Diabetes and acculturation in African immigrants to the United States: analysis of the 2010–2017 National Health Interview Survey (NHIS)

Mukaz, Debora Kamin; Melby, Melissa K.; Papas, Mia A.; Setiloane, Kelebogile; Nmezi, Nwakaego A; Commodore‐Mensah, Yvonne

doi:10.1080/13557858.2020.1820958

Cited by 10 publications

(14 citation statements)

References 30 publications

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“…Data for all participants were available for five variables which were dichotomized: education (college graduation rate), income (≥40 k/year), smoking (Yes or No in the last year), alcohol intake (one or more drinks per week vs. less than once per week), and marital status. Marital status was defined as partnered (married or living with partner) or not partnered (never married, separated, divorced, or widowed) [ 4 ]. For duration of residence in the United States, data were missing for four individuals ( n = 478).…”

Section: Methodsmentioning

confidence: 99%

“…3 Variables used to calculate CVD-Risk. 4 Married or living with partner (category includes: never married, separated, divorced, widowed). 5 IPAQ Category (Moderate or High) vs. (Low).…”

Section: Cultural Identitymentioning

confidence: 99%

“…In adapting to life in the United States, African immigrants have to face many challenges, including the transition from a majority to a minority population and racial discrimination [ 1 , 3 , 4 ]. In short, international migration has both physiologic and psychological consequences and the potential to adversely affect cardiometabolic health [ 3 , 4 , 5 , 6 , 7 , 8 ]. Cardiometabolic health encompasses obesity, diabetes, dyslipidemia, and cardiovascular disease (CVD).…”

Section: Introductionmentioning

confidence: 99%

“…While data on the health of African immigrants are scant and largely limited to self-report [ 4 , 10 ], extensive data on Hispanic immigrants are available [ 5 , 6 , 11 , 12 , 13 ]. Hispanic immigrants who arrive in the United States before age twenty are more likely to achieve English-proficiency, higher education, and economic prosperity than older immigrants [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…For continuous variables, multiple regression were done to adjust for age, for categorical variables chi-square analyses were performed 3. Variables used to calculate CVD-Risk 4. Married or living with partner (alternative category: never married, separated, divorced, widowed) 5.…”

mentioning

confidence: 99%

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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

Shoup

Hormenu

Osei-Tutu

et al. 2020

IJERPH

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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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Section: Methodsmentioning

confidence: 99%

“…3 Variables used to calculate CVD-Risk. 4 Married or living with partner (category includes: never married, separated, divorced, widowed). 5 IPAQ Category (Moderate or High) vs. (Low).…”

Section: Cultural Identitymentioning

confidence: 99%