Stroke Incidence in Older US Hispanics

Is Foreign Birth Protective?

Stroke.ahajournals: J. Robin Moon, DPH;  Benjamin D. Capistrant, MS;  Ichiro Kawachi, MD, PhD; Mauricio Avendaño, PhD; S.V. Subramanian, PhD;  Lisa M. Bates, ScD; M. Maria Glymour, ScD – February 21, 2012.

Abstract

Background and Purpose—Although Hispanics are the fastest growing ethnic group in the United States, relatively little is known about stroke risk in US Hispanics. We compare stroke incidence and socioeconomic predictors in US- and foreign-born Hispanics with patterns among non-Hispanic whites.

Methods—Health and Retirement Study participants aged 50+ years free of stroke in 1998 (mean baseline age, 66.3 years) were followed through 2008 for self- or proxy-reported first stroke (n=15 784; 1388 events). We used discrete-time survival analysis to compare stroke incidence among US-born (including those who immigrated before age 7 years) and foreign-born Hispanics with incidence in non-Hispanic whites. We also examined childhood and adult socioeconomic characteristics as predictors of stroke among Hispanics, comparing effect estimates with those for non-Hispanic whites. Read More