Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study

Oluwabunmi Ogungbe; Ruth Alma Turkson-Ocran; Binu Koirala; Samuel Byiringiro; Xiaoyue Liu; Sabrina Elias; Danielle Mensah; Emmanuel Cn Turkson-Ocran; Manka Nkimbeng; Joycelyn Cudjoe; Diana Baptiste; Yvonne Commodore-Mensah

doi:10.3390/ijerph19052556

Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study

Oluwabunmi Ogungbe, Ruth Alma Turkson-Ocran, Binu Koirala, Samuel Byiringiro, Xiaoyue Liu, Sabrina Elias, Danielle Mensah, Emmanuel Cn Turkson-Ocran, Manka Nkimbeng, Joycelyn Cudjoe, Diana Baptiste, Yvonne Commodore-Mensah

Health Policy and Management

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9 Scopus citations

Abstract

Acculturation and immigration-related factors may impact preventive, routine cardiovascular risk (CV) screening among African immigrants. We examined the associations between length of stay, percent of life spent in the U.S. (proxy for acculturation), and CV screening. Outcomes were recent screening for hypertension, diabetes, and dyslipidemia. Multivariable logistic regression analyses were used to examine these relationships. Among 437 African immigrants, 60% were males, mean age was 47 years, 61% had lived in the U.S. for ≥10 years, mean length of stay was 15 years, and 81% were employed. Only 67% were insured. In the 12 months prior, 85% had screened for hypertension, 45% for diabetes, and 63% for dyslipidemia. African immigrants with a ≥10-year length of U.S. stay had 2.20 (95%Confidence Intervals: 1.31-3.67), and those with >25% years of life spent in the U.S. had 3.62 (95%CI: 1.96-6.68) higher odds of dyslipidemia screening compared to those with a <10-year length of stay and ≤25% years of life spent in the U.S., respectively. Overall, screening for CV risk higher in African immigrants who have lived longer (≥10 years) in the U.S. Recent African immigrants may experience challenges in accessing healthcare. Health policies targeting recent and uninsured African immigrants may improve access to CV screening services.

Original language	English (US)
Article number	2556
Journal	International journal of environmental research and public health
Volume	19
Issue number	5
DOIs	https://doi.org/10.3390/ijerph19052556
State	Published - Mar 1 2022

Bibliographical note

Funding Information:
Funding: R.-A.T.-O. is supported by NIH/NHLBI under award number: 3R01HL158622-01S1. Sabrina Elias is supported by the National Institute of Nursing Research (NINR) of the National Institutes of Health (NIH) under award number FNR019523A. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. B.K. is supported by the NINR P30 NR18093 and The Johns Hopkins Institute for Clinical and Translational Research, Building Interdisciplinary Research Careers in Women’s Health (BIRCWH) program. Y.C.-M. is supported by an award from the National Institute of Nursing Research P30 NR018093. The funding source has had no role in the development of this manuscript.

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

Aculturation
African immigrants
Cardiovascular
Culture
Dyslipidemia
Hypertension
Cardiovascular Diseases
Humans
Middle Aged
Risk Factors
Male
Diabetes Mellitus
United States/epidemiology
Acculturation
Female
Heart Disease Risk Factors
Emigrants and Immigrants

PubMed: MeSH publication types

Research Support, Non-U.S. Gov't
Journal Article
Research Support, N.I.H., Extramural

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/ijerph19052556

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Ogungbe, O., Turkson-Ocran, R. A., Koirala, B., Byiringiro, S., Liu, X., Elias, S., Mensah, D., Turkson-Ocran, E. C., Nkimbeng, M., Cudjoe, J., Baptiste, D., & Commodore-Mensah, Y. (2022). Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study. International journal of environmental research and public health, 19(5), Article 2556. https://doi.org/10.3390/ijerph19052556

Ogungbe, O, Turkson-Ocran, RA, Koirala, B, Byiringiro, S, Liu, X, Elias, S, Mensah, D, Turkson-Ocran, EC, Nkimbeng, M, Cudjoe, J, Baptiste, D & Commodore-Mensah, Y 2022, 'Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study', International journal of environmental research and public health, vol. 19, no. 5, 2556. https://doi.org/10.3390/ijerph19052556

