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Migratory implications for coronary heart disease risk prevention in Asian Indians: Evidence from the leading health indicators.

Fernandez, Ritin, Everett, Bronwyn, Miranda, Charmaine, Rolley, John X, Rajaratnam, Rohan and Davidson, Patricia 2015, Migratory implications for coronary heart disease risk prevention in Asian Indians: Evidence from the leading health indicators., Journal of cultural diversity, vol. 22, no. 1, Spring, pp. 30-38.

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Title Migratory implications for coronary heart disease risk prevention in Asian Indians: Evidence from the leading health indicators.
Author(s) Fernandez, Ritin
Everett, Bronwyn
Miranda, Charmaine
Rolley, John X
Rajaratnam, Rohan
Davidson, Patricia
Journal name Journal of cultural diversity
Volume number 22
Issue number 1
Season Spring
Start page 30
End page 38
Total pages 9
Publisher Tucker Publications
Place of publication Lisle, Ill.
Publication date 2015
ISSN 1071-5568
Summary OBJECTIVEctives of this descriptive comparative study were to (1) review data obtained from the World Health Organisation Statistical Information System (WHOSIS) database relating to the prevalence of risk factors for coronary heart disease (CHD) among Indians and Australians and (2) compare these data with published epidemiological studies of CHD riskfactors in adult migrant Asian Indians to provide a comprehensive and comparable assessment of risk factors relating to CHD and the mortality attributable to these risk factors. Design: ThDESIGNdy was undertaken using a database search and integrative review methodology. Data were obtained for comparison of CHD risk factors between Indians and Australians using the WHOSIS database. For the integrative review the MEDLINE, CINAHL, EMBASE, and Cochrane databases were searched using the keywords 'Migrants', 'Asian Indian', 'India', 'Migration', 'Immigration', 'Risk factors', and coronary heart disease. Two reviewers independently assessed the eligibility of the studies for inclusion in the review, the methodological quality and extracted details of eligible studies. Results from the integrative review on CHD risk factors in Asian Indians are presented in a narrative format, along with results from the WHOSIS database. Results: TRESULTSadjusted mortality for CHD was four times higher in migrant Asian Indians when compared to both the native population of the host country and migrants from other countries. Similarly when compared to migrants from other countries migrant Asian Indians had the highest prevalence of overweight individuals. Prevalence rates for hypercholesterolemia were up to 18.5 % among mgrant Asian Indians and migrant Asian Indian women had a higher prevalence of hypertriglyceridaemia compared to Caucasian females. Migrant Asian Indians also had a higher incidence of hypertension and upto 71 % of migrnt Asian Indian men did not meet current guidelines for participation in physical activity. Ethnic-specific prevalence of diabetes ranged from 6-7% among the normal weight to 19-33% among the obese migrant Asian Indians compared with non-Hispanic whites. ConclusionCONCLUSIONAsian Indians have an increased risk of CHD. Culturally sensitive strategies that recognise the effects of migration and extend beyond the health sector should be developed to target lifestyle changes in this high risk population.
Language eng
Field of Research 1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Tucker Publications
Persistent URL http://hdl.handle.net/10536/DRO/DU:30080990

Document type: Journal Article
Collection: School of Nursing and Midwifery
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