Ugo Fedeli1, Francesco Avossa2, Eliana Ferroni2, Elena Schievano2, Claudio Bilato3, Pietro Amedeo Modesti4, Maria Chiara Corti2. 1. SER - Epidemiological Department, Veneto Region. Passaggio Gaudenzio 1, 35131 Padova (PD), Italy. Electronic address: ugo.fedeli@regione.veneto.it. 2. SER - Epidemiological Department, Veneto Region. Passaggio Gaudenzio 1, 35131 Padova (PD), Italy. 3. Local Health Unit n. 8, Cardiology Unit, Arzignano. Via del Parco, 1, 36071 Arzignano (VI), Italy. 4. Department of Experimental and Clinical Medicine, University of Florence. Largo Brambilla 3, 50134 Florence, Italy.
Abstract
BACKGROUND: Only fragmentary data are available on the burden of non-communicable diseases among immigrants in Europe, mostly limited to mortality by cause. Aim of the study is to investigate the prevalence of cardiovascular diseases across different immigrant groups in the Veneto Region (North-Eastern Italy). METHODS: The resident population aged 20-59 was classified according to country of citizenship. The Adjusted Clinical Groups System was adopted to identify selected cardiovascular conditions by linkage of Hospital Discharge Records, Emergency Room visits, Chronic disease registry for copayment exemptions, the Home care database, and drugs reimbursed by the Regional Health Service. Age standardized prevalence rates were compared across population groups, and rate ratios (RR) with 95% confidence intervals (CI) were computed taking the Italian population as reference. RESULTS: The prevalence of diabetes was higher across all immigrant groups compared to Italians. Specific risk patterns could be identified associated to different ethnicities: South Asian immigrants were at very high risk of diabetes, dyslipidemia, and ischemic heart disease (males RR 2.3, CI 1.9-2.8; females RR 2.0, CI 1.2-3.5). Immigrants from Africa were affected by high rates of hypertension, cerebrovascular diseases, and heart failure, with a more pronounced unfavorable profile among females (hypertension RR 3.0, CI 2.6-3.3; cerebrovascular diseases RR 1.7, CI 1.1-2.7). CONCLUSIONS: Wide differences in the prevalence of cardiovascular diseases could be detected across immigrant groups. These findings represent a first step towards systematic chronic disease surveillance by ethnicity, a fundamental tool for shaping culturally-tailored prevention strategies.
BACKGROUND: Only fragmentary data are available on the burden of non-communicable diseases among immigrants in Europe, mostly limited to mortality by cause. Aim of the study is to investigate the prevalence of cardiovascular diseases across different immigrant groups in the Veneto Region (North-Eastern Italy). METHODS: The resident population aged 20-59 was classified according to country of citizenship. The Adjusted Clinical Groups System was adopted to identify selected cardiovascular conditions by linkage of Hospital Discharge Records, Emergency Room visits, Chronic disease registry for copayment exemptions, the Home care database, and drugs reimbursed by the Regional Health Service. Age standardized prevalence rates were compared across population groups, and rate ratios (RR) with 95% confidence intervals (CI) were computed taking the Italian population as reference. RESULTS: The prevalence of diabetes was higher across all immigrant groups compared to Italians. Specific risk patterns could be identified associated to different ethnicities: South Asian immigrants were at very high risk of diabetes, dyslipidemia, and ischemic heart disease (males RR 2.3, CI 1.9-2.8; females RR 2.0, CI 1.2-3.5). Immigrants from Africa were affected by high rates of hypertension, cerebrovascular diseases, and heart failure, with a more pronounced unfavorable profile among females (hypertension RR 3.0, CI 2.6-3.3; cerebrovascular diseases RR 1.7, CI 1.1-2.7). CONCLUSIONS: Wide differences in the prevalence of cardiovascular diseases could be detected across immigrant groups. These findings represent a first step towards systematic chronic disease surveillance by ethnicity, a fundamental tool for shaping culturally-tailored prevention strategies.
Authors: Miguel Cainzos-Achirica; Ugo Fedeli; Naveed Sattar; Charles Agyemang; Anne K Jenum; John W McEvoy; Jack D Murphy; Carlos Brotons; Roberto Elosua; Usama Bilal; Alka M Kanaya; Namratha R Kandula; Pablo Martinez-Amezcua; Josep Comin-Colet; Xavier Pinto Journal: Atherosclerosis Date: 2019-05-16 Impact factor: 5.162
Authors: Waqas Haque; Gowtham R Grandhi; Alka M Kanaya; Namratha R Kandula; Khurram Nasir; Mahmoud Al Rifai; S M Iftekhar Uddin; Ugo Fedeli; Naveed Sattar; Roger S Blumenthal; Michael J Blaha; Miguel Cainzos-Achirica Journal: Atherosclerosis Date: 2021-08-23 Impact factor: 6.847
Authors: Mahmoud Al Rifai; Alka M Kanaya; Namratha R Kandula; Miguel Cainzos-Achirica; Jaideep Patel; Matthew Budoff; Michael H Criqui; Michael J Blaha; Salim S Virani Journal: Atherosclerosis Date: 2020-12-07 Impact factor: 5.162