{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T18:02:16Z","timestamp":1787594536223,"version":"build-2736575974"},"reference-count":58,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"16","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,8,19]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">The prevalence of cardiometabolic risk factors may vary by disaggregated race and ethnicity categories, and by acculturation\u2010related factors. We evaluated the association between nativity and length of US residence, and prevalence of diabetes, hypertension, and hypercholesterolemia by select disaggregated race and ethnicity groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods<\/jats:title>\n            <jats:p xml:lang=\"en\">We conducted a pooled cross\u2010sectional study of 218\u2009158 US adults from the Medical Expenditure Panel Survey (2013\u20132022). Nativity (US born, non\u2010US born) and length of US residence (\u226515\u2009years or &lt;15\u2009years) were used as select proxies for acculturation. Self\u2010reported cardiometabolic risk factors included diabetes, hypertension, and hypercholesterolemia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Results<\/jats:title>\n            <jats:p xml:lang=\"en\">Results showed substantial heterogeneity among both aggregated and disaggregated racial and ethnic groups. Nativity (US born versus non\u2010US born) was significantly associated with increased hypertension prevalence among Hispanic adults (odds ratio [OR], 1.26 [95% CI, 1.15\u20131.39]), whereas among detailed categories the OR varied from 0.68 (95% CI, 0.51\u20130.93) among Puerto Rican adults to 1.34 (95% CI, 1.18\u20131.52) among Mexican adults. For the association between length of US residence and hypercholesterolemia, the OR for all Non\u2010Hispanic Asian adults was 1.18 (95% CI, 0.92\u20131.51), whereas results varied in detailed categories from 1.00 (95% CI, 0.64\u20131.57) among Indian adults to 1.69 (95% CI, 1.08\u20132.64) among Chinese adults.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p xml:lang=\"en\">The association between US nativity or length of US residence and cardiometabolic risk factors varies by disaggregated race and ethnicity among Hispanic and Non\u2010Hispanic Asian adults. Future studies may evaluate comprehensive measures of acculturation and assess other race and ethnicity groups to inform tailored efforts to improve cardiometabolic risk factor prevention and treatment.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.124.038306","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T11:26:04Z","timestamp":1754997964000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Association of US Nativity and Length of US Residence With Cardiometabolic Risk Factors, by Disaggregated Race and Ethnicity"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1246-2937","authenticated-orcid":false,"given":"Alain K.","family":"Koyama","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Diabetes Translation","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3519-8662","authenticated-orcid":false,"given":"Nilay S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3975-5131","authenticated-orcid":false,"given":"Fang","family":"Xu","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Diabetes Translation","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Zaganjor","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Diabetes Translation","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2852-2946","authenticated-orcid":false,"given":"Yoshihisa","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Diabetes Translation","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0950-6369","authenticated-orcid":false,"given":"Betsy","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Diabetes Translation","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4810-0572","authenticated-orcid":false,"given":"Sandra L.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Heart Disease and Stroke Prevention","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3945-7529","authenticated-orcid":false,"given":"Eugene","family":"Yang","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine","place":["Seattle, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3598-6944","authenticated-orcid":false,"given":"Kai McKeever","family":"Bullard","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Diabetes Translation","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-020-05199-0"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/circresaha.116.308398"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.30119"},{"key":"e_1_3_1_5_2","unstructured":"Centers for Disease Control and Prevention . 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