The Boston Puerto Rican Health Study, a longitudinal cohort study on health disparities in Puerto Rican adults: challenges and opportunities.
BACKGROUND
The Boston Puerto Rican Health Study is an ongoing longitudinal cohort study designed to examine the role of psychosocial stress on presence and development of allostatic load and health outcomes in Puerto Ricans, and potential modification by nutritional status, genetic variation, and social support.


METHODS
Self-identified Puerto Ricans, aged 45-75 years and residing in the Boston, MA metro area, were recruited through door-to-door enumeration and community approaches. Participants completed a comprehensive set of questionnaires and tests. Blood, urine and salivary samples were extracted for biomarker and genetic analysis. Measurements are repeated at a two-year follow-up.


RESULTS
A total of 1500 eligible participants completed baseline measurements, with nearly 80% two-year follow-up retention. The majority of the cohort is female (70%), and many have less than 8th grade education (48%), and fall below the poverty level (59%). Baseline prevalence of health conditions is high for this age range: considerable physical (26%) and cognitive (7%) impairment, obesity (57%), type 2 diabetes (40%), hypertension (69%), arthritis (50%) and depressive symptomatology (60%).


CONCLUSIONS
The enrollment of minority groups presents unique challenges. This report highlights approaches to working with difficult to reach populations, and describes some of the health issues and needs of Puerto Rican older adults. These results may inform future studies and interventions aiming to improve the health of this and similar communities.
Tucker
Katherine L
KL
USDA Human Nutrition Research Center on Aging, Tufts University, Boston, Massachusetts, USA. kl.tucker@neu.edu
Mattei
Josiemer
J
Noel
Sabrina E
SE
Collado
Bridgette M
BM
Mendez
Jackie
J
Nelson
Jason
J
Griffith
John
J
Ordovas
Jose M
JM
Falcon
Luis M
LM
D000368:Aged; D052636:Allostasis; D015415:Biomarkers / Q000032:analysis; D001900:Boston / Q000453:epidemiology; D002908:Chronic Disease / Q000208:ethnology*; D005260:Female; D006297:Health Services Accessibility / Q000592:standards*; D006301:Health Services Needs and Demand; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000208:ethnology; D008875:Middle Aged; D008913:Minority Groups / Q000706:statistics & numerical data*; D015995:Prevalence; D011647:Puerto Rico / Q000208:ethnology; D012944:Social Support; D013315:Stress, Psychological / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014505:Urban Population
D015415:Biomarkers