The Afro-Cardiac Study: Cardiovascular Disease Risk and Acculturation in West African Immigrants in the United States: Rationale and Study Design
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Cardiovascular disease (CVD) remains the leading cause of death in the United States (US). African-descent populations bear a disproportionate burden of CVD risk factors. With the increase in the number of West African immigrants (WAIs) to the US over the past decades, it is imperative to specifically study this new and substantial subset of the African-descent population and how acculturation impacts their CVD risk. The Afro-Cardiac study, a community-based cross-sectional study of adult WAIs in the Baltimore–Washington metropolis. Guided by the PRECEDE–PROCEED model, we used a modification of the World Health Organization Steps survey to collect data on demographics, socioeconomic status, migration-related factors and behaviors. We obtained physical, biochemical, acculturation measurements as well as a socio-demographic and health history. Our study provides critical data on the CVD risk of WAIs. The framework used is valuable for future epidemiological studies addressing CVD risk and acculturation among immigrants.
KeywordsAfrican immigrants Cardiovascular disease Immigrants Acculturation
This study was supported by pilot funding from National Institute of Nursing Research (NINR) [1P30NR011409]. We would like to acknowledge all the research assistants (Felicia Sam, Grace Onayiga, Kojo Amoakwah, Audrey Addaquay-Corey, Selase Agudu-Morgan, Loretta Odro and Jonathan Aboagye) who participated in data collection as well as the leaders of the community-based organized organizations that allowed data collection to occur on their premises. Finally, we thank the study participants who dedicated their time to advance our understanding of CVD risk among WAIs.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest to disclose.
The Johns Hopkins Medicine Institutional Review Board provided ethics approval.
All subjects provided written informed consent before being enrolled in the study.
- 11.Terrazas A. African immigrants in the United States. Migration Information Source. 2009. http://www.migrationpolicy.org/article/african-immigrants-united-states-0. Retrieved 01 Mar 2015.
- 12.Gambino CP, Trevelyan EN. The foreign-born population from Africa: 2008–2012. American Community Survey Briefs. 2015. https://www.census.gov/content/dam/Census/library/publications/2014/acs/acsbr12-16.pdf. Retrieved 01 Mar 2015.
- 16.Kennedy S, McDonald JT, Biddle N. The healthy immigrant effect and immigrant selection: evidence from four countries. Soc Econ Dimens Aging Popul (SEDAP) 2006;164:3–6.Google Scholar
- 23.Green LW, Kreuter MW, editors. Health promotion planning: an educational and ecological approach. New York: McGraw-Hill; 2005.Google Scholar
- 25.Goff DC Jr, Lloyd-Jones DM, Bennett G, Coady S, D’Agostino RBS, Gibbons R et al. ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2013.Google Scholar
- 26.Kent M. Immigration and America’s Black population. Popul Bull. 2007;62:3–15.Google Scholar
- 28.World Health Organization. STEPwise approach to surveillance (STEPS). WHO 2008.Google Scholar
- 33.Anonymous. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995; 854:1–452.Google Scholar
- 34.Expert Panel on Detection. Evaluation, and treatment of high blood cholesterol in adults. Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III). JAMA. 2001;285:2486–97.CrossRefGoogle Scholar
- 39.Cruz TH, Marshall SW, Bowling JM, Villaveces A. The validity of a proxy acculturation scale among US Hispanics. J Behav Sci. 2008;30:425.Google Scholar
- 48.Djamba YK. African immigrants to the United States: a sociodemographic profile in comparison to native Blacks. J Asian African Stud. 1999; 34.Google Scholar
- 49.Commodore-Mensah Y, Dennison Himmelfarb CR, Agyemang C, Sumner AE. Cardiometabolic health in African immigrants to the United States: a call to re-examine research on African-descent populations. Ethnicity Dis. 2015; 25.Google Scholar
- 56.Rotimi CN, Cooper RS, Ataman SL, Osotimehin B, Kadiri S, Muna W, et al. Distribution of anthropometric variables and the prevalence of obesity in populations of west African origin: the International Collaborative Study on Hypertension in Blacks (ICSHIB). Obes Res. 1995;3(Suppl 2):95s–105s.CrossRefPubMedGoogle Scholar
- 61.World Health Organization. Health of migrants—the way forward. Report of a global consultation. WHO 2010.Google Scholar