Dataset Information

Smoking prevalence differs by location of residence among Ghanaians in Africa and Europe: The RODAM study.

ABSTRACT:

Background

Although the prevalence of smoking is low in Ghana, little is known about the effect of migration on smoking. Comparing Ghanaians living in their country of origin to those living in Europe offers an opportunity to investigate smoking by location of residence and the associations between smoking behaviours and migration-related factors.

Methods

Data on a relatively homogenous group of Ghanaians living in London (n = 949), Amsterdam (n = 1400), Berlin (n = 543), rural Ghana (n = 973) and urban Ghana (n = 1400) from the cross-sectional RODAM (Research on Obesity & Diabetes in African Migrants) study were used. Age-standardized prevalence rates of smoking by location of residence and factors associated with smoking among Ghanaian men were estimated using prevalence ratios (PR: 95% CIs).

Results

Current smoking was non-existent among women in rural and urban Ghana and London but was 3.2% and 3.3% in women in Amsterdam and Berlin, respectively. Smoking prevalence was higher in men in Europe (7.8%) than in both rural and urban Ghana (4.8%): PR 1.91: 95% CI 1.27, 2.88, adjusted for age, marital status, education and employment. Factors associated with a higher prevalence of smoking among Ghanaian men included European residence, being divorced or widowed, living alone, Islam religion, infrequent attendance at religious services, assimilation (cultural orientation), and low education.

Conclusion

Ghanaians living in Europe are more likely to smoke than their counterparts in Ghana, suggesting convergence to European populations, although prevalence rates are still far below those in the host populations.

SUBMITTER: Brathwaite R

PROVIDER: S-EPMC5419606 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Publications

Smoking prevalence differs by location of residence among Ghanaians in Africa and Europe: The RODAM study.

Brathwaite Rachel R Addo Juliet J Kunst Anton E AE Agyemang Charles C Owusu-Dabo Ellis E de-Graft Aikins Ama A Beune Erik E Meeks Karlijn K Klipstein-Grobusch Kerstin K Bahendeka Silver S Mockenhaupt Frank P FP Amoah Stephen S Galbete Cecilia C Schulze Matthias B MB Danquah Ina I Smeeth Liam L

PloS one 20170505 5

<h4>Background</h4>Although the prevalence of smoking is low in Ghana, little is known about the effect of migration on smoking. Comparing Ghanaians living in their country of origin to those living in Europe offers an opportunity to investigate smoking by location of residence and the associations between smoking behaviours and migration-related factors.<h4>Methods</h4>Data on a relatively homogenous group of Ghanaians living in London (n = 949), Amsterdam (n = 1400), Berlin (n = 543), rural Gh ...[more]

PMID: 28475620

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Project description:ObjectivesThe association between psychosocial stressors (PS) and chronic kidney disease (CKD) among sub-Saharan African (SSA) populations is unknown. We examined the association between PS and CKD prevalence among rural and urban Ghanaians and Ghanaian migrants living in three European cities. We also assessed if the influence of PS on CKD is partially mediated by primary risk factors (hypertension and diabetes) of CKD.DesignA multi-centred cross sectional data from the Research on Obesity and Diabetes among African Migrants study.SettingRural and urban Ghana and three European cities (Amsterdam, Berlin and London).ParticipantsA random sample of 5659 adults (Europe 3167, rural Ghana 1043 and urban Ghana 1449) aged 25-70 years.Explanatory measuresPS defined by negative life events, perceived discrimination, perceived stress at work/home and depressive symptoms. Three CKD outcomes were considered using the 2012 Kidney Disease: Improving Global Outcomes severity of CKD classification. Comparisons between PS and CKD outcomes were made using logistic regression analyses across all sites.ResultsWe observed higher proportion of negative life events (68.7%) and perceived permanent stress (15.9%) among Ghanaians living in Ghana than Ghanaians living in Europe. Depressive symptoms (7.5%) and perceived discrimination (29.7%) were more common among Ghanaians living in Europe than Ghanaians living in Ghana. No significant association was observed between any of the PS constructs and CKD outcomes across sites except for positive association between stress at work/home and albuminuria (2.81, 95% CI 1.46 to 5.40) and CKD risk (2.78, 95% CI 1.43 to 5.43) among Ghanaians living in Berlin.ConclusionOur study found a positive association between stress at work/home and albuminuria and CKD risk. There was no convincing evidence of associations between the other PS constructs and the prevalence of CKD risk. Further studies are needed to identify potential factors driving the high prevalence of CKD among these populations.

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Dataset Information

Smoking prevalence differs by location of residence among Ghanaians in Africa and Europe: The RODAM study.

Background

Methods

Results

Conclusion

Publications

Smoking prevalence differs by location of residence among Ghanaians in Africa and Europe: The RODAM study.

Similar Datasets

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