TY - JOUR
T1 - Perceived discrimination and stressful life events are associated with cardiovascular risk score in migrant and non-migrant populations
T2 - The RODAM study
AU - Chilunga, Felix P
AU - Boateng, Daniel
AU - Henneman, Peter
AU - Beune, Erik
AU - Requena-Méndez, Ana
AU - Meeks, Karlijn
AU - Smeeth, Liam
AU - Addo, Juliet
AU - Bahendeka, Silver
AU - Danquah, Ina
AU - Schulze, Matthias B
AU - Klipstein-Grobusch, Kerstin
AU - Mannens, Marcel M A M
AU - Agyemang, Charles
N1 - Funding Information:
The RODAM study was supported by the European Commission under the Framework Programme (Grant Number: 278901 ). FPC is supported by the Erasmus Mundus Joint Doctorate Program of the European Union through the Amsterdam Institute of Global Health and Development (AIGHD) (Grant Agreement 2015–1595 ). DB is supported by the Global Health Scholarship Programme, University Medical Center Utrecht , The Netherlands.
Funding Information:
The RODAM study was supported by the European Commission under the Framework Programme (Grant Number: 278901). FPC is supported by the Erasmus Mundus Joint Doctorate Program of the European Union through the Amsterdam Institute of Global Health and Development (AIGHD) (Grant Agreement 2015?1595). DB is supported by the Global Health Scholarship Programme, University Medical Center Utrecht, The Netherlands. Authors are very grateful to the advisory board members for their valuable support in shaping methods, to research assistants, interviewers and other staff of the five research locations who have taken part in gathering data and, most of all, to the Ghanaian volunteers participating in this project.
Publisher Copyright:
© 2018 Elsevier B.V.
PY - 2019/7/1
Y1 - 2019/7/1
N2 - 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.
AB - 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.
KW - Cardiovascular disease risk
KW - Migrants
KW - Psychosocial stress
KW - RODAM study
KW - Sub-Saharan Africans
UR - http://www.scopus.com/inward/record.url?scp=85059681747&partnerID=8YFLogxK
U2 - 10.1016/j.ijcard.2018.12.056
DO - 10.1016/j.ijcard.2018.12.056
M3 - Article
C2 - 30638750
SN - 0167-5273
VL - 286
SP - 169
EP - 174
JO - International Journal of Cardiology
JF - International Journal of Cardiology
ER -