International Journal of Cardiology
Volume 286, 2019, Pages 169-174

Perceived discrimination and stressful life events are associated with cardiovascular risk score in migrant and non-migrant populations: The RODAM study (Article)

Chilunga F.P.* , Boateng D. , Henneman P. , Beune E. , Requena-Méndez A. , Meeks K. , Smeeth L. , Addo J. , Bahendeka S. , Danquah I. , Schulze M.B. , Klipstein-Grobusch K. , Mannens M.M.A.M. , Agyemang C.
  • a Department of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Netherlands
  • b Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Netherlands, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • c Department of Clinical Genetics, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands
  • d Department of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Netherlands
  • e ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic-Universitat de Barcelona, Spain
  • f Department of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Netherlands
  • g Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
  • h Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
  • i MKPGMS-Uganda Martyrs University, Kampala, Uganda
  • j Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Arthur-Scheunert-Allee 114-116, Nuthetal, 14558, Germany, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universitaet zu Berlin, Berlin Institute of Health, Institute for Social Medicine, Epidemiology and Health Economics, Germany
  • k Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Arthur-Scheunert-Allee 114-116, Nuthetal, 14558, Germany
  • l Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Netherlands, Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
  • m Department of Clinical Genetics, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands
  • n Department of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Netherlands

Abstract

Background: Psychosocial stress could be an underlying factor for emerging risk of cardiovascular diseases (CVD) in Africans. We assessed the association between psychosocial stress and estimated CVD risk among non-migrant Ghanaians and migrant Ghanaians living in Europe. Methods: Data from the Research on Obesity and Diabetes among African Migrants (RODAM) study, involving 2315 migrant and 1549 non-migrants aged 40–70 years were used for this study. Psychosocial stress included self-reported stress at work and home, recent negative life events and perceived discrimination. CVD risk was estimated using the pooled cohort equations with estimates ≥7.5% over 10 years defining high CVD risk. Adjusted Odds Ratios (AOR) and 95% confidence intervals (95% CI) were calculated by logistic regression with adjustments for socioeconomic status. Results: Prevalence for migrant and non-migrants were; 72.5% and 84.9% for psychosocial stress and 35.9% and 27.4% for high estimated CVD risk. Stress at work and home was not associated with a high estimated CVD risk in either group. Recent negative life events were associated with a high estimated CVD risk in non-migrants only (AOR 1.29, 95%CI 1.02–1.68, p = 0.048). Higher levels of perceived discrimination were associated with a high estimated CVD risk in migrants only (AOR 2.74, 95%CI 1.95–3.86, p < 0.001). Conclusions: Among migrant populations, higher levels of perceived discrimination were associated with a high estimated CVD risk, and this was also true for recent negative life events among non-migrant populations. Further research is needed to identify context specific mechanisms that underlie associations between psychological characteristics and CVD risk. © 2018 Elsevier B.V.

Author Keywords

Migrants rodam study Sub-Saharan Africans Psychosocial stress Cardiovascular disease risk

Index Keywords

cardiovascular risk clinical research logistic regression analysis Europe perceptive discrimination human job stress Self Report Odds Ratio life event diabetes mellitus controlled study mental stress priority journal obesity Aged African clinical study Confidence interval social status migrant male female population research prevalence life stress Article major clinical study adult home stress cohort analysis Ghanaian
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059681747&doi=10.1016%2fj.ijcard.2018.12.056&partnerID=40&md5=db74340b2d2f5f77eb9df325953c773e
DOI: 10.1016/j.ijcard.2018.12.056
ISSN: 01675273
Cited by: 1
Original Language: English