The Cardiometabolic Health of African Immigrants in High-Income Countries: A Systematic Review.
The Cardiometabolic Health of African Immigrants in High-Income Countries: A Systematic Review.
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DOI：
10.3390/ijerph19137959
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发表时间：
2022-06-29
影响因子：
--
通讯作者：
Commodore-Mensah, Yvonne
中科院分区：
文献类型：
--
作者：
Mensah, Danielle;Ogungbe, Oluwabunmi;Turkson-Ocran, Ruth-Alma N.;Onuoha, Chioma;Byiringiro, Samuel;Nmezi, Nwakaego A.;Mannoh, Ivy;Wecker, Elisheva;Madu, Ednah N.;Commodore-Mensah, Yvonne
近几十年来，高收入国家的非洲移民人数大幅增加。然而，这一人群的心脏代谢健康状况仍然没有得到很好的检查。因此，我们进行了一项系统的回顾，以检查居住在HICs中的撒哈拉以南非洲移民心脏代谢危险因素的流行率。通过搜索PubMed、Embase、CINAHL、Cochrane、Scope us和Web of Science等电子数据库确定了截至2021年7月的研究。心脏代谢危险因素患病率的数据被提取并以叙述性形式合成，还进行了汇集比例的荟萃分析。在8655条独特记录中，有35条报告了非洲移民的具体非洲原籍国的数据。我们观察到非洲来源国和HIC在心脏代谢危险因素负担上的异质性。最常见的危险因素是高血压(27%，范围：6-55%)、超重/肥胖(59%，范围：13-91%)和血脂异常(29%，范围：11-77.2%)。糖尿病的合并患病率为11%(范围为5-17%)，吸烟的合并患病率为7%(范围为0.7-14.8%)。很少有研究检查肾脏疾病、高脂血症和诊断心脏代谢性疾病。需要改变政策和采取有效的干预措施，以改善非洲移民的心脏代谢健康，改善获得和利用护理的机会，并促进健康公平。
In recent decades, the number of African immigrants in high-income countries (HICs) has increased significantly. However, the cardiometabolic health of this population remains poorly examined. Thus, we conducted a systematic review to examine the prevalence of cardiometabolic risk factors among sub-Saharan African immigrants residing in HICs. Studies were identified through searches in electronic databases including PubMed, Embase, CINAHL, Cochrane, Scopus, and Web of Science up to July 2021. Data on the prevalence of cardiometabolic risk factors were extracted and synthesized in a narrative format, and a meta-analysis of pooled proportions was also conducted. Of 8655 unique records, 35 articles that reported data on the specific African countries of origin of African immigrants were included in the review. We observed heterogeneity in the burden of cardiometabolic risk factors by African country of origin and HIC. The most prevalent risk factors were hypertension (27%, range: 6–55%), overweight/obesity (59%, range: 13–91%), and dyslipidemia (29%, range: 11–77.2%). The pooled prevalence of diabetes was 11% (range: 5–17%), and 7% (range: 0.7–14.8%) for smoking. Few studies examined kidney disease, hyperlipidemia, and diagnosed cardiometabolic disease. Policy changes and effective interventions are needed to improve the cardiometabolic health of African immigrants, improve care access and utilization, and advance health equity.
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影响因子：
1.8
作者：
Gele AA;Mbalilaki AJ
通讯作者：
Mbalilaki AJ
影响因子：
3.5
作者：
Agyemang, Charles;Kieft, Suzanne;Stronks, Karien
通讯作者：
Stronks, Karien
影响因子：
3.2
作者：
Agyemang, Charles;Owusu-Dabo, Ellis;Stronks, Karien
通讯作者：
Stronks, Karien
影响因子：
3.5
作者：
Goosen, S.;Middelkoop, B.;Kunst, A. E.
通讯作者：
Kunst, A. E.
影响因子：
6.1
作者：
Adjei, David N.;Stronks, Karien;Agyemang, Charles
通讯作者：
Agyemang, Charles