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

Oluwabunmi Ogungbe, Ruth-Alma Turkson-Ocran, Binu Koirala, Samuel Byiringiro, Xiaoyue Liu, Sabrina Elias, Danielle Mensah, Emmanuel Turkson-Ocran, Manka Nkimbeng, Joycelyn Cudjoe, Diana Baptiste and Yvonne Commodore-Mensah
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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

IJERPH, 2022, vol. 19, issue 5, 1-14

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.

Keywords: aculturation; culture; African immigrants; cardiovascular; hypertension; dyslipidemia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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