Epidemiology of cardiovascular disease and its risk factors among refugees and asylum seekers: Systematic review and meta-analysis

Epidemiology of cardiovascular disease and its risk factors among refugees and asylum seekers: Systematic review and meta-analysis

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Background: This is the first systematic review and meta-analysis assessing cardiovascular disease incidence and risk factors among refugees and asylum seekers.Methods and results: PubMed, PsycINFO, CINAHL, and Embase databases were searched for studies in English from January 1, 1977, to March 8, 2020.Inclusion criteria were (1) observation of refugee history in participants; (2) diagnosis of CVD (coronary artery disease, heart failure, stroke, or CVD mortality) and risk factors (hypertension, diabetes, tobacco use, hyperlipidemia, obesity, psychosocial factors); (3) assessment of effect size and spread, (4) adjustment for sex; and (5) comparison with non-refugee migrants or natives.

Data were extracted and evaluated by multiple reviewers for study quality.Of the 1158 screened Occasion Dresses articles, Participants from 7 studies (0.6%) involving 116.

989 refugees living in Denmark, Sweden, and the United States were included in the systematic review, of which three studies synthesized the quantitative analyses.A fixed-effects model was created to pool the effect sizes of included studies.The pooled incidence of CVD in refugees was 1.

71 (95% CI: 1.03, 2.83) compared with non-refugee counterparts.

Pyschosocial factors were associated with increased risk of CVD in refugees but evidence on CVD risk factors varied by nativity and duration since resettlement.Conclusions: Refugee experience is an independent risk factor for CVD.Robust research on CVD in displaced populations is needed to improve the quality of evidence, clinical and preventive Swim One-Piece care, and address health equity in this marginalized population globally.