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abstract = "Acculturation and immigration-related factors may impact preventive, routine cardiovascular risk (CV) screening among African immigrants. We examined the associations between length of stay, percent of life spent in the U.S. (proxy for acculturation), and CV screening. Outcomes were recent screening for hypertension, diabetes, and dyslipidemia. Multivariable logistic regression analyses were used to examine these relationships. Among 437 African immigrants, 60% were males, mean age was 47 years, 61% had lived in the U.S. for ≥10 years, mean length of stay was 15 years, and 81% were employed. Only 67% were insured. In the 12 months prior, 85% had screened for hypertension, 45% for diabetes, and 63% for dyslipidemia. African immigrants with a ≥10-year length of U.S. stay had 2.20 (95%Confidence Intervals: 1.31-3.67), and those with >25% years of life spent in the U.S. had 3.62 (95%CI: 1.96-6.68) higher odds of dyslipidemia screening compared to those with a <10-year length of stay and ≤25% years of life spent in the U.S., respectively. Overall, screening for CV risk higher in African immigrants who have lived longer (≥10 years) in the U.S. Recent African immigrants may experience challenges in accessing healthcare. Health policies targeting recent and uninsured African immigrants may improve access to CV screening services.",

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author = "Oluwabunmi Ogungbe and Turkson-Ocran, {Ruth Alma} and Binu Koirala and Samuel Byiringiro and Xiaoyue Liu and Sabrina Elias and Danielle Mensah and Turkson-Ocran, {Emmanuel Cn} and Manka Nkimbeng and Joycelyn Cudjoe and Diana Baptiste and Yvonne Commodore-Mensah",

note = "Funding Information: Funding: R.-A.T.-O. is supported by NIH/NHLBI under award number: 3R01HL158622-01S1. Sabrina Elias is supported by the National Institute of Nursing Research (NINR) of the National Institutes of Health (NIH) under award number FNR019523A. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. B.K. is supported by the NINR P30 NR18093 and The Johns Hopkins Institute for Clinical and Translational Research, Building Interdisciplinary Research Careers in Women{\textquoteright}s Health (BIRCWH) program. Y.C.-M. is supported by an award from the National Institute of Nursing Research P30 NR018093. The funding source has had no role in the development of this manuscript. Publisher Copyright: {\textcopyright} 2022 by the authors. Licensee MDPI, Basel, Switzerland.",

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AU - Byiringiro, Samuel

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AU - Turkson-Ocran, Emmanuel Cn

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N1 - Funding Information: Funding: R.-A.T.-O. is supported by NIH/NHLBI under award number: 3R01HL158622-01S1. Sabrina Elias is supported by the National Institute of Nursing Research (NINR) of the National Institutes of Health (NIH) under award number FNR019523A. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. B.K. is supported by the NINR P30 NR18093 and The Johns Hopkins Institute for Clinical and Translational Research, Building Interdisciplinary Research Careers in Women’s Health (BIRCWH) program. Y.C.-M. is supported by an award from the National Institute of Nursing Research P30 NR018093. The funding source has had no role in the development of this manuscript. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

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N2 - Acculturation and immigration-related factors may impact preventive, routine cardiovascular risk (CV) screening among African immigrants. We examined the associations between length of stay, percent of life spent in the U.S. (proxy for acculturation), and CV screening. Outcomes were recent screening for hypertension, diabetes, and dyslipidemia. Multivariable logistic regression analyses were used to examine these relationships. Among 437 African immigrants, 60% were males, mean age was 47 years, 61% had lived in the U.S. for ≥10 years, mean length of stay was 15 years, and 81% were employed. Only 67% were insured. In the 12 months prior, 85% had screened for hypertension, 45% for diabetes, and 63% for dyslipidemia. African immigrants with a ≥10-year length of U.S. stay had 2.20 (95%Confidence Intervals: 1.31-3.67), and those with >25% years of life spent in the U.S. had 3.62 (95%CI: 1.96-6.68) higher odds of dyslipidemia screening compared to those with a <10-year length of stay and ≤25% years of life spent in the U.S., respectively. Overall, screening for CV risk higher in African immigrants who have lived longer (≥10 years) in the U.S. Recent African immigrants may experience challenges in accessing healthcare. Health policies targeting recent and uninsured African immigrants may improve access to CV screening services.

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Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

Publisher link

Find It

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