Gender differences in acculturation and cardiovascular disease risk-factor changes among Chinese immigrants in Italy: Evidence from a large population-based cohort
Background: In recent decades, the Chinese presence in Southern Europe has grown rapidly but no data is available on the influence that residing in Mediterranean countries has on Chinese immigrants. In this study, we aim to examine the association between acculturation and cardiovascular risk factor...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772487521000143 |
| _version_ | 1828127113923788800 |
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| author | Pietro Amedeo Modesti Ilaria Marzotti Maria Calabrese Laura Stefani Loira Toncelli Alessandra Modesti Giorgio Galanti Maria Boddi |
| author_facet | Pietro Amedeo Modesti Ilaria Marzotti Maria Calabrese Laura Stefani Loira Toncelli Alessandra Modesti Giorgio Galanti Maria Boddi |
| author_sort | Pietro Amedeo Modesti |
| collection | DOAJ |
| description | Background: In recent decades, the Chinese presence in Southern Europe has grown rapidly but no data is available on the influence that residing in Mediterranean countries has on Chinese immigrants. In this study, we aim to examine the association between acculturation and cardiovascular risk factors among first-generation Chinese immigrants in Italy. Design: Population-based, cross-sectional study. Methods: A sample of 2589 Chinese first-generation immigrants (1599 women and 990 men) living in Prato, Italy, underwent blood pressure measurement, blood tests (with measurement of glucose, cholesterol, and triglycerides), and anthropometric measurements. The influence of length of residence (dependent variable) on hypertension, type 2 diabetes, overweight/obesity, and hyperlipidemia (high cholesterol) (independent variables) was investigated with multivariable logistic regression adjusted for age, sex, education and urban/rural home area in China before migration. Results: Mean age of Chinese participants was 47.2 ± 10.7 years and 61.7% were women. Immigrants residing in Italy for ≥20 years were more likely to be hypertensive [odd ratio (OR) 1.84; 95% confidence interval (CI) 1.33 to 2.59], or diabetic (1.91; 1.26 to 2.86) than those residing in Italy for <10 years. Differently, prevalence of hypercholesterolemia (total cholesterol≥240 mg/dl) was lower in immigrants residing in Italy for ≥20 years than in those with <10 years of residence (0.52; 0.32 to 0.83). The association between indicators of acculturation and cardiovascular risk factors appeared to differ by sex. Conclusion: Acculturation of Chinese immigrants in Italy was associated with hypertension and type 2 diabetes whereas a favorable effect on hypercholesterolemia was observed. |
| first_indexed | 2024-04-11T15:44:22Z |
| format | Article |
| id | doaj.art-1cb7fd842391484c8e8933e0a3c6e126 |
| institution | Directory Open Access Journal |
| issn | 2772-4875 |
| language | English |
| last_indexed | 2024-04-11T15:44:22Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| spelling | doaj.art-1cb7fd842391484c8e8933e0a3c6e1262022-12-22T04:15:36ZengElsevierInternational Journal of Cardiology. Cardiovascular Risk and Prevention2772-48752021-12-0111200112Gender differences in acculturation and cardiovascular disease risk-factor changes among Chinese immigrants in Italy: Evidence from a large population-based cohortPietro Amedeo Modesti0Ilaria Marzotti1Maria Calabrese2Laura Stefani3Loira Toncelli4Alessandra Modesti5Giorgio Galanti6Maria Boddi7Dipartimento di Medicina Sperimentale e Clinica, Universita degli Studi di Firenze, Florence, Italy; Azienda Ospedaliero-Universitaria Careggi, Florence, Italy; Corresponding author. Internal Medicine, University of Florence; Largo Brambilla 3, 50134, Florence, Italy.Dipartimento di Medicina Sperimentale e Clinica, Universita degli Studi di Firenze, Florence, ItalyUO Diabetologia, Ospedale Misericordia e Dolce, Prato, ItalyAzienda Ospedaliero-Universitaria Careggi, Florence, ItalyAzienda Ospedaliero-Universitaria Careggi, Florence, ItalyDipartimento di Scienze Biomediche, Sperimentali e Cliniche