The Afro-Cardiac Study: Cardiovascular Disease Risk and Acculturation in West African Immigrants in the United States: Rationale and Study Design

J Immigr Minor Health. 2016 Dec;18(6):1301-1308. doi: 10.1007/s10903-015-0291-0.

Abstract

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.

Keywords: Acculturation; African immigrants; Cardiovascular disease; Immigrants.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Acculturation*
  • Adult
  • Africa, Western / ethnology
  • Aged
  • Black or African American / statistics & numerical data*
  • Blood Glucose
  • Body Mass Index
  • Cardiovascular Diseases / ethnology*
  • Cross-Sectional Studies
  • Emigrants and Immigrants / statistics & numerical data*
  • Female
  • Health Behavior
  • Humans
  • Hypertension / ethnology
  • Lipids / blood
  • Male
  • Middle Aged
  • Prevalence
  • Research Design
  • Risk Factors
  • Self Report
  • Socioeconomic Factors
  • United States / epidemiology

Substances

  • Blood Glucose
  • Lipids