Comorbidity and health-related quality of life in Somali women living in Sweden

Demeke, Taye; Osmancevic, Amra; Gillstedt, Martin; Krogstad, Anne‐Lene; Angesjö, Eva; Sinclair, Håkan; El‐Gawad, Gamal Abd; Krantz, Emily; Trimpou, Penelope; Landin‐Wilhelmsen, Kerstin

doi:10.1080/02813432.2019.1608043

Cited by 7 publications

(11 citation statements)

References 31 publications

(46 reference statements)

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“…However, in Stockholm, Sweden, local guidelines for the maternity clinics suggest that extra attention is given to test for possible vitamin D deficiency among women born outside Sweden [28]. Recently, researchers found Vitamin D deficiency among 73% of women from Somalia, living in Sweden, but the comorbidity was low [29]. Worth noting is that 65.8% of the women from Somalia were overweight/obese (Swedish women 29.7%).…”

Section: Discussionmentioning

confidence: 99%

Pregnancy outcomes among women born in Somalia and Sweden giving birth in the Stockholm area – a population-based study

Akselsson

Lindgren

Georgsson

et al. 2020

Global Health Action

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Background: Studies report that women born in some African countries, after migrating to the Nordic countries, have worse pregnancy outcomes than women born in the receiving countries. With the aim of identifying unmet needs among Somali-born women, we here study this subgroup. Objective: We compared pregnancy outcomes among women born in Somalia to women born in Sweden. Further, we investigated whether the proactive maternal observation of fetal movements has effects on birth outcomes among women born in Somalia. Methods: In Stockholm, half of the maternity clinics were randomized to intervention, in which midwives were instructed to be proactive towards women by promoting daily selfmonitoring of fetal movements. Data for 623 women born in Somalia and 26 485 born in Sweden were collected from a population-based register. Results: An Apgar score below 7 (with stillbirth counting as 0) at 5 minutes was more frequent in babies of women born in Somalia as compared to babies of women born in Sweden (RR 2.17, 95% CI 1.25-3.77). Babies born small for gestational age were more common among women born in Somalia (RR 2.22, CI 1.88-2.61), as were babies born after 41 + 6 gestational weeks (RR 1.65, CI 1.29-2.12). Somali-born women less often contacted obstetric care for decreased fetal movements than did Swedish-born women (RR 0.19, CI 0.08-0.36). The differences between women born in Somalia and women born in Sweden were somewhat lower (not statistically significant) among women allocated to proactivity as compared to the Routine-care group. Conclusions: A higher risk of a negative outcome for mother and baby is seen among women born in Somalia compared to women born in Sweden. We suggest it may be worthwhile to investigate whether a Somali-adapted intervention with proactivity concerning self-monitoring of fetal movements may improve pregnancy outcomes in this migrant population.

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Section: Discussionmentioning

confidence: 99%

Pregnancy outcomes among women born in Somalia and Sweden giving birth in the Stockholm area – a population-based study

Akselsson

Lindgren

Georgsson

et al. 2020

Global Health Action

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“…In conclusion, our study raises the question of the need to plan preventive strategies in HIV Migrants and Refugees, also in the light of the great movement of people from southern Mediterranean areas to northern European countries with low sun exposure [ 21 , 22 ]. The female Migrants must be protected from precocious low BMD with an additional layer of safety [ 17 – 19 , 21 , 22 , 33 ]. The approach requires different and specific intervention strategies in the future.…”

Section: Discussionmentioning

confidence: 99%

“…In agreement with the osteoporosis foundation ( http://share.iofbonehealth.org/WOD/Compendium/2019-IOF-Compendium-of-Osteoporosis-PRESS.pdf ) the authors stress the strategies for preventing osteoporosis. The role of nutrition in maintaining bone health associated with a personalized anti-HIV treatment and daily vitamin supplementation to reduce early bone loss as well as a baseline DXA are critical steps for HIV Migrants and Refugees after arrival in the host countries [ 13 , 17 , 20 , 23 , 36 ]. High-risk groups should be first identified, and osteoporosis investigations should be carried out earlier than at 50 years of age [ 37 – 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…In this respect, the fact that our study includes only Migrants, who were resident in Italy for no more than one year, could offer the opportunity to carefully assess the risk factors, which stress the bone composition in the HIV infected population. A recent paper on osteoporosis among HIV positive patients highlighted how an assessment of baseline bone mass loss within the first two years from the start of ARV is often lacking in longitudinal studies and claimed that there is some evidence concerning bone loss within the first year of HIV infection and ART initiation [13,17]. The findings of a high prevalence of low BMD in HIV infected Migrants aged less than 50 years of age could suggest that the first screening for osteoporosis should be carried out as soon as possible and before the start of ART.…”

