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Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study
Journal article   Open access   Peer reviewed

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

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v 19(5), 2556
Mar 2022
PMID: 35270252
url
https://doi.org/10.3390/ijerph19052556View
Published, Version of Record (VoR) Open

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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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being
#10 Reduced Inequalities

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Domestic collaboration
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Web of Science research areas
Environmental Sciences
Public, Environmental & Occupational Health
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