The Trend of Cardiovascular Disease in Immigrants in Sweden

Gadd, Malin; Johansson, Sven‐Erik; Sundquist, Jan; Wändell, Per

doi:10.1007/s10654-005-1047-2

Cited by 36 publications

(26 citation statements)

References 20 publications

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“…It has been reported that no decline in morbidity in CVD and CHD during the 1990s was present in immigrants in Sweden [6] but this concerned a relatively short period of time.…”

Section: Introductionmentioning

confidence: 94%

Acute myocardial infarction incidence in immigrants to Sweden. Country of birth, time since immigration, and time trends over 20 years

2007

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This study investigates incidence of first acute myocardial infarction (MI) among foreign born persons in Sweden using case control methods, taking into consideration country of birth, gender, socio-economic group and time since immigration and evaluates if the decreasing incidence of MI in Sweden during the study period was also present in immigrants. The study base consisted of persons 30-74 years of age in Stockholm County 1977-96. All incident cases of first acute MI in the study population were identified using registers of hospital discharges and deaths. Controls were selected randomly from the study base and the sampling fractions were known, enabling estimates of person time at risk. Foreign born subjects had a higher incidence of MI than subjects born in Sweden (men RR[Relative risk]=1,17; 95% CI 1,13-1,21; women RR = 1,15; 95% CI 1,09-1,21) after adjustment for calendar year, age and socio-economic group. An increased incidence was present primarily in subjects born in Finland, other Nordic countries, Poland, Turkey, Syria and South Asia in both genders, from the Netherlands among men and from Iraq among women and was still present after more than 20 years in Sweden. The incidence rate of MI 1977-96 among foreign born persons followed the general decline in the Swedish population. We conclude that foreign born persons in Sweden have an increased incidence of first MI which persists several years after immigration and is not explained by socio-economic differences. It is likely that this to an important extent has a background in factors in the country of origin.

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“…It has been reported that no decline in morbidity in CVD and CHD during the 1990s was present in immigrants in Sweden [6] but this concerned a relatively short period of time.…”

Section: Introductionmentioning

confidence: 94%

Acute myocardial infarction incidence in immigrants to Sweden. Country of birth, time since immigration, and time trends over 20 years

2007

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“…23,25 Additional information about the design of these studies is included in Supplemental Table S2. AMI, acute myocardial infarction; py, person-years.…”

Section: Immigrants Vs Host Populationsmentioning

confidence: 99%

The Risk of Ischemic Heart Disease and Stroke Among Immigrant Populations: A Systematic Review

Sohail

Chu

Rezai

et al. 2015

Canadian Journal of Cardiology

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“…European studies have shown that mortality and the incidence of cardiovascular disease vary by ethnic group [2][3][4][5]. A large Danish register-based study found that hospital services related to cardiovascular disease also vary between the nine largest ethnic groups from non-western countries [6].…”

Section: Introductionmentioning

confidence: 99%

Do immigrants from Turkey, Pakistan and Yugoslavia receive adequate medical treatment with beta-blockers and statins after acute myocardial infarction compared with Danish-born residents? A register-based follow-up study

Hempler

Diderichsen

Larsen

et al. 2010

Eur J Clin Pharmacol

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Purpose We undertook a study investigating whether immigrants from Turkey, Pakistan and Yugoslavia received adequate medical treatment with beta-blockers and statins after acute myocardial infarction (AMI) when compared with Danish-born residents and explored whether associations between patient origin and medical treatment were mediated by socioeconomic status (SES). Methods This register-based follow-up study consisted of individuals >17 years of age, admitted to hospital with AMI between 2001 and 2005 (n=25 443). Danish-born residents were compared with immigrants from Turkey, Pakistan and Yugoslavia. Individuals were identified by civil registration number, and data were obtained through linkage to the national registers of hospitalisations and drug prescriptions. Odds of initiating treatment and hazard ratios (HR) of terminating treatment were estimated. Mediators such as income and employment were included in the models. Results Pakistanis were less likely than Danish-born residents to initiate treatment with beta-blockers after AMI [odds ratio 0.52; 95% confidence interval (CI) 0.34-0.80]. Immigrants from Turkey (HR 1.36; 95% CI 1.07-1.73) and Pakistan (HR 1.59; 95% CI 1.21-2.08) were more likely to terminate treatment with beta-blockers before being recommended to do so. Estimates did not change markedly when income and education were included in the models. Conclusions The results of this study suggest that immigrants from Pakistan and Turkey do not receive adequate medical treatment with beta-blockers after a first AMI compared with Danish-born residents. Mediators such as income and employment may not be sufficient indicators of SES when the effect of patient origin on medical treatment is explored. A lower SES of immigrants, communication problems between doctor and patient and doctors' attitudes towards immigrants may explain ethnic differences in medical treatment after AMI.

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The Trend of Cardiovascular Disease in Immigrants in Sweden

Cited by 36 publications

References 20 publications

Acute myocardial infarction incidence in immigrants to Sweden. Country of birth, time since immigration, and time trends over 20 years

Acute myocardial infarction incidence in immigrants to Sweden. Country of birth, time since immigration, and time trends over 20 years

The Risk of Ischemic Heart Disease and Stroke Among Immigrant Populations: A Systematic Review

Do immigrants from Turkey, Pakistan and Yugoslavia receive adequate medical treatment with beta-blockers and statins after acute myocardial infarction compared with Danish-born residents? A register-based follow-up study

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