All-Cause, Cardiovascular, and Stroke Mortality Among Foreign-Born Versus US-Born Individuals of African Ancestry.

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Tytuł:: All-Cause, Cardiovascular, and Stroke Mortality Among Foreign-Born Versus US-Born Individuals of African Ancestry.
Autorzy:: Looti AL; Department of Neurology Penn State University, Hershey Medical Center Hershey PA USA.
Ovbiagele B; Department of Neurology University of California San Francisco CA USA.
Markovic D; Department of Biomathematics University of California at Los Angeles Los Angeles CA USA.
Towfighi A; Department of Neurology University of Southern California Los Angeles CA USA.; Los Angeles County Department of Health Services Los Angeles CA USA.
Źródło:: Journal of the American Heart Association [J Am Heart Assoc] 2023 May 02; Vol. 12 (9), pp. e026331. Date of Electronic Publication: 2023 Apr 29.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: Oxford : Wiley-Blackwell
MeSH Terms:: Black People*/ethnology
Black People*/statistics & numerical data
Emigrants and Immigrants*/statistics & numerical data
Stroke*/ethnology
Stroke*/mortality
Cardiovascular Diseases*/ethnology
Cardiovascular Diseases*/mortality
Humans ; Diabetes Mellitus ; Ethnicity/statistics & numerical data ; United States/epidemiology ; Cause of Death ; Black or African American/statistics & numerical data
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Contributed Indexing:: Keywords: African ancestry; US; migration; mortality; stroke
Entry Date(s):: Date Created: 20230429 Date Completed: 20230510 Latest Revision: 20230912
Update Code:: 20240105
PubMed Central ID:: PMC10227213
DOI:: 10.1161/JAHA.122.026331
PMID:: 37119071
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Background Little is known about the effect of region of origin on all-cause mortality, cardiovascular mortality, and stroke mortality among Black individuals. We examined associations between nativity and mortality (all-cause, cardiovascular, and stroke) in Black individuals in the United States. Methods and Results Using the National Health Interview Service 2000 to 2014 data and mortality-linked files through 2015, we identified participants aged 25 to 74 years who self-identified as Black (n=64 717). Using a Cox regression model, we examined the association between nativity and all-cause, cardiovascular, and stroke mortality. We recorded 4329 deaths (205 stroke and 932 cardiovascular deaths). In the model adjusted for age and sex, compared with US-born Black individuals, all-cause (hazard ratio [HR], 0.44 [95% CI, 0.37-0.53]) and cardiovascular mortality (HR, 0.66 [95% CI, 0.44-0.87]) rates were lower among Black individuals born in the Caribbean, South America, and Central America, but stroke mortality rates were similar (HR, 1.01 [95% CI, 0.52-1.94]). African-born Black individuals had lower all-cause mortality (HR, 0.43 [95% CI, 0.27-0.69]) and lower cardiovascular mortality (HR, 0.42 [95% CI, 0.18-0.98]) but comparable stroke mortality (HR, 0.48 [95% CI, 0.11-2.05]). When the model was further adjusted for education, income, smoking, body mass index, hypertension, and diabetes, the difference in mortality between foreign-born Black individuals and US-born Black individuals was no longer significant. Time since migration did not significantly affect mortality outcomes among foreign-born Black individuals. Conclusions In the United States, foreign-born Black individuals had lower all-cause mortality, a difference that was observed in recent and well-established immigrants. Foreign-born Black people had age- and sex-adjusted lower cardiovascular mortality than US-born Black people.

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