Back
Migration is a complex phenomenon that transcends borders and cultures, with factors influencing the health and well-being of these communities. Latin American immigrants who have established their lives in the US constitute a significant, diverse, and dynamic group, with renal health serving as a crucial indicator of the overall community's well-being. The objective was to evaluate the renal health of Latin American immigrants residing in the US based on their length of stay, utilizing data from the National Health and Nutrition Examination Survey (NHANES) spanning from 2015 to March 2020.
A cross-sectional study was conducted involving 826 adults enrolled in NHANES between January 2015 and March 2020. Statistical summaries of population and clinical variables were performed, with renal risk assessed using the Kidney Failure Risk Equation (KFRE). Length of stay comparisons were made using the Kruskal-Wallis test. R-CRAN software version 4.3.0 was employed for analysis.
The study included 826 Latin American adults in the US, with a median age of 42 years. The majority had regularized immigration status (75%). Thirty-six percent had been in the US for less than 10 years, while 10% had been for over 31 years. Overweight affected 39%, and obesity affected 34.6%. Common comorbidities included dyslipidemia (25%), hypertension (21%), chronic kidney disease (CKD) stage 3-5 (13%), type 2 diabetes mellitus (12%), and rheumatoid arthritis. Participants with over 31 years of stay had a higher prevalence of dyslipidemia and hypertension. A substantial proportion of cases were found to have a high risk of renal failure according to the KFR score, and higher BMI was associated with decreased renal function. There were no differences in the proportion of patients with CKD by stage (G3-G5), but those with less than 10 years of stay had a higher risk of renal failure at 2 and 5 years.
The duration of stay in the US significantly influences the health and risk of renal disease in the Latinx population, with a greater risk of chronic kidney disease observed in those with shorter stays.