Cardiovascular risk and access to primary care: Comparisons among Chinese documented and undocumented immigrants.

Autor: Pellegrino A; Medicina dello Sport e dell'Esercizio Fisico, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy; Department of Medicina Sperimentale e Clinica, University of Florence, Florence, Italy., Calabrese M; Diabetology Unit, Ospedale Misericordia e Dolce, Prato, Italy., Boddi M; Medicina dello Sport e dell'Esercizio Fisico, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy; Department of Medicina Sperimentale e Clinica, University of Florence, Florence, Italy., Vacirca I; Medicina dello Sport e dell'Esercizio Fisico, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy., Baccari C; Medicina dello Sport e dell'Esercizio Fisico, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy., Bonvicini L; Epidemiology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy., Venturelli F; Epidemiology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy., Petrelli A; Epidemiology Unit, National Institute for Health, Migration and Poverty (INMP), Rome, Italy., Di Napoli A; Epidemiology Unit, National Institute for Health, Migration and Poverty (INMP), Rome, Italy., Perticone M; Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy., Rossi PG; Epidemiology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy., Modesti PA; Medicina dello Sport e dell'Esercizio Fisico, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy; Department of Medicina Sperimentale e Clinica, University of Florence, Florence, Italy. Electronic address: pa.modesti@unifi.it.
Jazyk: angličtina
Zdroj: Diabetes research and clinical practice [Diabetes Res Clin Pract] 2024 Apr; Vol. 210, pp. 111645. Date of Electronic Publication: 2024 Mar 29.
DOI: 10.1016/j.diabres.2024.111645
Abstrakt: Aims: The aim of this study was to examine main risk factors of undocumented Chinese migrants living in Italy when compared with Chinese migrants registered with National Health Service (NHS).
Methods: A cohort of 3435 Chinese first-generation immigrants living in Prato underwent blood pressure (BP) measurement and blood tests. Hypertension was diagnosed for BP ≥ 140/90 mmHg at 2 visits, and/or antihypertensive drug use; type 2 diabetes (T2DM) for fasting glucose ≥ 126 mg/dL at 2 visits, and/or use of hypoglycemic drugs; hypercholesterolemia (HC) for cholesterol ≥ 240 mg/dL and/or statins use. Subjects diagnosed with hypertension, T2DM, or HC unaware of their condition were considered newly diagnosed. Comparisons were performed using multivariable adjusted logistic regression analysis.
Results: A large proportion of Chinese migrants were undocumented (1766, 51 %); newly diagnoses of risk factors were performed especially among undocumented migrants; registration with NHS was associated with higher level of awareness for hypertension and T2DM and with 6 times higher rate of treatment for T2DM. Only a small minority of subjects with high cholesterol were treated with statins.
Conclusions: Undocumented immigrants had high prevalence of risk factors with lower levels of awareness than migrants registered with the NHS. Health policies targeting this hard-to-reach population needs to be improved.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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