Stag D van Laer1, Marieke B Snijder2,3, Charles Agyemang2, Ron Jg Peters4, Bert-Jan H van den Born1,2. 1. 1 Department of Internal and Vascular Medicine, Academic Medical Center, the Netherlands. 2. 2 Department of Public Health, Amsterdam Public Health Research Institute, the Netherlands. 3. 3 Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam Public Health Research Institute, the Netherlands. 4. 4 Department of Cardiology, Academic Medical Center, the Netherlands.
Abstract
AIMS: There are important ethnic differences in the prevalence of hypertension and hypertension-mediated cardiovascular complications, but there is ongoing debate on the nature of these differences. We assessed the contribution of lifestyle, socio-economic and psychosocial variables to ethnic differences in hypertension prevalence. METHODS: We used cross-sectional data from the Healthy Life In an Urban Setting (HELIUS) study, including 21,520 participants aged 18-70 years of South-Asian Surinamese ( n = 3032), African Surinamese ( n = 4124), Ghanaian ( n = 2331), Turkish ( n = 3594), Moroccan ( n = 3891) and Dutch ( n = 4548) ethnic origin. Ethnic differences in hypertension prevalence rates were examined using logistic regression models. RESULTS: After adjustment for a broad range of variables, significant higher hypertension prevalence compared to the Dutch population remained in Ghanaian men (odds ratio 2.62 (95% confidence interval 2.14-3.22)) and women (4.16 (3.39-5.12)), African Surinamese men (1.62 (1.37-1.92)) and women (2.70 (2.29-3.17)) and South-Asian Surinamese men (1.22 (1.15-1.46)) and women (1.84 (1.53-2.22)). In contrast, Turkish men (0.72 (0.60-0.87)) and Moroccan men (0.50 (0.41-0.61)) and women (0.57 (0.46-0.71)) had a lower hypertension prevalence compared with the Dutch population. The differences in hypertension prevalence were present across different age groups and persisted after stratification for body mass index and waist-to-hip ratio. CONCLUSION: Large ethnic differences in hypertension prevalence exist that are already present in young adulthood. Adjustment for common variables known to be associated with a higher risk of hypertension explained the higher adjusted prevalence rates among Turks and Moroccans, but not in African and South-Asian descent populations who remained to have a higher rate of hypertension compared to the Dutch host population.
AIMS: There are important ethnic differences in the prevalence of hypertension and hypertension-mediated cardiovascular complications, but there is ongoing debate on the nature of these differences. We assessed the contribution of lifestyle, socio-economic and psychosocial variables to ethnic differences in hypertension prevalence. METHODS: We used cross-sectional data from the Healthy Life In an Urban Setting (HELIUS) study, including 21,520 participants aged 18-70 years of South-Asian Surinamese ( n = 3032), African Surinamese ( n = 4124), Ghanaian ( n = 2331), Turkish ( n = 3594), Moroccan ( n = 3891) and Dutch ( n = 4548) ethnic origin. Ethnic differences in hypertension prevalence rates were examined using logistic regression models. RESULTS: After adjustment for a broad range of variables, significant higher hypertension prevalence compared to the Dutch population remained in Ghanaian men (odds ratio 2.62 (95% confidence interval 2.14-3.22)) and women (4.16 (3.39-5.12)), African Surinamese men (1.62 (1.37-1.92)) and women (2.70 (2.29-3.17)) and South-Asian Surinamese men (1.22 (1.15-1.46)) and women (1.84 (1.53-2.22)). In contrast, Turkish men (0.72 (0.60-0.87)) and Moroccan men (0.50 (0.41-0.61)) and women (0.57 (0.46-0.71)) had a lower hypertension prevalence compared with the Dutch population. The differences in hypertension prevalence were present across different age groups and persisted after stratification for body mass index and waist-to-hip ratio. CONCLUSION: Large ethnic differences in hypertension prevalence exist that are already present in young adulthood. Adjustment for common variables known to be associated with a higher risk of hypertension explained the higher adjusted prevalence rates among Turks and Moroccans, but not in African and South-Asian descent populations who remained to have a higher rate of hypertension compared to the Dutch host population.
Entities:
Keywords:
Healthy Life In an Urban Setting; Hypertension; ethnicity; obesity; prevalence
Authors: Felix P Chilunga; Liza Coyer; Didier Collard; Tjalling Leenstra; Henrike Galenkamp; Charles Agyemang; Maria Prins; Karien Stronks Journal: Int J Public Health Date: 2022-05-11 Impact factor: 5.100
Authors: Wilco Perini; Marieke B Snijder; Charles Agyemang; Ron Jg Peters; Anton E Kunst; Irene Gm van Valkengoed Journal: Eur J Prev Cardiol Date: 2019-07-25 Impact factor: 7.804
Authors: Aletta E Schutte; Philimon N Gona; Christian Delles; Aletta S Uys; Adele Burger; Catharina Mc Mels; Ruan Kruger; Wayne Smith; Carla Mt Fourie; Shani Botha; Leandi Lammertyn; Johannes M van Rooyen; Lebo F Gafane-Matemane; Gontse G Mokwatsi; Yolandi Breet; H Salome Kruger; Tertia van Zyl; Marlien Pieters; Lizelle Zandberg; Roan Louw; Sarah J Moss; Itumeleng P Khumalo; Hugo W Huisman Journal: Eur J Prev Cardiol Date: 2019-01-06 Impact factor: 7.804
Authors: Barbara J H Verhaar; Didier Collard; Andrei Prodan; Johannes H M Levels; Aeilko H Zwinderman; Fredrik Bäckhed; Liffert Vogt; Mike J L Peters; Majon Muller; Max Nieuwdorp; Bert-Jan H van den Born Journal: Eur Heart J Date: 2020-11-21 Impact factor: 29.983