Although Hispanics are a diverse group in terms of sociocultural and genetic backgrounds, there is a paucity of information about Hispanic health derived from national exams and surveys. The National Health and Nutrition Examination Survey (NHANES), initiated in 1959, consists
Cardiometabolic risk factors
Various cardiometabolic risk factors have been examined in HCHS/SOL including the prevalence of: (a) DM, (b) metabolic syndrome (MetS), (c) obesity, (d) hypertension (HTN) and (e) sleep disordered breathing (SDB).
Lifestyle risk factors
During the last decade, important changes in lifestyle patterns have led to an increased prevalence of chronic conditions, including CVD and DM. In fact, the leading causes of death can be attributable to changes in lifestyle risk factors, including but not limited to: (a) smoking; and (b) poor dietary habits.
Discussion
Although Hispanics living in the US have less education, a higher poverty rate, and worse utilization and access for health care, life expectancy for Hispanics in 2006 was greater for Hispanics than for non-Hispanic whites.3 This snapshot in time may be misleading since substantial changes have occurred in recent decades in the US in terms of Hispanic population size, immigration patterns, demographics, lifestyle practices and cardiometabolic risk. The baseline visits to HCHS/SOL, conducted
Statement of Conflict of Interest
All authors declare that there are no conflicts of interest.
Acknowledgments
Supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234). Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following Institutes/Centers/Offices contributed to the baseline HCHS/SOL funding period through a transfer of funds to the NHLBI: National Institute on Minority Health and Health
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Statement of Conflict of Interest: see page 260.
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