Social determinants and risk factors for non-communicable diseases (NCDs) in South Asian migrant populations in Europe

Davies, Anita; Blake, Carolyn; Dhavan, Poonam

doi:10.1007/s10308-011-0291-1

Cited by 20 publications

(11 citation statements)

References 26 publications

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“…Ethnic minority groups, women, and those of lower socioeconomic status in the UK are known to have higher morbidity and premature mortality from CVD [ 7 ] and other chronic diseases than white European populations [ 7 ]. SA women in the UK are a group known to be affected by all of these factors [ 3 , 8 ]. In the UK, 33% of all mortality in SA in 2008 was caused by CVD [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Objectively measured physical activity and sedentary time in south Asian women: a cross-sectional study

Curry

Thompson

2014

BMC Public Health

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BackgroundSouth Asian (SA) women in the United Kingdom (UK) are known to be at high risk for developing chronic diseases, and to have low levels of physical activity (PA). Increasing levels of PA and reducing sedentary time (ST) are recognized as factors to target in an effort to curb chronic disease morbidity and mortality. There is limited evidence documenting objectively measured PA/ST and their correlates in SA women. Therefore the purpose of this cross-sectional study was to objectively measure and report patterns of PA/ST among SA women in the UK and examine potential socio-demographic correlates of PA/ST.Methods140 UK SA women (Pakistani and Bangladeshi) wore an accelerometer for 7 consecutive days. Anthropometric measurements and self-reported socio-demographic information were taken.ResultsMean daily moderate-to-vigorous PA (MVPA) was 34.66 ± 21.52 minutes and mean daily ST was 530.20 ± 81.76 minutes, with an inverse correlation (r = -.270, N = 140, p < .001) showing that higher ST was associated with lower MVPA. The same was seen for light intensity PA (LPA) (r = -.610, N = 140, p < .001). MVPA was significantly higher for younger women (18–64.5 yrs), with 64.7% of older women (≥65 yrs) failing to meet PA guidelines (t = 3.101, p < 0.05). Overweight/obese women had lower levels of LPA, MVPA and higher ST (p < .001). Multiple linear regression analyses indicated 14.9% of the variance in MVPA was explained by age and waist circumference (F(2,138) = 6.41, p < 0.002). LPA and ST were significantly higher on weekend days than weekdays (p < .001), and MVPA was significantly higher on weekdays than weekend days.ConclusionsResults indicate higher levels of PA in this sample than previously assumed. High levels of LPA in this sample indicate the need for health promotion interventions to target not only duration, but also intensity of activity in this population to achieve PA recommendations.

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Section: Introductionmentioning

confidence: 99%

Objectively measured physical activity and sedentary time in south Asian women: a cross-sectional study

Curry

Thompson

2014

BMC Public Health

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“…The AIPA population is at increased risk for cancer and other preventable diseases due to the effect of migration on lifestyle and sociocultural determinants of health. 4 The incidence of breast cancer, which is amenable to screening and early detection, is increasing among AIPA women. 5 Few studies have examined the characteristics of breast tumors in AIPA.…”

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confidence: 99%

Breast cancer among Asian Indian and Pakistani Americans: A surveillance, epidemiology and end results‐based study

Satagopan

Stroup

Kinney

et al. 2020

Intl Journal of Cancer

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Breast cancer incidence is increasing among Asian Indian and Pakistani women living in the United States. We examined the characteristics of breast cancer in Asian Indian and Pakistani American (AIPA) and non‐Hispanic white (NHW) women using data from the surveillance, epidemiology and end results (SEER) program. Breast cancer incidence rates were estimated via segmented Poisson regression using data between 1990 and 2014 from SEER 9 registries, including New Jersey and California. Disease characteristics, treatment and survival information between 2000 and 2016 for 4900 AIPA and 482 250 NHW cases diagnosed after age 18 were obtained from SEER 18 registries and compared using descriptive analyses and multivariable competing risk proportional hazards regression. Breast cancer incidence was lower in AIPA than NHW women, increased with age and the rate of increase declined after age of 46 years. AIPA women were diagnosed at significantly younger age (mean (SD) = 54.5 (13.3) years) than NHW women (mean (SD) = 62 (14) years, P < .0001) and were more likely than NHW cases (P < .0001) to have regional or distant stage, higher grade, estrogen receptor‐negative, progesterone receptor‐negative, triple‐negative or human epidermal growth factor receptor 2‐enriched tumors, subcutaneous or total mastectomy, and lower cumulative incidence of death due to breast cancer (hazard ratio = 0.79, 95% CI: 0.72‐0.86, P < .0001). AIPA had shorter median follow‐up (52 months) than NHW cases (77 months). Breast cancer in AIPA women has unique characteristics that need to be further studied along with a comprehensive evaluation of their follow‐up patterns.

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“…Its weakness as a predictor of insulin resistance, T2DM and CVD risk factors in South Asians and their migrant compatriots has been well documented [2,27,36,38]. Higher centripetal fat among South Asians is associated with higher susceptibility to NCDs at a BMI ≤ 30 kg/m 2 [24]. Those with a 'normal' BMI, but large WC, may have a two-to threefold higher risk of CVD and premature death [35].…”

Section: Anthropometrymentioning

confidence: 99%

“…Although several authors have documented health inequalities among ethnic minorities, further understanding is needed concerning the interplay of biological, genetic, developmental, socioeconomic, demographic, religious, cultural and behavioural factors [21][22][23][24][25][26][27]. For example, Higgins et al demonstrated a strong association between waist circumference (WC) and ethnicity in the UK, with WC increasing in proportion to migrants' length of residence [3].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for non-communicable diseases related to obesity among first- and second-generation Bangladeshi migrants living in north-east or south-east England

et al. 2021

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Background Obesity is a global burden, which significantly increases the risk of non-communicable diseases (NCDs). More than a quarter of adults in the United Kingdom are obese, but prevalence varies by ethnicity, and South Asians have the largest burden of NCDs. This paper assesses how sex, generation, and region interplay to vary the predisposition to obesity-related (OR) NCDs among UK Bangladeshis. Methods We used National Institute for Health and Care Excellence suggested grading for combining body mass index and waist circumference to define populations at risk of OR-NCDs. Data from 517 adults of Bangladeshi origin from a cross-sectional study (March 2013 to April 2015) were analysed. Male and female participants from London and north-east England were equally sampled including: (1) adult migrants, who came to the UK aged >16 years; (2) child migrants, who came to the UK aged ≤16 years; and (3) second-generation Bangladeshis (who were born and brought up in the UK). A generalised estimating equation using a binomial distribution and a logit link was used to explore the relationship between the binary outcome of being ‘at risk of OR-NCDs’ and associated factors. Results Females, married individuals, those living in London, the second-generation, and those of lower self-assessed financial status, with low acculturation status, or who did not walk daily for at least 20 min were more likely to develop OR-NCDs. A striking sex difference was found with more females prone to OR-NCD risk in the north-east than in London. Conclusions Our study observed important inter- and intra-regional inequality in OR-NCD risk which worsens the health of ethnic minorities and widens inequality.

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Social determinants and risk factors for non-communicable diseases (NCDs) in South Asian migrant populations in Europe

Cited by 20 publications

References 26 publications

Objectively measured physical activity and sedentary time in south Asian women: a cross-sectional study

Objectively measured physical activity and sedentary time in south Asian women: a cross-sectional study

Breast cancer among Asian Indian and Pakistani Americans: A surveillance, epidemiology and end results‐based study

Risk factors for non-communicable diseases related to obesity among first- and second-generation Bangladeshi migrants living in north-east or south-east England

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