Own migration experience is not a risk factor for incident cardiovascular disease – a cohort study

Abstract Background Studies have shown differences regarding prevalence and incidence of chronic diseases among first (own migration experience) compared to second (born in host country) generation migrants. The aim of this study was therefore to investigate the incidence of cardiovascular diseases...

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Veröffentlicht in:European journal of public health 2020-09, Vol.30 (Supplement_5)
Hauptverfasser: Krist, L, Dornquast, C, Reinhold, T, Solak, S, Durak, M, Icke, K, Danquah, I, Becher, H, Willich, S N, Keil, T
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container_end_page
container_issue Supplement_5
container_start_page
container_title European journal of public health
container_volume 30
creator Krist, L
Dornquast, C
Reinhold, T
Solak, S
Durak, M
Icke, K
Danquah, I
Becher, H
Willich, S N
Keil, T
description Abstract Background Studies have shown differences regarding prevalence and incidence of chronic diseases among first (own migration experience) compared to second (born in host country) generation migrants. The aim of this study was therefore to investigate the incidence of cardiovascular diseases (CVD) among persons of Turkish descent with and without migration experience living in Berlin, Germany. Methods In 2012-2013, Berliners with a Turkish migration background were recruited, examined, and contacted again 5 years later via postal mail. Incidence of diagnosed CVD (myocardial infarction, stroke, coronary heart disease, heart failure, cardiac arrhythmia, intermittent claudicatio or transient ischaemic attack) was assessed via self-report. Incidence of any CVD is presented as number and percentages. Associations between the incidence of any CVD and having an own migration experience were investigated with uni- and multivariable regression analyses. Results are presented as odds ratios with a 95%-confidence interval (OR, 95%-CI). Results Data of 234 persons of Turkish descent (62.8% women) with a mean age±standard deviation of 44±12.4 years were included in the analyses. Out of these, 79.9% were first generation migrants. First compared to second generation participants differed regarding CVD incidence (any CVD 16.6% vs. 4.3%, respectively; p = 0.03), socio-demographic, and lifestyle factors. After adjusting for these factors, multivariable analysis showed that only BMI (OR 1.12 per BMI point, 95%CI [1.02;1.24], and having a diagnosis of dyslipidemia (OR 4.0, 95%CI [1.45;12.05]), were independently associated with CVD incidence. Conclusions In a cohort study with Berliners of Turkish descent, CVD incidence was associated with increasing BMI and dyslipidemia, but not with own migration experience. Future migration-related public health research needs to focus on the prevention of harmful health behaviours to avoid the progression of overweight/obesity and dyslipidemia. Key messages CVD incidence is higher in persons with migration experience compared to those without. Migration experience is not associated with CVD incidence after adjusting for confounders (e.g. age, BMI).
doi_str_mv 10.1093/eurpub/ckaa166.733
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The aim of this study was therefore to investigate the incidence of cardiovascular diseases (CVD) among persons of Turkish descent with and without migration experience living in Berlin, Germany. Methods In 2012-2013, Berliners with a Turkish migration background were recruited, examined, and contacted again 5 years later via postal mail. Incidence of diagnosed CVD (myocardial infarction, stroke, coronary heart disease, heart failure, cardiac arrhythmia, intermittent claudicatio or transient ischaemic attack) was assessed via self-report. Incidence of any CVD is presented as number and percentages. Associations between the incidence of any CVD and having an own migration experience were investigated with uni- and multivariable regression analyses. Results are presented as odds ratios with a 95%-confidence interval (OR, 95%-CI). Results Data of 234 persons of Turkish descent (62.8% women) with a mean age±standard deviation of 44±12.4 years were included in the analyses. Out of these, 79.9% were first generation migrants. First compared to second generation participants differed regarding CVD incidence (any CVD 16.6% vs. 4.3%, respectively; p = 0.03), socio-demographic, and lifestyle factors. After adjusting for these factors, multivariable analysis showed that only BMI (OR 1.12 per BMI point, 95%CI [1.02;1.24], and having a diagnosis of dyslipidemia (OR 4.0, 95%CI [1.45;12.05]), were independently associated with CVD incidence. Conclusions In a cohort study with Berliners of Turkish descent, CVD incidence was associated with increasing BMI and dyslipidemia, but not with own migration experience. Future migration-related public health research needs to focus on the prevention of harmful health behaviours to avoid the progression of overweight/obesity and dyslipidemia. Key messages CVD incidence is higher in persons with migration experience compared to those without. Migration experience is not associated with CVD incidence after adjusting for confounders (e.g. age, BMI).