Citation
Bai, Fang; Chen, Jingsong; Pandey, Dilip; Durazo-Arvizu, Ramon A.; Talavera, Gregory A.; Allison, Matthew A.; Perreira, Krista M.; Schneiderman, Neil; Sutherland, Melanie W.; & Cai, Jianwen, et al. (2021). Stroke Risk Factor Status and Use of Stroke Prevention Medications among Hispanic/Latino Adults in HCHS/SOL. Stroke, 52(4), 1339-1346. PMCID: PMC7988300Abstract
BACKGROUND AND PURPOSE: We investigated the prevalence, awareness, and control of vascular risk factors (VRFs) and the use of antithrombotic and statin agents in HCHS (Hispanic Community Health Study)/SOL (Study of Latinos) participants with self-reported history of stroke or transient ischemic attack.METHODS: Sociodemographic characteristics, medications, and prevalence of different VRFs were recorded. VRF diagnoses and goals were based on the recommendations of professional organizations. Factors associated with optimal VRF control and use of antithrombotic and statin agents were investigated using multivariate logistic regression.
RESULTS: The analysis included 404 participants (39% men). The prevalences of hypertension, dyslipidemia, and diabetes were 59%, 65%, and 39%, respectively. Among those who met the diagnostic criteria for these diagnoses, the frequencies of awareness were 90%, 75%, and 83%, respectively. In participants who were aware of their VRFs, the prevalences of controlled hypertension, dyslipidemia, and diabetes were 46%, 32%, and 54%. Approximately 46% of the participants were on antithrombotics, 39% on statins, and 26% on both. Only 38% of those with atrial fibrillation received anticoagulation. In multivariate analyses adjusted for baseline sociodemographic characteristics, older age was associated with uncontrolled hypertension and diabetes. Residing in the United States for
URL
http://dx.doi.org/10.1161/strokeaha.120.031216Reference Type
Journal ArticleYear Published
2021Journal Title
StrokeAuthor(s)
Bai, FangChen, Jingsong
Pandey, Dilip
Durazo-Arvizu, Ramon A.
Talavera, Gregory A.
Allison, Matthew A.
Perreira, Krista M.
Schneiderman, Neil
Sutherland, Melanie W.
Cai, Jianwen
Daviglus, Martha L.
Testai, Fernando D.