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

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


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 languageEnglish (US)
Article number2556
JournalInternational journal of environmental research and public health
Issue number5
StatePublished - 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.


  • 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


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