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Comparison of Framingham 10-year cardiovascular risks in Sweden- and foreign-born primary health care patients in Sweden

Taloyan, Marina ; Wågström, Victor ; Steiner, Kristin Hjörleifdottir ; Yarbakht, Danial ; Östenson, Claes-Göran ; Salminen, Helena

BMC public health, 2023-03, Vol.23 (1), p.543-543, Article 543 [Periódico revisado por pares]

England: BioMed Central Ltd

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Título:
Comparison of Framingham 10-year cardiovascular risks in Sweden- and foreign-born primary health care patients in Sweden
Autor: Taloyan, Marina ; Wågström, Victor ; Steiner, Kristin Hjörleifdottir ; Yarbakht, Danial ; Östenson, Claes-Göran ; Salminen, Helena
Assuntos: Alcohol ; Blood pressure ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular risk factors ; Coefficients ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus ; Diagnosis ; Education ; Emigrants and Immigrants ; Evaluation ; Exercise ; Female ; Framingham risk score ; Health care ; Health risks ; Heart Disease Risk Factors ; High density lipoprotein ; Humans ; Immigrants ; Low density lipoprotein ; Medicin och hälsovetenskap ; Middle Aged ; Minority & ethnic groups ; Mortality ; Normal distribution ; Patients ; Physical fitness ; Primary care ; Primary Health Care ; Public health ; Region of birth ; Risk Factors ; Smoking ; Sweden ; Sweden - epidemiology ; Variables ; Women
É parte de: BMC public health, 2023-03, Vol.23 (1), p.543-543, Article 543
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Descrição: The prevalence of cardiovascular disease around the world varies by ethnicity and region of birth. Immigrants living in Sweden may have a higher prevalence of cardiovascular diseases than native-born Swedes, but little is known about their actual cardiovascular risk. This study aimed to examine the relationship in Sweden between 10-year cardiovascular risk and birthplace. This cross-sectional study was based on cardiovascular risk factor data obtained from the 4D Diabetes Project, a Programme 4D subproject in Sweden. Participants were recruited from two primary healthcare centres in Stockholm without a history of diabetes or pre-diabetes. The outcome variable was 10-year cardiovascular risk based on the calculation of a Framingham Risk Score with six risk factors: age, sex, LDL, HDL, BP, diabetes and smoking for each participant. Multiple linear regression was performed to generate β-coefficients for the outcome. There was an average of 8.86% cardiovascular risk over 10 years in Sweden-born participants and a 5.45% 10-year risk in foreign-born, (P < 0.0001). Foreign-born participants were about 10 years younger (mean age 46 years vs. 56 years, P < 0.001), with a significantly higher proportion of smokers (23.9% vs. 13.7%; P = 0.001). To be born in Sweden (with parents born in Sweden) was significantly associated with a 10-year cardiovascular risk in the crude model (β- coefficient = 3.40, 95% CI 2.59-4.22; P < 0.0001) and when adjusted for education and alcohol consumption (β- coefficient = 2.70 95% CI 1.86-3.54; P < 0.0001). Regardless of the birthplace, 10-year cardiovascular risk was lower for those with higher education compared to those with less than 10 years of education. This study found a relationship between 10-year calculated cardiovascular risk and place of birth. Sweden-born participants had a higher association with 10-year cardiovascular risk than foreign-born participants. These results contradict previous reports of higher rates of CVD in residents of Middle-Eastern countries and Middle-Eastern immigrants living in Sweden.
Editor: England: BioMed Central Ltd
Idioma: Inglês

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Comparison of Framingham 10-year cardiovascular risks in Sweden- and foreign-born primary health care patients in Sweden

Taloyan, Marina ; Wågström, Victor ; Steiner, Kristin Hjörleifdottir ; Yarbakht, Danial ; Östenson, Claes-Göran ; Salminen, Helena

England: BioMed Central Ltd

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