title: Cardiovascular disease and psychiatric disorders among Latinos in the United States.
abstract: Cardiovascular disease (CVD) is the leading cause of death among Latinos and disproportionately impacts people with psychiatric disorders. The aim of this study was to examine the relationships between CVD and psychiatric disorders among different Latino subgroups using a nationally representative sample.
  
  
  
  Latinos participants (N = 6359) were drawn from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. A structured diagnostic interview was used to determine psychiatric diagnoses for any past-year mood, anxiety, and substance use disorders. A self-reported measure of physician-confirmed CVD was used. The relationships between CVD and psychiatric disorders among Latino subgroups were examined with logistic regression models adjusting for sociodemographics, CVD-risk factors, and acculturation.
  
  
  
  CVD were highest among Puerto Ricans (12%) and Cubans (11%), followed by Other Latinos (7%) and Mexicans (5%). The relationship between psychiatric disorders and CVD differed by Latino subgroups. Significantly increased odds of CVD were found among Mexicans with any past-year mood and anxiety disorders, Puerto Ricans with any past-year psychiatric disorders, Cubans with any past-year mood and substance abuse disorders, and Other Latinos with any past-year mood, anxiety, and lifetime schizophrenia/psychotic disorders.
  
  
  
  The associations between CVD and psychiatric disorders are not uniform among Latinos. Efforts to address the need for health and mental health services must carefully consider this heterogeneity.
authors.affiliation: Columbia University School of Social Work, 1255 Amsterdam Ave., New York, NY, 10027, USA. ljc2139@columbia.edu.
authors.forename: Leopoldo J
authors.initials: LJ
authors.lastname: Cabassa
authors.affiliation: New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA.
authors.forename: Roberto
authors.initials: R
authors.lastname: Lewis-Fernández
authors.affiliation: New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA.
authors.forename: Shuai
authors.initials: S
authors.lastname: Wang
authors.affiliation: National Institute on Drug Abuse, 6001 Executive Blvd., Rockville, MD, 20852, USA.
authors.forename: Carlos
authors.initials: C
authors.lastname: Blanco
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000208:ethnology; D002318:Cardiovascular Diseases / Q000208:ethnology*; D005260:Female; D006306:Health Surveys; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000208:ethnology*; D008875:Middle Aged; D019964:Mood Disorders / Q000208:ethnology; D019966:Substance-Related Disorders / Q000208:ethnology; D014481:United States / Q000453:epidemiology
keywords: Cardiovascular disease; Latinos; Psychiatric disorders; Psychiatric epidemiology