ArticleBMC public health2013
Cardiovascular disease in relation to diabetes status in immigrants from the Middle East compared to native Swedes: a cross-sectional study.
Article in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Global Prevalence of Physical Activity, Sedentary Behaviour, and Sleep of Immigrant Children: a Systematic Review.Journal of racial and ethnic health disparities · 2021Pooled it
- Changes in dietary intake following a culturally adapted lifestyle intervention among Iraqi immigrants to Sweden at high risk of type 2 diabetes: a randomised trial.Public health nutrition · 2017Trial
- Comparison of Framingham 10-year cardiovascular risks in Sweden- and foreign-born primary health care patients in Sweden.BMC public health · 2023Article
- Quantitative myocardial perfusion during stress using CMR is impaired in healthy Middle Eastern immigrants without CV risk factors.Scientific reports · 2022Article
- Insulin secretion and action with increasing age - A comparison between Middle Eastern immigrants and native Swedes.Heliyon · 2022Article
- Pro-Enkephalin and its association with renal function in Middle Eastern immigrants and native Swedes.Scandinavian journal of clinical and laboratory investigation · 2021Observational
- Adult-onset diabetes in Middle Eastern immigrants to Sweden: Novel subgroups and diabetic complications-The All New Diabetes in Scania cohort diabetic complications and ethnicity.Diabetes/metabolism research and reviews · 2021Article
- What Role Can Trained Volunteers Add to Chronic Disease Care of Immigrants?Journal of immigrant and minority health · 2020Article
- Article
- The association between plasma proneurotensin and glucose regulation is modified by country of birth.Scientific reports · 2019Observational
- Experiences of Kurdish immigrants with the management of type 2 diabetes: a qualitative study from Norway.Scandinavian journal of primary health care · 2019Article
- Article
- Target Organ Damage and Cardiovascular Risk in a Hypertensive Roma Sample Population in Romania.Maedica · 2018Article
- The variation in the health status of immigrants and Italians during the global crisis and the role of socioeconomic factors.International journal for equity in health · 2017Article
- Article
- Knowledge of Coronary Heart Disease Risk Factors among a Community Sample in Oman: Pilot study.Sultan Qaboos University medical journal · 2016Article
- Attitudes Regarding Participation in a Diabetes Screening Test among an Assyrian Immigrant Population in Sweden.Nursing research and practice · 2016Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundType 2 diabetes is highly prevalent in immigrants to Sweden from Iraq, but the prevalence of cardiovascular disease (CVD) and its risk factors are not known. In this survey we aimed to compare the prevalence of CVD and CVD-associated risk factors between a population born in Iraq and individuals born in Sweden.
methodsThis population-based, cross-sectional study comprised 1,365 Iraqi immigrants and 739 Swedes (age 30-75 years) residing in the same socioeconomic area in Malmö, Sweden. Blood tests were performed and socio-demography and lifestyles were characterized. To investigate potential differences in CVD, odds ratios (ORs) with 95% confidence intervals (CIs) were estimated by multivariate logistic regression analysis with adjustment for metabolic, lifestyle and psychosocial risk factors for CVD. Outcome measures were odds of CVD.
resultsThere were no differences in self-reported prevalence of CVD between Iraqi- and Swedish-born individuals (4.0 vs. 5.5%, OR 0.9, 95% CI 0.4-1.8). However, the prevalence of type 2 diabetes was higher in Iraqi compared to Swedish participants (8.4 vs. 3.3%, OR = 4.2, 95% CI 2.6-6.7). Moreover, among individuals with type 2 diabetes, Iraqis had a higher prevalence of CVD (22.8 vs. 8.0%, OR = 4.2, 95% CI 0.9-20.0), after adjustment for age and sex. By contrast, among those without diabetes, immigrants from Iraq had a lower prevalence of CVD than Swedes (2.2 vs. 5.5%, OR = 0.6, 95% CI 0.3-0.9).Type 2 diabetes was an independent risk factor for CVD in Iraqis only (OR = 6.8, 95% CI 2.8-16.2). This was confirmed by an interaction between country of birth and diabetes (p = 0.010). In addition, in Iraqis, type 2 diabetes contributed to CVD risk to a higher extent than history of hypertension (standardized OR 1.5 vs. 1.4).
conclusionsThis survey indicates that the odds of CVD in immigrants from Iraq are highly dependent on the presence or absence of type 2 diabetes and that type 2 diabetes contributes with higher odds of CVD in Iraqi immigrants compared to native Swedes. Our study suggests that CVD prevention in immigrants from the Middle East would benefit from prevention of type 2 diabetes.
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