TY - JOUR
T1 - Migration and cardiovascular disease risk among Ghanaian populations in Europe
T2 - The RODAM study (Research on Obesity and Diabetes among African Migrants)
AU - Boateng, Daniel
AU - Agyemang, Charles
AU - Beune, Erik
AU - Meeks, Karlijn
AU - Smeeth, Liam
AU - Schulze, Matthias
AU - Addo, Juliet
AU - De-Graft Aikins, Ama
AU - Galbete, Cecilia
AU - Bahendeka, Silver
AU - Danquah, Ina
AU - Agyei-Baffour, Peter
AU - Owusu-Dabo, Ellis
AU - Mockenhaupt, Frank P.
AU - Spranger, Joachim
AU - Kengne, Andre P.
AU - Grobbee, Diederick E.
AU - Stronks, Karien
AU - Klipstein-Grobusch, Kerstin
N1 - Publisher Copyright:
© 2017 American Heart Association, Inc.
PY - 2017
Y1 - 2017
N2 - Background-For migrant populations from sub-Saharan Africa, adverse cardiovascular disease (CVD) risk factors have been observed to be higher than found in their home country-based counterparts or among the host populations in high-income countries. Differences in absolute overall CVD risk, however, remain largely unexplained. We, therefore, predicted the differences in 10-year CVD risk among sub-Saharan African migrants (Ghanaians) living in 3 European cities and Ghana. Methods and Results-For 3864 subjects aged 40 to 70 years from the multicenter RODAM study (Research on Obesity and Diabetes Among African Migrants) conducted among Ghanaian adults residing in rural and urban Ghana and 3 European cities (Amsterdam, Berlin, and London), 10-year risk of CVD was estimated using the Pooled Cohort Equations with estimates ≥7.5% defining high CVD risk. Logistic regressions were used to determine the association of migration on CVD risk. The proportion with CVD risk ≥7.5% among Ghanaian men was 34.7% in rural Ghana, 45.4% in urban Ghana, 53.9% in Amsterdam, 61.0% in Berlin, and 52.2% in London. Compared with rural Ghana, CVD risk was significantly increased for Ghanaian men living in Berlin (adjusted odds ratio, 2.80; 95% confidence interval, 1.76-4.45) and Amsterdam (1.88; 1.25-2.84). Increased risk observed for men was largely not seen for women. CVD risk increased with longer stay in Europe. Conclusions-Knowledge about predictors of increased CVD risk among sub-Saharan African migrants in Europe and nonmigrants in urban centers will inform and support targeted health care and interventions to these populations.
AB - Background-For migrant populations from sub-Saharan Africa, adverse cardiovascular disease (CVD) risk factors have been observed to be higher than found in their home country-based counterparts or among the host populations in high-income countries. Differences in absolute overall CVD risk, however, remain largely unexplained. We, therefore, predicted the differences in 10-year CVD risk among sub-Saharan African migrants (Ghanaians) living in 3 European cities and Ghana. Methods and Results-For 3864 subjects aged 40 to 70 years from the multicenter RODAM study (Research on Obesity and Diabetes Among African Migrants) conducted among Ghanaian adults residing in rural and urban Ghana and 3 European cities (Amsterdam, Berlin, and London), 10-year risk of CVD was estimated using the Pooled Cohort Equations with estimates ≥7.5% defining high CVD risk. Logistic regressions were used to determine the association of migration on CVD risk. The proportion with CVD risk ≥7.5% among Ghanaian men was 34.7% in rural Ghana, 45.4% in urban Ghana, 53.9% in Amsterdam, 61.0% in Berlin, and 52.2% in London. Compared with rural Ghana, CVD risk was significantly increased for Ghanaian men living in Berlin (adjusted odds ratio, 2.80; 95% confidence interval, 1.76-4.45) and Amsterdam (1.88; 1.25-2.84). Increased risk observed for men was largely not seen for women. CVD risk increased with longer stay in Europe. Conclusions-Knowledge about predictors of increased CVD risk among sub-Saharan African migrants in Europe and nonmigrants in urban centers will inform and support targeted health care and interventions to these populations.
KW - Cardiovascular diseases
KW - Ghana
KW - Human migration
KW - Risk factors
KW - Transients and migrants
UR - http://www.scopus.com/inward/record.url?scp=85044136672&partnerID=8YFLogxK
U2 - 10.1161/CIRCOUTCOMES.117.004013
DO - 10.1161/CIRCOUTCOMES.117.004013
M3 - Article
C2 - 29150534
AN - SCOPUS:85044136672
SN - 1941-7713
VL - 10
JO - Circulation: Cardiovascular Quality and Outcomes
JF - Circulation: Cardiovascular Quality and Outcomes
IS - 11
M1 - e004013
ER -