Section: Plos Onementioning

confidence: 99%

“…A recent analysis of bone-healthy in the immigrant population conducted in Sweden showed that women had low BMD for age according to the American and African–American referents [ 17 – 19 ]. Moreover, a study conducted in German-Turkish immigrants osteopenia was diagnosed in 32% and osteoporosis in 8% of young migrants [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Low bone mineral density in HIV-positive young Italians and migrants

Colomba

Carlo

Serra³

et al. 2020

PLoS ONE

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Background Human immunodeficiency virus (HIV) infected individuals may have osteoporosis. We aimed to evaluate the bone mineral density (BMD) in naïve antiretroviral (ARV) treated HIV positive patients comparing native Italian group (ItG) to a Migrants group (MiG) upon arrival in Italy. Methods We conducted a cross-sectional study on 83 HIV patients less than 50 years old. We used the dual-energy X-ray absorptiometry (DXA) within six months from the HIV diagnosis. Participants were categorized as having low BMD if the femoral neck or total lumbar spine Zscore was-2 or less. Results MiG showed low BMD more often than ItG (37.5% vs.13.6%), especially for the female gender (16.7% vs. 0.0%). A low CD4 rate (<200 cells/μl) was most often detected in MiG than ItG. In particular, we found most often male Italians with abnormal CD4 than male migrants (67.8% vs. 33.3%) and vice versa for females (30.5% vs. 66.7%). We found an abnormal bone mineral density at the lumbar site. Low BMD at the lumbar site was more frequently observed in female migrants than female Italians. Both male and female migrants had a Zscore value significantly lower than male and female Italians, respectively. By logistic regression low vitamin-D level was positively correlated to low BMD in ItG only. All data were verified and validated using a triple code identifier.

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Fasting plasma glucose and serum 25-hydroxy vitamin D levels in individuals with Middle Eastern and Swedish descent

Taloyan

Steiner

Östenson

et al. 2023

J Diabetes Metab Disord

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Purpose To determine fasting plasma glucose and serum 25-hydroxyvitamin D (s-25(OH)D) levels and associations between abnormal fasting plasma glucose levels and inadequate s-25(OH)D levels in individuals of Middle Eastern and Swedish descent. Methods Observational study with individuals without a diabetes diagnosis, 54.5% of Swedish descent and 45.5% of Middle Eastern descent. In total, 830 participants from two primary healthcare centres in Flemingsberg and Jakobsberg, which are southern and northern suburbs, respectively, of Stockholm, Sweden were included in the study. Results Prevalence of inadequate s-25(OH)D levels (at or below 50 nmol/L) was 67.2% among those of Middle Eastern descent and 20.5% among those of Swedish descent (P < 0.001). S-25(OH)D levels correlated weakly positively with fasting plasma glucose levels (ρ = 0.20, P = 0.002) in individuals of Middle Eastern descent. Being of Middle Eastern descent (OR 6.7, 95% CI 4.3–10.4) and having abnormal fasting plasma glucose (OR 1.8, 95% CI 1.2–2.9) were independent predictors of having inadequate s-25(OH)D levels. Conclusions Healthcare in Sweden should consider testing fasting plasma glucose and s-25(OH)D levels, particularly in individuals of Middle Eastern descent. The unclear relationship between vitamin D and glucose levels warrants investigation.

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Comorbidity and health-related quality of life in Somali women living in Sweden

Cited by 7 publications

References 31 publications

Pregnancy outcomes among women born in Somalia and Sweden giving birth in the Stockholm area – a population-based study

Pregnancy outcomes among women born in Somalia and Sweden giving birth in the Stockholm area – a population-based study

Low bone mineral density in HIV-positive young Italians and migrants

Fasting plasma glucose and serum 25-hydroxy vitamin D levels in individuals with Middle Eastern and Swedish descent

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