Africans Who Arrive in the United States before 20 Years of Age Maintain Both Cardiometabolic Health and Cultural Identity: Insight from the Africans in America Study.

Africans Who Arrive in the United States before 20 Years of Age Maintain Both Cardiometabolic Health and Cultural Identity: Insight from the Africans in America Study.
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DOI:
10.3390/ijerph17249405
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发表时间:
2020-12-15
影响因子:
--
通讯作者:
Sumner AE
Sumner AE
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Shoup EM;Hormenu T;Osei-Tutu NH;Ishimwe MCS;Patterson AC;DuBose CW;Wentzel A;Horlyck-Romanovsky MF;Sumner AE

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总体共识是,年龄<20岁来到美国的外国出生的成年人取得了经济成功,但会出现不良行为(吸烟和饮酒),导致心脏代谢健康状况比年龄≥20岁的移民更差。移民年龄是否影响生活在美国的非洲出生的黑人的健康尚不清楚。我们的目标是检查文化认同、行为和社会经济因素,并确定 20 岁前后移民到美国的非洲人的心脏代谢健康是否存在差异。在美国非洲人队列的 482 名参与者中(年龄:38 ± 1(平均值 ± 标准误差),范围:20-65 岁),23% (111/482) 到达年龄 < 20 岁,77% (371/482) 到达年龄 ≥ 20 岁。无论法语国家或非洲原籍地区如何,移民年龄 < 20 岁的非洲人与移民年龄 ≥ 20 岁的非洲人相比,具有相似或更好的心脏代谢健康状况。大多数移民年龄<20岁的非洲人被认为是非洲人,配偶在非洲出生,锻炼身体,没有采取不良健康行为,并实现了早期移民的优势,例如接受美国大学教育。由于美国文化认同的维护和机会的实现,20 岁之前移民的非洲人的心脏代谢健康可能会受到保护。简而言之,移民健康研究必须认识到外国出生社区和移民年龄的多样性。
The overall consensus is that foreign-born adults who come to America age < 20 y achieve economic success but develop adverse behaviors (smoking and drinking) that lead to worse cardiometabolic health than immigrants who arrive age ≥ 20 y. Whether age of immigration affects the health of African-born Blacks living in America is unknown. Our goals were to examine cultural identity, behavior, and socioeconomic factors and determine if differences exist in the cardiometabolic health of Africans who immigrated to America before and after age 20 y. Of the 482 enrollees (age: 38 ± 1 (mean ± SE), range: 20–65 y) in the Africans in America cohort, 23% (111/482) arrived age < 20 y, and 77% (371/482) arrived age ≥ 20 y. Independent of francophone status or African region of origin, Africans who immigrated age < 20 y had similar or better cardiometabolic health than Africans who immigrated age ≥ 20 y. The majority of Africans who immigrated age < 20 y identified as African, had African-born spouses, exercised, did not adopt adverse health behaviors, and actualized early life migration advantages, such as an American university education. Due to maintenance of cultural identity and actualization of opportunities in America, cardiometabolic health may be protected in Africans who immigrate before age 20. In short, immigrant health research must be cognizant of the diversity within the foreign-born community and age of immigration.
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