</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckaa166.733</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Arrhythmia ; Body weight ; Cardiovascular disease ; Cardiovascular diseases ; Cerebral infarction ; Chronic illnesses ; Cohort analysis ; Confidence intervals ; Congestive heart failure ; Coronary artery disease ; Descent ; Dyslipidemia ; Health research ; Heart diseases ; Metabolic disorders ; Migrants ; Migration ; Myocardial infarction ; Obesity ; Overweight ; Prevention ; Public health ; Regression analysis ; Risk analysis ; Risk factors ; Statistical analysis ; Transient ischemic attack</subject><ispartof>European journal of public health, 2020-09, Vol.30 (Supplement_5)</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27847,27905,27906</link.rule.ids></links><search><creatorcontrib>Krist, L</creatorcontrib><creatorcontrib>Dornquast, C</creatorcontrib><creatorcontrib>Reinhold, T</creatorcontrib><creatorcontrib>Solak, S</creatorcontrib><creatorcontrib>Durak, M</creatorcontrib><creatorcontrib>Icke, K</creatorcontrib><creatorcontrib>Danquah, I</creatorcontrib><creatorcontrib>Becher, H</creatorcontrib><creatorcontrib>Willich, S N</creatorcontrib><creatorcontrib>Keil, T</creatorcontrib><title>Own migration experience is not a risk factor for incident cardiovascular disease – a cohort study</title><title>European journal of public health</title><description>Abstract Background Studies have shown differences regarding prevalence and incidence of chronic diseases among first (own migration experience) compared to second (born in host country) generation migrants. The aim of this study was therefore to investigate the incidence of cardiovascular diseases (CVD) among persons of Turkish descent with and without migration experience living in Berlin, Germany. Methods In 2012-2013, Berliners with a Turkish migration background were recruited, examined, and contacted again 5 years later via postal mail. Incidence of diagnosed CVD (myocardial infarction, stroke, coronary heart disease, heart failure, cardiac arrhythmia, intermittent claudicatio or transient ischaemic attack) was assessed via self-report. Incidence of any CVD is presented as number and percentages. Associations between the incidence of any CVD and having an own migration experience were investigated with uni- and multivariable regression analyses. Results are presented as odds ratios with a 95%-confidence interval (OR, 95%-CI). Results Data of 234 persons of Turkish descent (62.8% women) with a mean age±standard deviation of 44±12.4 years were included in the analyses. Out of these, 79.9% were first generation migrants. First compared to second generation participants differed regarding CVD incidence (any CVD 16.6% vs. 4.3%, respectively; p = 0.03), socio-demographic, and lifestyle factors. After adjusting for these factors, multivariable analysis showed that only BMI (OR 1.12 per BMI point, 95%CI [1.02;1.24], and having a diagnosis of dyslipidemia (OR 4.0, 95%CI [1.45;12.05]), were independently associated with CVD incidence. Conclusions In a cohort study with Berliners of Turkish descent, CVD incidence was associated with increasing BMI and dyslipidemia, but not with own migration experience. Future migration-related public health research needs to focus on the prevention of harmful health behaviours to avoid the progression of overweight/obesity and dyslipidemia. Key messages CVD incidence is higher in persons with migration experience compared to those without. Migration experience is not associated with CVD incidence after adjusting for confounders (e.g. age, BMI).</description><subject>Arrhythmia</subject><subject>Body weight</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cerebral infarction</subject><subject>Chronic illnesses</subject><subject>Cohort analysis</subject><subject>Confidence intervals</subject><subject>Congestive heart failure</subject><subject>Coronary artery disease</subject><subject>Descent</subject><subject>Dyslipidemia</subject><subject>Health research</subject><subject>Heart diseases</subject><subject>Metabolic disorders</subject><subject>Migrants</subject><subject>Migration</subject><subject>Myocardial infarction</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Prevention</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Statistical analysis</subject><subject>Transient ischemic attack</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><recordid>eNqNkE1OwzAQhS0EEqVwAVaWWKf12KnTLFHFn1SpG5DYWVNnAu5PHOwE6I47cENOglF7AKQZzSzem3n6GLsEMQJRqjH1oe2XY7tGBK1HhVJHbAC5zjOlxfNx2kFABlLLU3YW40oIMSmmcsCqxUfDt-4lYOd8w-mzpeCoscRd5I3vOPLg4prXaDsfeJ3aNdZV1HTcYqicf8do-w0GXrlIGIn_fH0nl_WvPnQ8dn21O2cnNW4iXRzmkD3d3jzO7rP54u5hdj3PLEyUypQkiWVlhbR6ObW5nKCGWudU5qoEKtAWQGBJSwEpvhA6pSp0ofQSEKtSDdnV_m4b_FtPsTMr34cmvTQyLzSkKlVSyb3KBh9joNq0wW0x7AwI80fT7GmaA02TaCZTtjf5vv2P_hcjjXu4</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Krist, L</creator><creator>Dornquast, C</creator><creator>Reinhold, T</creator><creator>Solak, S</creator><creator>Durak, M</creator><creator>Icke, K</creator><creator>Danquah, I</creator><creator>Becher, H</creator><creator>Willich, S