Mario Serio, Universita degli Studi di Firenze, Florence, ItalyDipartimento di Medicina Sperimentale e Clinica, Universita degli Studi di Firenze, Florence, Italy; Azienda Ospedaliero-Universitaria Careggi, Florence, ItalyDipartimento di Medicina Sperimentale e Clinica, Universita degli Studi di Firenze, Florence, Italy; Azienda Ospedaliero-Universitaria Careggi, Florence, ItalyBackground: In recent decades, the Chinese presence in Southern Europe has grown rapidly but no data is available on the influence that residing in Mediterranean countries has on Chinese immigrants. In this study, we aim to examine the association between acculturation and cardiovascular risk factors among first-generation Chinese immigrants in Italy. Design: Population-based, cross-sectional study. Methods: A sample of 2589 Chinese first-generation immigrants (1599 women and 990 men) living in Prato, Italy, underwent blood pressure measurement, blood tests (with measurement of glucose, cholesterol, and triglycerides), and anthropometric measurements. The influence of length of residence (dependent variable) on hypertension, type 2 diabetes, overweight/obesity, and hyperlipidemia (high cholesterol) (independent variables) was investigated with multivariable logistic regression adjusted for age, sex, education and urban/rural home area in China before migration. Results: Mean age of Chinese participants was 47.2 ± 10.7 years and 61.7% were women. Immigrants residing in Italy for ≥20 years were more likely to be hypertensive [odd ratio (OR) 1.84; 95% confidence interval (CI) 1.33 to 2.59], or diabetic (1.91; 1.26 to 2.86) than those residing in Italy for <10 years. Differently, prevalence of hypercholesterolemia (total cholesterol≥240 mg/dl) was lower in immigrants residing in Italy for ≥20 years than in those with <10 years of residence (0.52; 0.32 to 0.83). The association between indicators of acculturation and cardiovascular risk factors appeared to differ by sex. Conclusion: Acculturation of Chinese immigrants in Italy was associated with hypertension and type 2 diabetes whereas a favorable effect on hypercholesterolemia was observed.http://www.sciencedirect.com/science/article/pii/S2772487521000143HypertensionType 2 diabetesOverweight or obesityCardiovascular preventionEthnicityHealth policies |
| spellingShingle | Pietro Amedeo Modesti Ilaria Marzotti Maria Calabrese Laura Stefani Loira Toncelli Alessandra Modesti Giorgio Galanti Maria Boddi Gender differences in acculturation and cardiovascular disease risk-factor changes among Chinese immigrants in Italy: Evidence from a large population-based cohort International Journal of Cardiology. Cardiovascular Risk and Prevention Hypertension Type 2 diabetes Overweight or obesity Cardiovascular prevention Ethnicity Health policies |
| title | Gender differences in acculturation and cardiovascular disease risk-factor changes among Chinese immigrants in Italy: Evidence from a large population-based cohort |
| title_full | Gender differences in acculturation and cardiovascular disease risk-factor changes among Chinese immigrants in Italy: Evidence from a large population-based cohort |
| title_fullStr | Gender differences in acculturation and cardiovascular disease risk-factor changes among Chinese immigrants in Italy: Evidence from a large population-based cohort |
| title_full_unstemmed | Gender differences in acculturation and cardiovascular disease risk-factor changes among Chinese immigrants in Italy: Evidence from a large population-based cohort |
| title_short | Gender differences in acculturation and cardiovascular disease risk-factor changes among Chinese immigrants in Italy: Evidence from a large population-based cohort |
| title_sort | gender differences in acculturation and cardiovascular disease risk factor changes among chinese immigrants in italy evidence from a large population based cohort |
| topic | Hypertension Type 2 diabetes Overweight or obesity Cardiovascular prevention Ethnicity Health policies |
| url | http://www.sciencedirect.com/science/article/pii/S2772487521000143 |
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