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Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study

Author

Listed:
  • Oluwabunmi Ogungbe

    (Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA)

  • Ruth-Alma Turkson-Ocran

    (Beth Israel Deaconess Medical Center, Division of General Medicine, Section for Research, Boston, MA 02215, USA)

  • Binu Koirala

    (Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA)

  • Samuel Byiringiro

    (Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA)

  • Xiaoyue Liu

    (Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA)

  • Sabrina Elias

    (Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA)

  • Danielle Mensah

    (Drexel University College of Medicine, Philadelphia, PA 19129, USA)

  • Emmanuel Turkson-Ocran

    (Greater Accra Regional Hospital, Accra, Ghana)

  • Manka Nkimbeng

    (School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA)

  • Joycelyn Cudjoe

    (Inova Fairfax Hospital, Falls Church, VA 22042, USA)

  • Diana Baptiste

    (Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA)

  • Yvonne Commodore-Mensah

    (Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA
    Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

Abstract

Acculturation and immigration-related factors may impact preventive, routine cardiovascular risk (CV) screening among African immigrants. We examined the associations between length of stay, percent of life spent in the U.S. (proxy for acculturation), and CV screening. Outcomes were recent screening for hypertension, diabetes, and dyslipidemia. Multivariable logistic regression analyses were used to examine these relationships. Among 437 African immigrants, 60% were males, mean age was 47 years, 61% had lived in the U.S. for ≥10 years, mean length of stay was 15 years, and 81% were employed. Only 67% were insured. In the 12 months prior, 85% had screened for hypertension, 45% for diabetes, and 63% for dyslipidemia. African immigrants with a ≥10-year length of U.S. stay had 2.20 (95%Confidence Intervals: 1.31–3.67), and those with >25% years of life spent in the U.S. had 3.62 (95%CI: 1.96–6.68) higher odds of dyslipidemia screening compared to those with a <10-year length of stay and ≤25% years of life spent in the U.S., respectively. Overall, screening for CV risk higher in African immigrants who have lived longer (≥10 years) in the U.S. Recent African immigrants may experience challenges in accessing healthcare. Health policies targeting recent and uninsured African immigrants may improve access to CV screening services.

Suggested Citation

  • Oluwabunmi Ogungbe & Ruth-Alma Turkson-Ocran & Binu Koirala & Samuel Byiringiro & Xiaoyue Liu & Sabrina Elias & Danielle Mensah & Emmanuel Turkson-Ocran & Manka Nkimbeng & Joycelyn Cudjoe & Diana Bapt, 2022. "Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study," IJERPH, MDPI, vol. 19(5), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2556-:d:756143
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    References listed on IDEAS

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