N</creator><creator>Keil, T</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20200901</creationdate><title>Own migration experience is not a risk factor for incident cardiovascular disease – a cohort study</title><author>Krist, L ; Dornquast, C ; Reinhold, T ; Solak, S ; Durak, M ; Icke, K ; Danquah, I ; Becher, H ; Willich, S N ; Keil, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1533-32e2a9dc02c6b8c425a61f64e94391e7ac71e1ce6201057006fac76736b1aad93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Arrhythmia</topic><topic>Body weight</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cerebral infarction</topic><topic>Chronic illnesses</topic><topic>Cohort analysis</topic><topic>Confidence intervals</topic><topic>Congestive heart failure</topic><topic>Coronary artery disease</topic><topic>Descent</topic><topic>Dyslipidemia</topic><topic>Health research</topic><topic>Heart diseases</topic><topic>Metabolic disorders</topic><topic>Migrants</topic><topic>Migration</topic><topic>Myocardial infarction</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Prevention</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Statistical analysis</topic><topic>Transient ischemic attack</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krist, L</creatorcontrib><creatorcontrib>Dornquast, C</creatorcontrib><creatorcontrib>Reinhold, T</creatorcontrib><creatorcontrib>Solak, S</creatorcontrib><creatorcontrib>Durak, M</creatorcontrib><creatorcontrib>Icke, K</creatorcontrib><creatorcontrib>Danquah, I</creatorcontrib><creatorcontrib>Becher, H</creatorcontrib><creatorcontrib>Willich, S N</creatorcontrib><creatorcontrib>Keil, T</creatorcontrib><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krist, L</au><au>Dornquast, C</au><au>Reinhold, T</au><au>Solak, S</au><au>Durak, M</au><au>Icke, K</au><au>Danquah, I</au><au>Becher, H</au><au>Willich, S N</au><au>Keil, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Own migration experience is not a risk factor for incident cardiovascular disease – a cohort study</atitle><jtitle>European journal of public health</jtitle><date>2020-09-01</date><risdate>2020</risdate><volume>30</volume><issue>Supplement_5</issue><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Abstract Background Studies have shown differences regarding prevalence and incidence of chronic diseases among first (own migration experience) compared to second (born in host country) generation migrants. The aim of this study was therefore to investigate the incidence of cardiovascular diseases (CVD) among persons of Turkish descent with and without migration experience living in Berlin, Germany. Methods In 2012-2013, Berliners with a Turkish migration background were recruited, examined, and contacted again 5 years later via postal mail. Incidence of diagnosed CVD (myocardial infarction, stroke, coronary heart disease, heart failure, cardiac arrhythmia, intermittent claudicatio or transient ischaemic attack) was assessed via self-report. Incidence of any CVD is presented as number and percentages. Associations between the incidence of any CVD and having an own migration experience were investigated with uni- and multivariable regression analyses. Results are presented as odds ratios with a 95%-confidence interval (OR, 95%-CI). Results Data of 234 persons of Turkish descent (62.8% women) with a mean age±standard deviation of 44±12.4 years were included in the analyses. Out of these, 79.9% were first generation migrants. First compared to second generation participants differed regarding CVD incidence (any CVD 16.6% vs. 4.3%, respectively; p = 0.03), socio-demographic, and lifestyle factors. After adjusting for these factors, multivariable analysis showed that only BMI (OR 1.12 per BMI point, 95%CI [1.02;1.24], and having a diagnosis of dyslipidemia (OR 4.0, 95%CI [1.45;12.05]), were independently associated with CVD incidence. Conclusions In a cohort study with Berliners of Turkish descent, CVD incidence was associated with increasing BMI and dyslipidemia, but not with own migration experience. Future migration-related public health research needs to focus on the prevention of harmful health behaviours to avoid the progression of overweight/obesity and dyslipidemia. Key messages CVD incidence is higher in persons with migration experience compared to those without. Migration experience is not associated with CVD incidence after adjusting for confounders (e.g. age, BMI).</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/eurpub/ckaa166.733</doi><oa>free_for_read</oa></addata></record>
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subjects Arrhythmia
Body weight
Cardiovascular disease
Cardiovascular diseases
Cerebral infarction
Chronic illnesses
Cohort analysis
Confidence intervals
Congestive heart failure
Coronary artery disease
Descent
Dyslipidemia
Health research
Heart diseases
Metabolic disorders
Migrants
Migration
Myocardial infarction
Obesity
Overweight
Prevention
Public health
Regression analysis
Risk analysis
Risk factors
Statistical analysis
Transient ischemic attack
title Own migration experience is not a risk factor for incident cardiovascular disease – a cohort study
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