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Cardiovascular disease in Arab Americans: A literature review of prevalence, risk factors, and directions for future
Hossam Lababidi1, Ghena Lababidi2, Mahmoud Al Rifai1
1Houston Methodist DeBakey Heart and Vascular Institute, Houston Methodist Hospital, 6550 Fannin St, Houston, TX 77030, United States.
Cardiovascular disease (CVD) risk is higher in Arab Americans due to factors like increased type 2 diabetes and psychosocial stressors. Targeted screening and culturally sensitive prevention strategies are crucial for this population.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- Cardiovascular disease (CVD) is a global health concern.
- Arab Americans exhibit a higher CVD risk compared to other US ethnic groups.
- Limited research exists specifically on CVD within the Arab American population.
Purpose of the Study:
- To review and synthesize existing literature on CVD prevalence, risk factors, and outcomes in Arab Americans.
- To identify specific health disparities and risk factors contributing to CVD in this demographic.
- To highlight the need for tailored interventions and further research.
Main Methods:
- Literature review of studies on Arab Americans and cardiovascular disease.
- Analysis of data on CVD prevalence, risk factors (e.g., diabetes, hypertension), and outcomes.
- Synthesis of findings related to metabolic, psychosocial, and behavioral factors.
Main Results:
- Elevated rates of coronary heart disease, cerebrovascular disease, and hypertension observed in Arab Americans.
- Significantly higher prevalence of type 2 diabetes (16-41%) in Arab Americans, linked to vitamin D deficiency, genetics, and poor control.
- Psychosocial factors (stress, discrimination, low health literacy) and higher smoking rates (waterpipe use) contribute to CVD risk.
Conclusions:
- Arab Americans face elevated cardiovascular disease risks, necessitating group-specific screening and management.
- Culturally appropriate educational programs for CVD prevention are essential.
- Further research is needed to understand subgroup variations, genetic/environmental factors, and test tailored interventions.
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