Social determinants of hypertension and diabetes among African immigrants: the African immigrants health study
Autor: | Joycelyn Cudjoe, Oluwabunmi Ogungbe, Lisa A. Cooper, Ruth-Alma N Turkson-Ocran, Manka Nkimbeng, Hailey N. Miller, Cheryl Dennison Himmelfarb, Diana Baptiste, Patricia M. Davidson, Yvonne Commodore-Mensah |
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Rok vydání: | 2021 |
Předmět: |
Male
Cultural Studies Race ethnicity Social Determinants of Health media_common.quotation_subject Immigration Emigrants and Immigrants 03 medical and health sciences 0302 clinical medicine Arts and Humanities (miscellaneous) Risk Factors Diabetes mellitus Diabetes Mellitus medicine Humans 030212 general & internal medicine Social determinants of health media_common 030505 public health Public Health Environmental and Occupational Health Middle Aged medicine.disease United States Cross-Sectional Studies 1117 Public Health and Health Services 1608 Sociology 1702 Cognitive Sciences Hypertension Female Public Health 0305 other medical science Psychology Demography |
Zdroj: | Ethnicity & Health. 27:1345-1357 |
ISSN: | 1465-3419 1355-7858 |
Popis: | ObjectiveTo examine the association between social determinants of health, hypertension, and diabetes among African immigrants.MethodsThe African Immigrant Health Study was a cross-sectional study of the health of African immigrants in the Baltimore-Washington Metropolitan Area. The outcomes of interest were self-reported diagnoses of hypertension and diabetes. Logistic regression was used to examine the relationship between educational status, employment, income, social support, health insurance, and self-reported diagnoses of hypertension and diabetes, adjusting for age, sex, and length of stay in the U.S.ResultsA total of 465 participants with mean (±SD) age 47 (±11.5) years were included. Sixty percent were women, 64% had a college degree or higher, 83% were employed, 67% had health insurance, and 70% were married/cohabitating. Over half (60%) of the participants had lived in the United States for ≥ 10 years, and 84% were overweight/obese. The overall prevalence of hypertension and diabetes was 32% and 13%, respectively. The odds of diabetes was higher (aOR: 5.00, 95% CI: 2.13, 11.11) among those who were unemployed than among those who were employed, and the odds of hypertension was higher among those who had health insurance (aOR:1.73, 95% CI: 1.00, 3.00) than among those who did not.ConclusionsAmong African immigrants, those who were unemployed had a higher likelihood of a self-reported diagnosis of diabetes than those who were employed. Also, people who had health insurance were more likely to self-report a diagnosis of hypertension. Additional studies are needed to further understand the influence of social determinants of health on hypertension and diabetes to develop health policies and interventions to improve the cardiovascular health of African immigrants. |
Databáze: | OpenAIRE |
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