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Is there a link between wealth and cardiovascular disease risk factors among Hispanic/Latinos? Results from the HCHS/SOL Sociocultural Ancillary Study

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https://ir.library.oregonstate.edu/concern/articles/n296x4176

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  • Objective. To examine the relationship between wealth and cardiovascular disease risk factors among Hispanic/Latinos of diverse backgrounds. Design. This cross-sectional study used data from 4,971 Hispanic/Latinos, 18 to 74 years, who participated in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) baseline exam and the HCHS/SOL Sociocultural Ancillary Study. Three objectively measured cardiovascular disease risk factors (hypertension, hypercholesterolemia, and obesity) were included. Wealth was measured using an adapted version of the Home Affluence Scale, which included questions regarding the ownership of a home, cars, computers, and recent vacations. Results. After adjusting for traditional socioeconomic indicators (income, employment, education), and other covariates, we found that wealth was not associated with hypertension, hypercholesterolemia or obesity. Analyses by sex showed that middle-wealth women were less likely to have hypercholesterolemia or obesity. Analyses by Hispanic/Latino background groups showed that while wealthier Central Americans were less likely to have obesity, wealthier Puerto Ricans were more likely to have obesity. Conclusion. This is the first study to explore the relationship between wealth and health among Hispanic/Latinos of diverse backgrounds, finding only partial evidence of this association. Future studies should utilize more robust measures of wealth, and address mechanisms by which wealth may impact health status among Hispanic/Latinos of diverse backgrounds in longitudinal designs.
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  • López-Cevallos, D. F., Gonzalez, P., Bethel, J. W., Castañeda, S. F., Isasi, C. R., Penedo, F. J., Ojeda, L., Davis, S. M., Chirinos, D. A., Molina, K. M., Teng, Y., Bekteshi, V., & Gallo, L. C. (2017). Is there a link between wealth and cardiovascular disease risk factors among Hispanic/Latinos? Results from the HCHS/SOL sociocultural ancillary study. Ethnicity & Health, doi:10.1080/13557858.2017.1315370
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  • Daniel López-Cevallos, Patricia Gonzalez, and Jeffrey W. Bethel were partially supported by a subaward from the Stanford Center for Poverty and Inequality’s Poverty, Inequality and Mobility among Hispanics Program. The Office of Planning, Research and Evaluation with the Administration for Children and Families, U.S. Department of Health and Human Services, provided funding for this program [grant number 1H79AE000101-02S1]. Sheila Castañeda was supported in part by the American Heart Association [grant number 16SFRN27940007]. The HCHS/SOL Sociocultural Ancillary Study was supported by [grant number 1 RC2 HL101649] (Gallo/ Penedo) from the National Institutes of Health (NIH)/National Heart, Lung, and Blood Institute (NHLBI). The Hispanic Community Health Study/Study of Latinos was carried out as a collaborative study supported by contracts from NIH/NHLBI to the University of North Carolina [grant number N01-HC65233], University of Miami [grant number N01-HC65234], Albert Einstein College of Medicine [grant number N01-HC65235], Northwestern University [grant number N01-HC65236], and San Diego State University [grant number N01-HC65237].
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