ArticleHeart (British Cardiac Society)1997
Prevalence, detection, and management of cardiovascular risk factors in different ethnic groups in south London.
Article in Heart (British Cardiac Society), 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 5 of them syntheses that pooled it.
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Who cites it
92 citing papers in PubMed, 5 syntheses or guidelines pooled it, 336 citations in OpenAlex.
- Correlation between religion and hypertension.Internal and emergency medicine · 2019Pooled it
- Heterogeneity in blood pressure in UK Bangladeshi, Indian and Pakistani, compared to White, populations: divergence of adults and children.Journal of human hypertension · 2018Pooled it
- Disparities in type 2 diabetes prevalence among ethnic minority groups resident in Europe: a systematic review and meta-analysis.Internal and emergency medicine · 2016Pooled it
- Panethnic Differences in Blood Pressure in Europe: A Systematic Review and Meta-Analysis.PloS one · 2016Pooled it
- Factors associated with self-care activities among adults in the United Kingdom: a systematic review.BMC public health · 2009Pooled it
- Trial
- Intention to change dietary habits, and weight loss among Norwegian-Pakistani women participating in a culturally adapted intervention.Journal of immigrant and minority health · 2011Trial
- Recalibration of Framingham risk for a local population of Sri Lanka.BMC public health · 2024Article
- Pre-eclampsia.Nature reviews. Disease primers · 2023Review
- Ethnic differences in hypertension management, medication use and blood pressure control in UK primary care, 2006-2019: a retrospective cohort study.The Lancet regional health. Europe · 2023Article
- Health inequalities in the management of chronic hepatitis B virus infection in patients from sub-Saharan Africa in high-income countries.JHEP reports : innovation in hepatology · 2023Review
- Comorbidities and ethnic health disparities in the UK biobank.JAMIA open · 2022Article
- Estimation of sodium consumption by novel formulas derived from random spot and 12-hour urine collection.PloS one · 2021Article
- Antihypertensive Medication Use and Its Effects on Blood Pressure and Haemodynamics in a Tri-ethnic Population Cohort: Southall and Brent Revisited (SABRE).Frontiers in cardiovascular medicine · 2021Article
- Epidemiology, risk factors, and opportunities for prevention of cardiovascular disease in individuals of South Asian ethnicity living in Europe.Atherosclerosis · 2019Review
- Article
- Associations between hypertension and the peroxisome proliferator-activated receptor-δ (PPARD) gene rs7770619 C>T polymorphism in a Korean population.Human genomics · 2018Article
- Young Asian men with diabetes have the highest risk for acute coronary events: retrospective cohort analyses.JRSM open · 2018Article
- Interarm Difference in Systolic Blood Pressure in Different Ethnic Groups and Relationship to the "White Coat Effect": A Cross-Sectional Study.American journal of hypertension · 2017Observational
- Is individual smoking behaviour influenced by area-level ethnic density? A cross-sectional electronic health database study of inner south-east London.ERJ open research · 2017Article
32 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the prevalence of cardiovascular risk factors and their level of detection and management in three ethnic groups.
designPopulation based survey during 1994 to 1996.
settingFormer Wandsworth Health Authority in South London. SUBJECTS: 1578 men and women, aged 40 to 59 years; 524 white, 549 of African descent, and 505 of South Asian origin.
main outcome measuresAge adjusted prevalence of hypertension, diabetes, obesity, raised serum cholesterol, and smoking.
resultsEthnic minorities of both sexes had raised prevalence rates of hypertension and diabetes compared to white people. Age and sex standardised prevalence ratios for hypertension were 2.6 (95% confidence interval 2.1 to 3.2) in people of African descent and 1.8 (1.4 to 2.3) in those of South Asian origin. For diabetes, the ratios were 2.7 (1.8 to 4.0) in people of African descent and 3.8 (2.6 to 5.6) in those of South Asian origin. Hypertension and diabetes were equally common among Caribbeans and West Africans and among South Asian Hindus and Muslims. Prevalence of severe obesity was high overall, but particularly among women of African descent (40% (35% to 45%)). In contrast, raised serum cholesterol and smoking rates were higher among white people. Of hypertensives, 49% (216 of 442) had adequate blood pressure control. Overall, 18% (80 of 442) of hypertensives and 33% (62 of 188) of diabetics were undetected before our survey. Hypertensive subjects of African descent appeared more likely to have been detected (p = 0.034) but less likely to be adequately managed (p = 0.085).
conclusionsHypertension and diabetes are raised two- to threefold in South Asians, Caribbeans, and West Africans in Britain. Detection, management, and control of hypertension has improved, but there are still differences between ethnic groups. Obesity is above the Health of the Nation targets in all ethnic groups, particularly in women of African descent. Preventive and treatment strategies for different ethnic groups in Britain need to consider both cultural differences and underlying susceptibility to different vascular diseases.
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