Journal article
The Association Between State Characteristics and Latinx People's Treated Hypertension in Established and New Latinx Destination States: A Multilevel Analysis
Family & community health, Vol.47(2), pp.151-166
04/2024
DOI: 10.1097/FCH.0000000000000393
PMID: 38372332
Abstract
This study sought to quantify the contributions of state-level factors including income inequality, state's legislature political control, and Medicaid expansion in new and established Latinx destination states on Latinx individuals' treated hypertension. Mixed-effects logistic regression analyses were conducted to analyze 2017 Behavioral Risk Factor Surveillance System data from 7524 Latinx adults nested within 39 states. Overall, 70% reported being pharmacologically treated for hypertension, and 66% resided in established destination states. Compared with Latinx people in established destination states, Latinx people in new destinations had lower odds of having treated hypertension (odds ratio [OR] = 0.72, 95% CI = 0.54-0.95). Within established Latinx destinations, the odds of treated hypertension were lower in states where legislatures expanded Medicaid than in states that did not expand Medicaid (OR = 0.84, 95% CI = 0.79-0.89). However, after controlling for the effects of individual-level factors, this association was no longer statistically significant. In new Latinx destination states, Medicaid expansion, legislatures' political control, and income inequality were not associated with treated hypertension. The study results highlight the importance of considering both individual- and state-level factors, as the interplay of such factors could hinder the successful implementation of cardiovascular risk reduction interventions.
Details
- Title: Subtitle
- The Association Between State Characteristics and Latinx People's Treated Hypertension in Established and New Latinx Destination States: A Multilevel Analysis
- Creators
- Adriana MaldonadoHelena H LarocheDaniel K SewellRima AfifiRichard M HoffmanBarbara BaqueroPaul A Gilbert
- Resource Type
- Journal article
- Publication Details
- Family & community health, Vol.47(2), pp.151-166
- DOI
- 10.1097/FCH.0000000000000393
- PMID
- 38372332
- NLM abbreviation
- Fam Community Health
- eISSN
- 1550-5057
- Language
- English
- Date published
- 04/2024
- Academic Unit
- Biostatistics; Injury Prevention Research Center; Public Policy Center (Archive); General Internal Medicine; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984560420702771
Metrics
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