European Journal of Preventive Cardiology
Volume 21, Issue 12, 2014, Pages 1493-1500

Downward trends in acute myocardial infarction incidence: How do migrants fare with the majority population? Results from a nationwide study (Article)

Van Oeffelen A.A.M.* , Agyemang C. , Koopman C. , Stronks K. , Bots M.L. , Vaartjes I.
  • a Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, PO Box 85500, GA Utrecht, 3508, Netherlands
  • b Department of Public Health, Academic Medical Center Amsterdam, Amsterdam, Netherlands
  • c Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, PO Box 85500, GA Utrecht, 3508, Netherlands
  • d Department of Public Health, Academic Medical Center Amsterdam, Amsterdam, Netherlands
  • e Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, PO Box 85500, GA Utrecht, 3508, Netherlands
  • f Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, PO Box 85500, GA Utrecht, 3508, Netherlands

Abstract

Aims: In previous decades, a steep decline in acute myocardial infarction (AMI) incidence occurred in Western countries. We assessed whether this decline was also present in migrant groups living in the Netherlands.Methods and results: Nationwide registers were linked between 1998 and 2007. Poisson regression analyses were used to calculate the biannual percentage change in AMI incidence within major non-Western migrant groups, and the differences in these changes with the Dutch majority population. Within the Dutch majority population, AMI incidence significantly declined in men (-12%) and women (-9.5%). Incidence also declined among most migrant groups under study, ranging from -12 to -4.0% in men, and from -16 to -9.5% in women. Only in Turkish women and Moroccan men the AMI incidence remained stable over time (-0.3 and 2.8%, respectively). There were no statistically significant trend differences between the Dutch majority population and the migrant groups under study. The higher AMI incidence in Turkish men and Surinamese men and women, and the lower AMI incidence in Moroccan men persisted over time.Conclusions: There was a declining AMI incidence rate within the Dutch majority population as well as within most of the major migrant groups living in the Netherlands, except in Turkish women and Moroccan men. Trend patterns among migrant groups did not significantly differ from the Dutch majority population. To reduce ethnic inequalities, primary preventive strategies should be targeted at those migrant groups with a persisting higher incidence. © The European Society of Cardiology 2013.

Author Keywords

trend coronary heart disease Acute myocardial infarction migrant Ethnicity Incidence

Index Keywords

Netherlands Antillean Myocardial Infarction Registries Indonesian health disparity Health Status Disparities register sex ratio human sex difference middle aged Time Factors Aged Health Surveys ethnology Humans migrant Suriname male Emigrants and Immigrants female risk factor Risk Factors Turk (people) Incidence Article adult age Sex Factors Age Factors Sex Distribution age distribution acute heart infarction Surinamese Moroccan Healthcare Disparities health care disparity time health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84911946804&doi=10.1177%2f2047487313500156&partnerID=40&md5=7f253d88f56288741358d0b23e3ca084
DOI: 10.1177/2047487313500156
ISSN: 20474873
Cited by: 7
Original Language: English