The prevalence of hypertension in older Mexicans and Mexican Americans

Objective: To evaluate the prevalence of hypertension in older Mexicans in the United States and Mexico. Methods: Stratified by sex, logistic regression models to predict physician-diagnosed hypertension were conducted by using the Hispanic Established Populations for Epidemiologic Study of the Elderly (wave 3) and the Mexican Health and Aging Study (age ≥70 years) datasets. Results: Older Mexican and Mexican American women have a greater prevalence of hypertension than their male counterparts. Mexican women who have migrated to the United States and returned to Mexico have similarly high rates of hypertension as their female counterparts in the United States. After adjusting for demographic characteristics, diabetes, obesity, alcohol use, and smoking, older Mexican women who have migrated to the United States are at increased risk for hypertension. Conversely, immigrant older Mexican American men are at significantly lower odds of hypertension. Conclusions: Sex differences exist in hypertension risk for older Mexicans and Mexican Americans living in the United States and Mexico. Older women who migrate to the United States are at a particular risk for hypertension in Mexico.