title: Fatalism and hypertension prevalence, awareness, treatment and control in US Hispanics/Latinos: results from HCHS/SOL Sociocultural Ancillary Study.
abstract: Compared with non-Hispanic whites, US Hispanics/Latinos display similar hypertension prevalence, but lower awareness, treatment, and control. Sociocultural factors may affect these patterns. Fatalism, the belief that health is predetermined by fate, relates to poorer adoption of risk reducing health behaviors. We examined the association of fatalism with hypertension prevalence, awareness, treatment, and control among 5313 Hispanics/Latinos, ages 18-74, who were enrolled from four US communities in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. After accounting for socioeconomic status and acculturation in logistic regression analyses, higher fatalism was associated with increased odds of hypertension (OR 1.14, 95 % CI 1.02, 1.28). This association was non-significant when diabetes and other health-related covariates were statistically adjusted. Fatalism was not associated with hypertension awareness, treatment, or control. Findings suggest that the association of fatalism with hypertension may be due largely to its association with SES, acculturation, or related health conditions.
authors: Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California San Diego, 450 4th Avenue, Suite 304, Chula Vista, San Diego, CA, 91910, USA. gutier65@rohan.sdsu.edu.
authors: Angela P
authors: AP
authors: Gutierrez
authors: Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California San Diego, 450 4th Avenue, Suite 304, Chula Vista, San Diego, CA, 91910, USA.
authors: Jessica L
authors: JL
authors: McCurley
authors: Department of Psychology, San Diego State University, San Diego, CA, USA.
authors: Scott C
authors: SC
authors: Roesch
authors: Graduate School of Public Health, San Diego State University, San Diego, CA, USA.
authors: Patricia
authors: P
authors: Gonzalez
authors: Graduate School of Public Health, San Diego State University, San Diego, CA, USA.
authors: Sheila F
authors: SF
authors: Castañeda
authors: Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
authors: Frank J
authors: FJ
authors: Penedo
authors: Department of Psychology, San Diego State University, San Diego, CA, USA.
authors: Linda C
authors: LC
authors: Gallo
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D001364:Awareness; D003469:Culture; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D055815:Young Adult
keywords: Fatalism; Hispanic; Hypertension; Latino; Sociocultural