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This study sought to examine the prevalence of cardiovascular disease (\n              <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>\n              ) risk factors and global\n              <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>\n              risk and to identify independent predictors of increased\n              <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>\n              risk among West African immigrants in the United States.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              This cross\u2010sectional study assessed West African (Ghanaian and Nigerian) immigrants aged 35\u201374\u00a0years in the Baltimore\u2013Washington metropolitan area. The mean age of participants was 49.5\u00b19.2\u00a0years, and 58% were female. The majority (95%) had \u22651 of the 6\n              <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>\n              risk factors. Smoking was least prevalent, and overweight or obesity was most prevalent, with 88% having a body mass index (in \u00a0kg\/m\n              <jats:sup>2<\/jats:sup>\n              ) \u226525; 16% had a prior diagnosis of diabetes or had fasting blood glucose levels \u2265126\u00a0mg\/\n              <jats:styled-content style=\"fixed-case\">dL<\/jats:styled-content>\n              . In addition, 44% were physically inactive. Among women, employment and health insurance were associated with odds of 0.09 (95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              0.033\u20130.29) and 0.25 (95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              0.09\u20130.67), respectively, of having a Pooled Cohort Equations estimate \u22657.5% in the multivariable logistic regression analysis. Among men, higher social support was associated with 0.90 (95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              0.83\u20130.98) lower odds of having \u22653\n              <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>\n              risk factors but not with having a Pooled Cohort Equations estimate \u22657.5%.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The prevalence of\n              <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>\n              risk factors among West African immigrants was particularly high. Being employed and having health insurance were associated with lower\n              <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>\n              risk in women, but only higher social support was associated with lower\n              <jats:styled-content style=\"fixed-case\">CVD<\/jats:styled-content>\n              risk in men.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.115.002385","type":"journal-article","created":{"date-parts":[[2016,2,20]],"date-time":"2016-02-20T01:07:46Z","timestamp":1455930466000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":36,"title":["Sex Differences in Cardiovascular Disease Risk of Ghanaian\u2010 and Nigerian\u2010Born West African Immigrants in the United States: The Afro\u2010Cardiac Study"],"prefix":"10.1161","volume":"5","author":[{"given":"Yvonne","family":"Commodore\u2010Mensah","sequence":"first","affiliation":[{"name":"Emory University, Nell Hodgson Woodruff School of Nursing, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Hill","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerilyn","family":"Allen","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa A.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Medicine, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Blumenthal","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Medicine, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Agyemang","sequence":"additional","affiliation":[{"name":"Department of Public Health, Academic Medical Centre\/University of Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl Dennison","family":"Himmelfarb","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000441139.02102.80"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17018-9"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.47.4_Pt_2.4"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.97.18.1837"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.2307\/3349375"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000000061"},{"key":"e_1_3_4_8_2","unstructured":"Terrazas A. 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