Circulation: Cardiovascular Quality and Outcomes
Volume 10, Issue 11, 2017

Migration and cardiovascular disease risk among Ghanaian populations in Europe: The RODAM study (Research on Obesity and Diabetes among African Migrants) (Article) (Open Access)

Boateng D.* , Agyemang C. , Beune E. , Meeks K. , Smeeth L. , Schulze M. , Addo J. , De-Graft Aikins A. , Galbete C. , Bahendeka S. , Danquah I. , Agyei-Baffour P. , Owusu-Dabo E. , Mockenhaupt F.P. , Spranger J. , Kengne A.P. , Grobbee D.E. , Stronks K. , Klipstein-Grobusch K.
  • a Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Universiteitsweg 100, Utrecht, 3584 CG, Netherlands, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • b Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Netherlands
  • c Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Netherlands
  • d Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Netherlands
  • e Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
  • f Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
  • g Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
  • h Regional Institute for Population Studies, University of Ghana, Legon, Ghana
  • i Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
  • j Mother Kevin Postgraduate Medical School, Uganda Martyrs University, Kampala, Uganda
  • k Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
  • l School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • m School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Kumasi Centre for Collaborative Research, Kwame NKrumah University of Science and Technology, Ghana
  • n Institute of Tropical Medicine and International Health, Charité-University Medicine Berlin, Germany
  • o Charite Center for Cardiovascular Research, Berlin, Germany
  • p Non-Communicable Disease Research Unit, South African Medical Research Council, Cape Town, South Africa
  • q Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Universiteitsweg 100, Utrecht, 3584 CG, Netherlands
  • r Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Netherlands
  • s Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Universiteitsweg 100, Utrecht, 3584 CG, Netherlands, Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

Abstract

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. © 2017 American Heart Association, Inc.

Author Keywords

Transients and migrants Human migration Cardiovascular diseases risk factors Ghana

Index Keywords

physical activity Netherlands urban area rural area Germany cardiovascular risk multicenter study alcohol consumption clinical trial Europe cholesterol blood level low density lipoprotein cholesterol non insulin dependent diabetes mellitus Cardiovascular Diseases complication Diabetes Mellitus, Type 2 human epidemiology sex difference middle aged Odds Ratio risk assessment Ethnic Groups ethnic group mental stress priority journal obesity Ghana controlled study Aged length of stay ethnology Cross-Sectional Studies cross-sectional study migrant Humans smoking cardiovascular disease male England female risk factor Risk Factors observational study high risk population prevalence cholesterol Article major clinical study adult migration age high density lipoprotein cholesterol antihypertensive agent cohort analysis Transients and Migrants body mass systolic blood pressure Ghanaian
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044136672&doi=10.1161%2fCIRCOUTCOMES.117.004013&partnerID=40&md5=05568704551b95452666c1c854a7d917
DOI: 10.1161/CIRCOUTCOMES.117.004013
ISSN: 19417713
Cited by: 6
Original Language: English