Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Prevalence of CHD and Stroke by Birthplace

J Am Heart Assoc; 2018 Mar 28; Fang, Yuan, et al

Foreign-born adults residing in the US had a lower prevalence of coronary heart disease (CHD) and stroke compared to US-born adults; however, considerable heterogeneity of CHD and stroke risk was found by region of birth, according to the results of a recent study. Researchers used data from the 2006 to 2014 National Health Interview Survey with birthplace categorized as US or foreign born; foreign born was grouped into 6 birthplace regions. Among the findings:

  • Age-standardized prevalence of both CHD and stroke were higher among US- than foreign-born adults (CHD: 8.2% vs 5.5% for men and 4.8% vs 4.1% for women; stroke: 2.7% vs 2.1% for men and 2.7% vs 1.9% for women).
  • CHD prevalence was lower among foreign-born adults from Asia and Mexico, Central America, or the Caribbean vs US-born adults.
  • For stroke, men from South American or Africa had the lowest prevalence; women from Europe had the lowest prevalence.
  • Years of living in the US was not related to risk of CHD or stroke after adjustment with demographic and health characteristics.

Citation:

Fang J, Yuan K, Gindi RM, Ward BW, Ayala C, Loustalot F. Association of birthplace and coronary heart disease and stroke among US adults: National Health Interview Survey, 2006 to 2014. [Published online ahead of print March 28, 2018]. J Am Heart Assoc. doi:10.1161/JAHA.117.008153.

This Week's Must Reads

Vaccination Coverage & Exemption Rates in US, Open Forum Infect Dis; ePub 2018 Jun 2; Shaw, et al

Influenza & Tdap Vaccination in Pregnancy, Vaccine; ePub 2018 Jun 12; Strassberg, et al

Vaccination Rates May Influence School Choice, Vaccine; ePub 2018 Jun 13; Cataldi, et al

Influenza Vaccination Coverage & Herd Immunity, Vaccine; 2018 Jun 27; Logan, et al

HBV Vaccination Coverage in Foreign-Born Women, Clin Infect Dis; ePub 2018 Jun 1; Kilmer, et al

Must Reads in Cardiology

Global Burden of CVD in People Living with HIV, Circulation; ePub 2018 Jul 2; Shah, et al

Effects of Pulse Pressure & BP Tx Intensity on AEs, Am J Med; ePub 2018 Jun 22; Krishnaswami, et al

Chocolate Intake & Incident CHD in Women , Am J Clin Nutrit; ePub 2018 Jun 21; Greenberg, et al

Stress & CV Health in Among Blacks, J Am Heart Assoc; ePub 2018 Jun 5; Brewer, et al

ECG Screening for CVD in Low-Risk Patients, JAMA; 2018 Jun 12; Curry, US Preventive Task Force