ABSTRACT

Objective

To examine the association between social determinants of health, hypertension, and diabetes among African immigrants.

Methods

The African Immigrant Health Study was a cross-sectional study of the health of African immigrants in the Baltimore-Washington Metropolitan Area. The outcomes of interest were self-reported diagnoses of hypertension and diabetes. Logistic regression was used to examine the relationship between educational status, employment, income, social support, health insurance, and self-reported diagnoses of hypertension and diabetes, adjusting for age, sex, and length of stay in the U.S.

Results

A total of 465 participants with mean (±SD) age 47 (±11.5) years were included. Sixty percent were women, 64% had a college degree or higher, 83% were employed, 67% had health insurance, and 70% were married/cohabitating. Over half (60%) of the participants had lived in the United States for ≥ 10 years, and 84% were overweight/obese. The overall prevalence of hypertension and diabetes was 32% and 13%, respectively. The odds of diabetes was higher (aOR: 5.00, 95% CI: 2.13, 11.11) among those who were unemployed than among those who were employed, and the odds of hypertension was higher among those who had health insurance (aOR:1.73, 95% CI: 1.00, 3.00) than among those who did not.

Conclusions

Among African immigrants, those who were unemployed had a higher likelihood of a self-reported diagnosis of diabetes than those who were employed. Also, people who had health insurance were more likely to self-report a diagnosis of hypertension. Additional studies are needed to further understand the influence of social determinants of health on hypertension and diabetes to develop health policies and interventions to improve the cardiovascular health of African immigrants.

中文翻译：

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非洲移民高血压和糖尿病的社会决定因素：非洲移民健康研究

摘要

客观的

研究非洲移民中健康、高血压和糖尿病的社会决定因素之间的关联。

方法

非洲移民健康研究是对巴尔的摩-华盛顿都会区非洲移民健康状况的横断面研究。感兴趣的结果是高血压和糖尿病的自我报告诊断。逻辑回归用于检查教育状况、就业、收入、社会支持、健康保险和自我报告的高血压和糖尿病诊断之间的关系，并根据年龄、性别和在美国的逗留时间进行调整

结果

共纳入 465 名平均 (±SD) 年龄 47 (±11.5) 岁的参与者。60% 是女性，64% 拥有大学或更高学历，83% 有工作，67% 拥有健康保险，70% 已婚/同居。超过一半 (60%) 的参与者在美国生活了 ≥ 10 年，84% 的参与者超重/肥胖。高血压和糖尿病的总体患病率分别为 32% 和 13%。失业者患糖尿病的几率（aOR：5.00, 95% CI：2.13, 11.11）高于在职者，而有医疗保险的人群患高血压的几率更高（aOR:1.73, 95） % CI: 1.00, 3.00) 比那些没有的人。

结论

在非洲移民中，失业者自我报告诊断为糖尿病的可能性高于就业者。此外，拥有健康保险的人更有可能自我报告高血压诊断。需要更多的研究来进一步了解健康的社会决定因素对高血压和糖尿病的影响，以制定健康政策和干预措施，以改善非洲移民的心血管健康。