Dataset Information

Investigating associations between rural-to-urban migration and cardiometabolic disease in Malawi: a population-level study.

ABSTRACT:

Background

The extent to which rural-to-urban migration affects risk for cardiometabolic diseases (CMD) in Africa is not well understood. We investigated prevalence and risk for obesity, diabetes, hypertension and precursor conditions by migration status.

Methods

In a cross-sectional survey in Malawi (February 2013-March 2017), 13?903 rural, 9929 rural-to-urban migrant and 6741 urban residents (?18?years old) participated. We interviewed participants, measured blood pressure and collected anthropometric data and fasting blood samples to estimate population prevalences and odds ratios, using negative binomial regression, for CMD, by migration status. In a sub-cohort of 131 rural-urban siblings-sets, migration-associated CMD risk was explored using conditional Poisson regression.

Results

In rural, rural-to-urban migrant and urban residents, prevalence estimates were; 8.9, 20.9 and 15.2% in men and 25.4, 43.9 and 39.3% in women for overweight/obesity; 1.4, 2.9 and 1.9% in men and 1.5, 2.8 and 1.7% in women for diabetes; and 13.4, 18.8 and 12.2% in men and 13.7, 15.8 and 10.2% in women for hypertension. Rural-to-urban migrants had the greatest risk for hypertension (adjusted relative risk for men 1.18; 95% confidence interval 1.04-1.34 and women 1.17: 95% confidence interval 1.05-1.29) and were the most screened, diagnosed and treated for CMD, compared with urban residents. Within sibling sets, rural-to-urban migrant siblings had a higher risk for overweight and pre-hypertension, with no evidence for differences by duration of stay.

Conclusions

Rural-to-urban migration is associated with increased CMD risk in Malawi. In a poor country experiencing rapid urbanization, interventions for the prevention and management of CMD, which reach migrant populations, are needed.

SUBMITTER: Chilunga FP

PROVIDER: S-EPMC6929524 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Publications

Investigating associations between rural-to-urban migration and cardiometabolic disease in Malawi: a population-level study.

Chilunga Felix P FP Musicha Crispin C Tafatatha Terence T Geis Steffen S Nyirenda Moffat J MJ Crampin Amelia C AC Price Alison J AJ

International journal of epidemiology 20191201 6

<h4>Background</h4>The extent to which rural-to-urban migration affects risk for cardiometabolic diseases (CMD) in Africa is not well understood. We investigated prevalence and risk for obesity, diabetes, hypertension and precursor conditions by migration status.<h4>Methods</h4>In a cross-sectional survey in Malawi (February 2013-March 2017), 13 903 rural, 9929 rural-to-urban migrant and 6741 urban residents (≥18 years old) participated. We interviewed participants, measured blood pressure and c ...[more]

PMID: 31603469

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Dataset Information

Investigating associations between rural-to-urban migration and cardiometabolic disease in Malawi: a population-level study.

Background

Methods

Results

Conclusions

Publications

Investigating associations between rural-to-urban migration and cardiometabolic disease in Malawi: a population-level study.

Similar Datasets

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