Sex Differences in Cardiovascular Disease Risk of Ghanaian‐ and Nigerian‐Born West African Immigrants in the United States: The Afro‐Cardiac Study
Identifieur interne : 000148 ( Main/Exploration ); précédent : 000147; suivant : 000149Sex Differences in Cardiovascular Disease Risk of Ghanaian‐ and Nigerian‐Born West African Immigrants in the United States: The Afro‐Cardiac Study
Auteurs : Yvonne Commodore-Mensah ; Martha Hill ; Jerilyn Allen ; Lisa A. Cooper ; Roger Blumenthal ; Charles Agyemang ; Cheryl Dennison HimmelfarbSource :
- Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease [ 2047-9980 ] ; 2016.
Abstract
The number of African immigrants in the United States grew 40‐fold between 1960 and 2007, from 35 355 to 1.4 million, with a large majority from West Africa. This study sought to examine the prevalence of cardiovascular disease (
This cross‐sectional study assessed West African (Ghanaian and Nigerian) immigrants aged 35–74 years in the Baltimore–Washington metropolitan area. The mean age of participants was 49.5±9.2 years, and 58% were female. The majority (95%) had ≥1 of the 6
The prevalence of
Url:
DOI: 10.1161/JAHA.115.002385
PubMed: 26896477
PubMed Central: 4802474
Affiliations:
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Le document en format XML
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<author><name sortKey="Himmelfarb, Cheryl Dennison" sort="Himmelfarb, Cheryl Dennison" uniqKey="Himmelfarb C" first="Cheryl Dennison" last="Himmelfarb">Cheryl Dennison Himmelfarb</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Sex Differences in Cardiovascular Disease Risk of Ghanaian‐ and Nigerian‐Born West African Immigrants in the United States: The Afro‐Cardiac Study</title>
<author><name sortKey="Commodore Ensah, Yvonne" sort="Commodore Ensah, Yvonne" uniqKey="Commodore Ensah Y" first="Yvonne" last="Commodore-Mensah">Yvonne Commodore-Mensah</name>
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<author><name sortKey="Cooper, Lisa A" sort="Cooper, Lisa A" uniqKey="Cooper L" first="Lisa A." last="Cooper">Lisa A. Cooper</name>
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<author><name sortKey="Agyemang, Charles" sort="Agyemang, Charles" uniqKey="Agyemang C" first="Charles" last="Agyemang">Charles Agyemang</name>
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<author><name sortKey="Himmelfarb, Cheryl Dennison" sort="Himmelfarb, Cheryl Dennison" uniqKey="Himmelfarb C" first="Cheryl Dennison" last="Himmelfarb">Cheryl Dennison Himmelfarb</name>
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<series><title level="j">Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease</title>
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<front><div type="abstract" xml:lang="en"><sec id="jah31336-sec-0001"><title>Background</title>
<p>The number of African immigrants in the United States grew 40‐fold between 1960 and 2007, from 35 355 to 1.4 million, with a large majority from West Africa. This study sought to examine the prevalence of cardiovascular disease (<styled-content style="fixed-case">CVD</styled-content>
) risk factors and global <styled-content style="fixed-case">CVD</styled-content>
risk and to identify independent predictors of increased <styled-content style="fixed-case">CVD</styled-content>
risk among West African immigrants in the United States.</p>
</sec>
<sec id="jah31336-sec-0002"><title>Methods and Results</title>
<p>This cross‐sectional study assessed West African (Ghanaian and Nigerian) immigrants aged 35–74 years in the Baltimore–Washington metropolitan area. The mean age of participants was 49.5±9.2 years, and 58% were female. The majority (95%) had ≥1 of the 6 <styled-content style="fixed-case">CVD</styled-content>
risk factors. Smoking was least prevalent, and overweight or obesity was most prevalent, with 88% having a body mass index (in kg/m<sup>2</sup>
) ≥25; 16% had a prior diagnosis of diabetes or had fasting blood glucose levels ≥126 mg/<styled-content style="fixed-case">dL</styled-content>
. In addition, 44% were physically inactive. Among women, employment and health insurance were associated with odds of 0.09 (95% <styled-content style="fixed-case">CI</styled-content>
0.033–0.29) and 0.25 (95% <styled-content style="fixed-case">CI</styled-content>
0.09–0.67), respectively, of having a Pooled Cohort Equations estimate ≥7.5% in the multivariable logistic regression analysis. Among men, higher social support was associated with 0.90 (95% <styled-content style="fixed-case">CI</styled-content>
0.83–0.98) lower odds of having ≥3 <styled-content style="fixed-case">CVD</styled-content>
risk factors but not with having a Pooled Cohort Equations estimate ≥7.5%.</p>
</sec>
<sec id="jah31336-sec-0003"><title>Conclusions</title>
<p>The prevalence of <styled-content style="fixed-case">CVD</styled-content>
risk factors among West African immigrants was particularly high. Being employed and having health insurance were associated with lower <styled-content style="fixed-case">CVD</styled-content>
risk in women, but only higher social support was associated with lower <styled-content style="fixed-case">CVD</styled-content>
risk in men.</p>
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<name sortKey="Blumenthal, Roger" sort="Blumenthal, Roger" uniqKey="Blumenthal R" first="Roger" last="Blumenthal">Roger Blumenthal</name>
<name sortKey="Commodore Ensah, Yvonne" sort="Commodore Ensah, Yvonne" uniqKey="Commodore Ensah Y" first="Yvonne" last="Commodore-Mensah">Yvonne Commodore-Mensah</name>
<name sortKey="Cooper, Lisa A" sort="Cooper, Lisa A" uniqKey="Cooper L" first="Lisa A." last="Cooper">Lisa A. Cooper</name>
<name sortKey="Hill, Martha" sort="Hill, Martha" uniqKey="Hill M" first="Martha" last="Hill">Martha Hill</name>
<name sortKey="Himmelfarb, Cheryl Dennison" sort="Himmelfarb, Cheryl Dennison" uniqKey="Himmelfarb C" first="Cheryl Dennison" last="Himmelfarb">Cheryl Dennison Himmelfarb</name>
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