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Atrial fibrillation in immigrants under the age of 45 y in Sweden
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2019 (English)In: International Health, ISSN 1876-3413, E-ISSN 1876-3405, Vol. 11, no 3, p. 193-202Article in journal (Refereed) Published
Abstract [en]

Aim: To study association between country of birth and risk of first-onset atrial fibrillation (AF) in first- and second-generation immigrants to Sweden under 45 y of age.

Methods: The study population included all individuals (n = 3 248 457) under the age of 45 y in Sweden, including immigrants (n = 722 249). AF was defined as first registered diagnosis in the National Patient Register. Association between country of birth and risk of AF was assessed by Cox regression, calculating HRs and 95% CIs, using Swedish-born individuals as referents. All models were stratified by sex, and in different models were adjusted for age, area of residence in Sweden, educational level, marital status, neighbourhood socioeconomic status and co-morbidity(ies).

Results: A higher fully adjusted HR of incident AF was found in the total sample of first-generation immigrants, 1.44 (95% CI 1.35 to 1.54), in males born in Denmark, Lebanon and Iraq, and in females born in Turkey and Iraq. Lower HRs were found in male and female immigrants from Latin America and Iran, and female immigrants from Finland. Among second-generation immigrants, the fully adjusted HR was significantly lower, 0.70 (95% CI 0.58 to 0.83).

Conclusions: Clinicians may show a greater awareness of AF in some groups of younger immigrants to enable early diagnosis.

Place, publisher, year, edition, pages
2019. Vol. 11, no 3, p. 193-202
Keywords [en]
Atrial fibrillation, co-morbidity, gender, younger immigrants
National Category
Clinical Medicine
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-28849DOI: 10.1093/inthealth/ihy075PubMedID: 30364949Scopus ID: 2-s2.0-85064837373OAI: oai:DiVA.org:du-28849DiVA, id: diva2:1259213
Available from: 2018-10-29 Created: 2018-10-29 Last updated: 2019-05-14Bibliographically approved

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Ärnlöv, Johan

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
  • rtf