Award Date

12-1-2022

Degree Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

Department

Nursing

First Committee Member

Du Feng

Second Committee Member

Dieu-My Tran

Third Committee Member

Jinyoung Kim

Fourth Committee Member

Brenna Renn

Abstract

Metabolic syndrome (MetS) is a cardiometabolic condition that may develop into cardiovascular disease and type 2 diabetes mellitus. Early recognition and associated treatment of MetS can help detour disease. Lifestyle factors, sleep-disordered breathing, and psychological well-being influence the development of MetS; electrocardiogram abnormalities are associated with MetS. Hispanics living in the United States are particularly vulnerable to MetS. Although MetS is well-identified in Americans of Hispanic ethnicity, the current literature evaluating protective and contributory factors among Hispanic gender-ethnic subgroups is inconsistent and incomplete. This study aimed to examine the relationships between MetS and select health and lifestyle factors among seven distinct Hispanic gender-ethnic subgroups, and to determine whether gender and ethnicity moderated those relationships by testing six hypotheses. A cross-sectional design, guided by Pender's health promotion model, was used to examine prior related behavior (lifestyle risk factors) and personal factors (biological, psychological, physiological, and sociocultural) that may influence the prevalence of MetS. Secondary data analyses using multinomial logistic regression, from the Hispanic Community Health Study/Study of Latinos dataset, investigated these relationships. The dependent variable included four categories delineating the presence of MetS and the use of associated medications. Gender-ethnic differences among study variables were explored. PROCESS macro was used to test the moderation hypotheses. Recognition of these associations may help clarify cardiometabolic differences among Hispanic subgroups. This study may inform primary and secondary preventative programs at the organizational level and may be used to develop health promotion strategies in diverse Hispanic/Latino populations,optimizing their cardiometabolic health.

Keywords

Electrocardiogram abnormalities; Hispanic American; Lifestyle factors; Mental health conditions; Metabolic Syndrome; Sleep-disordered breathing

Disciplines

Nursing

File Format

pdf

File Size

1947 KB

Degree Grantor

University of Nevada, Las Vegas

Language

English

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

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