Per Wändell1, Axel C Carlsson1, Xinjun Li2, Danijela Gasevic3,4, Johan Ärnlöv1,5, Martin J Holzmann6,7, Jan Sundquist2,8,9, Kristina Sundquist2,8,9. 1. a Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Huddinge , Sweden. 2. b Center for Primary Health Care Research , Lund University , Malmö , Sweden. 3. c Usher Institute of Population Health Sciences and Informatics, College of Medicine and Veterinary Medicine , University of Edinburgh , Edinburgh , UK. 4. d School of Public Health and Preventive Medicine , Monash University , Melbourne , Australia. 5. e School of Health and Social Studies , Dalarna University , Falun , Sweden. 6. f Functional Area of Emergency Medicine , Karolinska University Hospital , Stockholm , Sweden. 7. g Department of Internal Medicine Solna , Karolinska Institutet , Stockholm , Sweden. 8. h Department of Family Medicine and Community Health, Department of Population Health Science and Policy , Icahn School of Medicine at Mount Sinai , New York , NY , USA. 9. i Center for Community-based Healthcare Research and Education (CoHRE), Department of Functional Pathology, School of Medicine , Shimane University , Matsue , Japan.
Abstract
OBJECTIVE: An increased risk of being diagnosed with coronary heart disease or atrial fibrillation has been shown among different immigrant groups. However, less is known on the risk of being diagnosed with congestive heart failure (CHF). DESIGN: We studied CHF in immigrants including all adults ≥45 years in Sweden (n = 3,274,119) from 1998 to 2012. CHF was defined as at the first event registered in the National Patient Register. Risk of incident CHF in immigrant groups compared to the Swedish-born population was assessed by Cox regression, stratified by sex, adjusting for age, socio-demographic status, and co-morbidities. RESULTS: During a mean follow-up of 14 years in total, a total of 302,340 (9.2%) events of CHF were registered. We found the following: higher incidence in men from Bosnia, Iraq, Lebanon, Russia and Africa; among women from Bosnia, Iraq, Lebanon, Turkey, Central Europe and Finland; lower incidence in men from Iceland, Latin America, Southern Europe, Norway and Western Europe; and among women from Iceland, Southern Europe, Norway, Denmark and Western Europe. CONCLUSION: It is important to be aware of the increased incidence of CHF in some immigrant groups, especially from countries and areas where the immigrants have been refugees, in order to enable for a timely diagnosis, treatment of and prevention of CHF and its debilitating complications.
OBJECTIVE: An increased risk of being diagnosed with coronary heart disease or atrial fibrillation has been shown among different immigrant groups. However, less is known on the risk of being diagnosed with congestive heart failure (CHF). DESIGN: We studied CHF in immigrants including all adults ≥45 years in Sweden (n = 3,274,119) from 1998 to 2012. CHF was defined as at the first event registered in the National Patient Register. Risk of incident CHF in immigrant groups compared to the Swedish-born population was assessed by Cox regression, stratified by sex, adjusting for age, socio-demographic status, and co-morbidities. RESULTS: During a mean follow-up of 14 years in total, a total of 302,340 (9.2%) events of CHF were registered. We found the following: higher incidence in men from Bosnia, Iraq, Lebanon, Russia and Africa; among women from Bosnia, Iraq, Lebanon, Turkey, Central Europe and Finland; lower incidence in men from Iceland, Latin America, Southern Europe, Norway and Western Europe; and among women from Iceland, Southern Europe, Norway, Denmark and Western Europe. CONCLUSION: It is important to be aware of the increased incidence of CHF in some immigrant groups, especially from countries and areas where the immigrants have been refugees, in order to enable for a timely diagnosis, treatment of and prevention of CHF and its debilitating complications.
Entities:
Keywords:
Congestive heart failure; first generation immigrants; gender; neighborhood; second generation immigrants; socio-economic status
Authors: Per Wändell; Axel C Carlsson; Xinjun Li; Danijela Gasevic; Johan Ärnlöv; Jan Sundquist; Kristina Sundquist Journal: Am J Nephrol Date: 2019-02-01 Impact factor: 3.754