Effects of Cigarette Smoking, Diabetes, High Cholesterol, and Hypertension on All-Cause Mortality and Cardiovascular Disease Mortality in Mexican Americans The San Antonio Heart Study

作者: M. Wei , B. D. Mitchell , S. M. Haffner , M. P. Stem

DOI: 10.1093/OXFORDJOURNALS.AJE.A008878

关键词: DemographyGerontologyCohortHigh cholesterolRisk factorDiabetes mellitusEpidemiologyCause of deathMedicineCohort studyRate ratio

摘要: Despite high levels of cardiovascular risk factors, Mexican Americans paradoxically have a lower prevalence disease. A possible explanation is that conventional factors lesser impact on this ethnic group. In the present study, 7- to 8-year follow-up San Antonio Heart Study cohort was used estimate total and disease mortality their association with baseline factors. 2,629 form basis 1,136 non-Hispanic whites from same served as comparison The age- sex-adjusted rates for death were somewhat higher in than (rate ratio = 1.4, 95% confidence interval 1.0-2.0; rate 1.3, 0.7-2.4). After adjustment sex, age, socioeconomic status multivariate analyses, current smoking, diabetes, cholesterol, hypertension positively associated all-cause Americans. Overall, these accounted 45% 55% comparison, 46% whites. authors conclude cigarette are important predictors both deaths There no evidence diminished effect

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