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18.08.2017 | Original Paper | Ausgabe 5/2018

Journal of Immigrant and Minority Health 5/2018

Cardiovascular Health in St. Louis Bosnian-Americans

Journal of Immigrant and Minority Health > Ausgabe 5/2018
Maximillian T. Bourdillon, Asad S. Akhter, Dejan Vrtikapa, Amer Avdagic, Marc A. McNeese, Richard Lee, Dawn S. Hui
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Electronic Supplementary Material

The online version of this article (doi:10.​1007/​s10903-017-0641-1) contains supplementary material, which is available to authorized users.


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.

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