Sex Differences in Cardiovascular Disease Risk of Ghanaian- and Nigerian-Born West African Immigrants in the United States: The Afro-Cardiac Study

Journal of the American Heart Association
Yvonne Commodore-MensahCheryl Dennison Himmelfarb

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 (CVD) risk factors and global CVD risk and to identify independent predictors of increased CVD risk among West African immigrants in the United States. 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 CVD risk factors. Smoking was least prevalent, and overweight or obesity was most prevalent, with 88% having a body mass index (in kg/m(2)) ≥25; 16% had a prior diagnosis of diabetes or had fasting blood glucose levels ≥126 mg/dL. In addition, 44% were physically inactive. Among women, employment and health insurance were associated with odds of 0.09 (95% CI 0.033-0.29) and 0.25 (95% CI 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% CI 0.83-0.98) lower odds of havin...Continue Reading

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Citations

Jul 4, 2016·Annals of Global Health·Cheryl R Dennison HimmelfarbMartha N Hill
Nov 19, 2017·Circulation. Cardiovascular Quality and Outcomes·Daniel BoatengKerstin Klipstein-Grobusch
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May 16, 2020·Journal of Racial and Ethnic Health Disparities·Lauren A DoamekporNdidiamaka N Amutah-Onukagha
Feb 9, 2021·Ethnicity & Health·Oluwabunmi OgungbeYvonne Commodore-Mensah
Apr 4, 2021·International Journal of Environmental Research and Public Health·Jessica MichgelsenCharles Agyemang
Dec 3, 2021·Journal of Immigrant and Minority Health·Clara M GonaPhilimon N Gona

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