Hypertension control in a large multi-ethnic cohort in Amsterdam, The Netherlands: The HELIUS study

Agyemang, Charles; Kieft, Suzanne; Snijder, Marieke B.; Beune, Erik; Born, Bert‐Jan H. van den; Brewster, Lizzy M.; Ujčič-Voortman, Joanne; Bindraban, Navin R.; Montfrans, Gert van; Peters, Ron J.G.; Stronks, Karien

doi:10.1016/j.ijcard.2015.01.061

Cited by 78 publications

(71 citation statements)

References 30 publications

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“…Furthermore, direct WAIs in Europe are disproportionately affected by CVD than other African descent populations migrated via the Caribbean [54]. In light of the growing population of African immigrants in the US, and their evolving health profiles resulting from the epidemiological transition, the paradigm on CVD disparities must progress to reflect the diversity of the African-descent population in the US [55].…”

Section: Discussionmentioning

confidence: 99%

The Afro-Cardiac Study: Cardiovascular Disease Risk and Acculturation in West African Immigrants in the United States: Rationale and Study Design

Commodore‐Mensah

Sampah

Berko

et al. 2015

J Immigrant Minority Health

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Cardiovascular disease (CVD) remains the leading cause of death in the United States (US). African-descent populations bear a disproportionate burden of CVD risk factors. With the increase in the number of West African immigrants (WAIs) to the US over the past decades, it is imperative to specifically study this new and substantial subset of the African-descent population and how acculturation impacts their CVD risk. The Afro-Cardiac study, a community-based cross-sectional study of adult WAIs in the Baltimore-Washington metropolis. Guided by the PRECEDE-PROCEED model, we used a modification of the World Health Organization Steps survey to collect data on demographics, socioeconomic status, migration-related factors and behaviors. We obtained physical, biochemical, acculturation measurements as well as a socio-demographic and health history. Our study provides critical data on the CVD risk of WAIs. The framework used is valuable for future epidemiological studies addressing CVD risk and acculturation among immigrants.

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Section: Discussionmentioning

confidence: 99%

The Afro-Cardiac Study: Cardiovascular Disease Risk and Acculturation in West African Immigrants in the United States: Rationale and Study Design

Commodore‐Mensah

Sampah

Berko

et al. 2015

J Immigrant Minority Health

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“…5,6 For instance, the prevalence of hypertension in The Netherlands relative to Dutch people is higher in all ethnic minority groups, with the exception of Moroccan women. 7 Evidence from Canada, however, shows better CVD risk profile among migrants than the host population. 8 This shows the importance of diverse factors (including acculturative stress resulting from the feeling of isolation, discrimination, alienation and dislocation, 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.…”

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confidence: 99%

Migration and Cardiovascular Disease Risk Among Ghanaian Populations in Europe:

Boateng

Agyemang²,

Beune³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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M igrants' health is an important public health issue 1 with growing evidence supporting the role of migration in the development of noncommunicable diseases. [2][3][4] Migrant populations from sub-Saharan Africa (SSA) seem to be affected disproportionately by cardiovascular diseases (CVDs) and related risk factors, including hypertension, obesity, and diabetes mellitus. 5,6 For instance, the prevalence of hypertension in The Netherlands relative to Dutch people is higher in all ethnic minority groups, with the exception of Moroccan women. 7 Evidence from Canada, however, shows better CVD risk profile among migrants than the host population. 8 This shows the importance of diverse factors (including acculturative stress resulting from the feeling of isolation, discrimination, alienation and dislocation, 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. Migrant populations carry along disease characteristics, inherited from their place of origin, 11 which affect future risk of CVD. The CVD risk profile among migrant populations, however, may change over time as they get exposed to the factors of their host environment. 12 This results in differences in CVD risk between similar populations residing in different industrialized countries. For instance, Agyemang et al 13 found that people of African descent residing in England had a lower prevalence of type 2 diabetes mellitus than those residing in The Netherlands, and these differences reflected the difference in prevalence of CVDs of their host countries. 14The reasons for these differences are unclear but could include cross-national differences in health behaviors and related factors, such as socioeconomic position, accessibility, and utilization of preventive services. 13,15 CVDs reflect the combined effect of several risk factors, 16 which tend to appear in clusters.17 Current guidelines for CVD risk reduction have, therefore, reiterated the need to assess all risk factors as a more effective basis to deliver CVD prevention interventions.16 Absolute CVD risk estimates, using established risk algorithms, help to determine the probability of a cardiovascular event occurring within a sp...

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“…Esta observação não está de acordo com a literatura internacional. [13][14][15][16][17][18][19][20][21][22][23] É possível que os CSP, em Portugal, atuem como fator de redução das desigualdades observáveis entre imigrantes e nativos no que diz respeito ao controlo da HTA. O contexto genético e sociocultural dos imigrantes noutros países pode ser diferente dos PALOP.…”

Section: Discussionunclassified

“…[20][21][22] Este dado apoia a hipótese do controlo tensional nos africanos depender mais da qualidade dos fármacos (classes) do que da sua quantidade (tomas diárias). 14,24 Estas hipóteses devem ser confirmadas em estudos desenhados com esse objetivo.…”

Section: Discussionunclassified

“…12,13 Estudos americanos [13][14][15][16][17][18][19] e europeus [20][21][22][23] têm demonstrado que os africanos (negros) têm a HTA menos controlada que a população nativa caucasiana. Os fatores que têm sido associados à HTA tratada não controlada (HTA-TnC), tanto na população portuguesa 3,[24][25][26][27] como nos africanos (negros), 13,15,17,18,20,22,23 são: sexo masculino, idade, menor escolaridade, não adesão à medicação, obesidade e diabetes.…”

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Controlo da Hipertensão Arterial nos Cuidados de Saúde Primários: Uma Comparação entre Nativos Portugueses e Imigrantes dos Países Africanos de Língua Oficial Portuguesa

et al. 2016

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Introduction:In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socioeconomic determinants with hypertension control, particularly in African immigrants. Aims: To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). Material and Methods: Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. Results: In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and / or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence. Discussion: Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didn´t reflect in statistically different control rates. Conclusions: It is needed to define strategies to control hypertension in primary health care specific for ethnic groups.

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Hypertension control in a large multi-ethnic cohort in Amsterdam, The Netherlands: The HELIUS study

Cited by 78 publications

References 30 publications

The Afro-Cardiac Study: Cardiovascular Disease Risk and Acculturation in West African Immigrants in the United States: Rationale and Study Design

The Afro-Cardiac Study: Cardiovascular Disease Risk and Acculturation in West African Immigrants in the United States: Rationale and Study Design

Migration and Cardiovascular Disease Risk Among Ghanaian Populations in Europe:

Controlo da Hipertensão Arterial nos Cuidados de Saúde Primários: Uma Comparação entre Nativos Portugueses e Imigrantes dos Países Africanos de Língua Oficial Portuguesa

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