Cardiovascular Health in St. Louis Bosnian-Americans

Maximillian T. Bourdillon, Asad S. Akhter, Dejan Vrtikapa, Amer Avdagic, Marc A. McNeese, Richard Lee, Dawn S. Hui

Research output: Contribution to journalArticle

Abstract

In Bosnia and Herzegovina, cardiovascular disease accounts for nearly 50% of deaths. Cardiovascular health of resettled Bosnian-Americans has not been well-characterized. Our study aimed to quantify cardiovascular risk in Bosnian-Americans in St. Louis, the largest non-European center of resettlement. Seven community screenings focused on Bosnian-Americans were held. Cardiovascular risk was calculated to stratify individuals into low (<10%), moderate (10–20%), and high (>20%) risk. Those with self-reported coronary heart disease (CHD) or risk equivalent were considered high-risk. Two-hundred fifty Bosnian-Americans were screened; 51% (n = 128) consented to the IRB-approved study. Twenty-one percent were smokers, 33% obese, and 33% had hypertension. Excluding risk equivalent individuals, 5.7% of subjects were high-risk, increasing to 26.6% when including high-risk equivalents. Lipid abnormalities include elevated triglycerides (29.0%) and low HDL (50.0%). Compared to general American population studies, Bosnian-Americans have greater ten-year hard CHD risk. A community-based approach identified potential culturally-based lifestyle interventions including diet, exercise, and smoking.

Original languageEnglish (US)
Pages (from-to)1147-1157
Number of pages11
JournalJournal of Immigrant and Minority Health
Volume20
Issue number5
DOIs
StatePublished - Oct 1 2018
Externally publishedYes

Fingerprint

Health
Coronary Disease
Bosnia and Herzegovina
Research Ethics Committees
Life Style
Triglycerides
Cardiovascular Diseases
Smoking
Diet
Hypertension
Lipids
Population

Keywords

  • Bosnian–American
  • Immigrant health cardiovascular screening
  • Predicted coronary heart disease risk

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Bourdillon, M. T., Akhter, A. S., Vrtikapa, D., Avdagic, A., McNeese, M. A., Lee, R., & Hui, D. S. (2018). Cardiovascular Health in St. Louis Bosnian-Americans. Journal of Immigrant and Minority Health, 20(5), 1147-1157. https://doi.org/10.1007/s10903-017-0641-1

Cardiovascular Health in St. Louis Bosnian-Americans. / Bourdillon, Maximillian T.; Akhter, Asad S.; Vrtikapa, Dejan; Avdagic, Amer; McNeese, Marc A.; Lee, Richard; Hui, Dawn S.

In: Journal of Immigrant and Minority Health, Vol. 20, No. 5, 01.10.2018, p. 1147-1157.

Research output: Contribution to journalArticle

Bourdillon, MT, Akhter, AS, Vrtikapa, D, Avdagic, A, McNeese, MA, Lee, R & Hui, DS 2018, 'Cardiovascular Health in St. Louis Bosnian-Americans', Journal of Immigrant and Minority Health, vol. 20, no. 5, pp. 1147-1157. https://doi.org/10.1007/s10903-017-0641-1
Bourdillon MT, Akhter AS, Vrtikapa D, Avdagic A, McNeese MA, Lee R et al. Cardiovascular Health in St. Louis Bosnian-Americans. Journal of Immigrant and Minority Health. 2018 Oct 1;20(5):1147-1157. https://doi.org/10.1007/s10903-017-0641-1
Bourdillon, Maximillian T. ; Akhter, Asad S. ; Vrtikapa, Dejan ; Avdagic, Amer ; McNeese, Marc A. ; Lee, Richard ; Hui, Dawn S. / Cardiovascular Health in St. Louis Bosnian-Americans. In: Journal of Immigrant and Minority Health. 2018 ; Vol. 20, No. 5. pp. 1147-1157.
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