Abstract P275: Hypertension, Diabetes, and Obesity Among African Immigrants in the 2010 - 2014 National Health Interview Surveys
Background: Cardiovascular disease (CVD) is the leading cause of death in the United States (US). Immigrants of African-ancestry are a fast-growing population in the US. However, little is known about the prevalence of CVD risk factors such as hypertension, diabetes, and obesity in this population.
Hypothesis: We hypothesized that sex-differences exist in the prevalence of cardiovascular risk factors among African immigrants.
Methods: We performed a retrospective analysis of the National Health Interview Surveys for the 2010-2014 period. We examined demographic and CVD history variables to determine if differences existed by sex in the prevalence of CVD risk factors. We performed multivariable logistic regression analyses and computed predictive margins (with standard errors) to obtain the predicted probabilities of hypertension, diabetes, overweight/obesity, and hyperlipidemia.
Results: A total of 2,019 adult African immigrants were included in the sample. Table 1 describes the socio-demographic characteristics of the respondents. Overall, 61% (1234 of 2019) of the sample was overweight/obese, 18% (403 of 2019) were hypertensive, and 16% (47 of 2019) had a history of CVD. Males were significantly more likely than females to have diabetes (OR(95% CI):1.79(1.16,2.78); p<0.05). Females had a 0.42 (95% CI: 0.21-0.83; p=0.01) odds of hyperlipidemia compared to males and females were 0.76 (95% CI: 0.59-0.99; p<0.05) times less likely to be hypertensive compared to males. There was no difference in the prevalence of overweight/obesity between the sexes.
Conclusion: In conclusion, we observed significant sex-differences in the prevalence of hypertension, diabetes, and hyperlipidemia. It is important to highlight sex-differences in CVD risk factors among African immigrants to inform the development of effective preventative health interventions. Culturally-appropriate public health strategies and policies designed to meet the specific needs of African immigrants may reduce the prevalence of CVD risk factors and improve health outcomes.
Author Disclosures: R.N. Turkson-Ocran: None. N.A. Ukonu: None. Y.Y. Commodore-Mensah: None.
- © 2017 by American Heart Association, Inc.