Evidence map›Paper›PMID 35199106›Full record

ArticleInternational journal of cardiology. Cardiovascular risk and prevention2022

Epidemiology of cardiovascular disease and its risk factors among refugees and asylum seekers: Systematic review and meta-analysis.

Tala Al-Rousan, Rawan AlHeresh, Altaf Saadi, Hannah El-Sabrout, Megan Young, Tarik Benmarhnia, Benjamin H Han, Laith Alshawabkeh

Open access · goldAbstract read
In one paragraph

Article in International journal of cardiology. Cardiovascular risk and prevention, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  8. Mental Health and Physiological Biomarkers Under Legal Uncertainty: Evidence From Asylum Centers in Serbia.American journal of human biology : the official journal of the Human Biology Council · 2026
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  17. Intersecting Structural Barriers and Hypertension Management Among Middle East and North Africa Refugees Resettled in the United States: A Qualitative Study.Health education & behavior : the official publication of the Society for Public Health Education · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Tala Al-RousanHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA.
Rawan AlHereshDepartment of Occupational Therapy, Massachusetts General Hospital Institute of Health Professions, Boston, MA, USA.
Altaf SaadiDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Hannah El-SabroutUniversity of California San Francisco Medical School, San Francisco, CA, USA.
Megan YoungDepartment of Occupational Therapy, Massachusetts General Hospital Institute of Health Professions, Boston, MA, USA.
Tarik BenmarhniaScripps Institution of Oceanography, University of California San Diego, La Jolla, CA, USA.
Benjamin H HanDivision of Geriatrics, Department of Medicine, University of California San Diego, La Jolla, CA, USA.
Laith AlshawabkehDivision of Cardiovascular Medicine, Department of Medicine, University of California San Diego, La Jolla, CA, USA.
University of California San Diego · USMGH Institute of Health Professions · USHarvard University · USScripps Institution of Oceanography · USUniversity of California, San Francisco · US

Funding

Blood Pressure Control Advancing Refugee Health Equity (BPCARE): an RCT of adherenceR01HL173155 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Tala Al-Rousan · 2025 to 2026
$1.3M
Chronic Disease and Health Outcomes of Older Adults with Opioid Use DisordersK23DA043651 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HAN, BENJAMIN HYUN · 2018 to 2023
$1.2M
Hypertension Self-management in Refugees Living in San DiegoK23HL148530 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AL-ROUSAN, TALA · 2020 to 2024
$882k
NHLBI NIH HHS K23 HL148530NHLBI NIH HHS R01 HL173155NIDA NIH HHS K23 DA043651
6 · The paper itself

Abstract

backgroundThis is the first systematic review and meta-analysis assessing cardiovascular disease incidence and risk factors among refugees and asylum seekers. METHODS AND

resultsPubMed, PsycINFO, CINAHL, and Embase databases were searched for studies in English from January 1, 1977, to March 8, 2020. Inclusion criteria were (1) observation of refugee history in participants; (2) diagnosis of CVD (coronary artery disease, heart failure, stroke, or CVD mortality) and risk factors (hypertension, diabetes, tobacco use, hyperlipidemia, obesity, psychosocial factors); (3) assessment of effect size and spread, (4) adjustment for sex; and (5) comparison with non-refugee migrants or natives. Data were extracted and evaluated by multiple reviewers for study quality. Of the 1158 screened articles, Participants from 7 studies (0.6%) involving 116.989 refugees living in Denmark, Sweden, and the United States were included in the systematic review, of which three studies synthesized the quantitative analyses. A fixed-effects model was created to pool the effect sizes of included studies. The pooled incidence of CVD in refugees was 1.71 (95% CI: 1.03, 2.83) compared with non-refugee counterparts. Pyschosocial factors were associated with increased risk of CVD in refugees but evidence on CVD risk factors varied by nativity and duration since resettlement.

conclusionsRefugee experience is an independent risk factor for CVD. Robust research on CVD in displaced populations is needed to improve the quality of evidence, clinical and preventive care, and address health equity in this marginalized population globally.

Indexed as

CVDDisplacedMigrantsRefugeesRisk factorsStroke

Identifiers

PMID35199106
PMCPMC8851152
OpenAlexW4211190043

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.