Evidence map›Paper›PMID 26683217›Full record

SynthesisJournal of the American Heart Association2015

A Chinese Immigrant Paradox? Low Coronary Heart Disease Incidence but Higher Short-Term Mortality in Western-Dwelling Chinese Immigrants: A Systematic Review and Meta-Analysis.

Kai Jin, Ding Ding, Janice Gullick, Fung Koo, Lis Neubeck

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of the American Heart Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  5. Review
  6. Reevaluating the Use of Race/Ethnicity in the MESA Risk Score.Journal of the American Heart Association · 2026
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  7. Observational
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  11. Disaggregated Colorectal Cancer Mortality among Asian American Subgroups between 2005 and 2020.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kai JinSydney Nursing School, University of Sydney, NSW, Australia (K.J., J.G., F.K., L.N.).
Ding DingPrevention Research Collaboration, Sydney School of Public Health, University of Sydney, NSW, Australia (D.D.).
Janice GullickSydney Nursing School, University of Sydney, NSW, Australia (K.J., J.G., F.K., L.N.).
Fung KooSydney Nursing School, University of Sydney, NSW, Australia (K.J., J.G., F.K., L.N.).
Lis NeubeckSydney Nursing School, University of Sydney, NSW, Australia (K.J., J.G., F.K., L.N.).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChinese form a large proportion of the immigrant population in Western countries. There is evidence that Chinese immigrants experience an increased risk of coronary heart disease (CHD) after immigration in part due to cultural habits and acculturation. This is the first systematic review and meta-analysis that aims to examine the risk of CHD in people of Chinese ethnicity living in Western countries, in comparison with whites and another major immigrant group, South Asians. METHODS AND

resultsLiterature on the incidence, mortality, and prognosis of CHD among Chinese living in Western countries was searched systematically in any language using 6 electronic databases up to December 2014. Based on the meta-analysis, Chinese had lower incidence of CHD compared with whites (odds ratio 0.29; 95% CI: 0.24-0.34) and South Asians (odds ratio 0.37; 95% CI: 0.24-0.57) but higher short-term mortality after first hospitalization for acute myocardial infarction compared with whites (odds ratio 1.34; 95% CI, 1.04-1.73) and South Asians (odds ratio 1.82; 95% 1.33-2.50). There was no significant difference between Chinese immigrants and whites in long-term outcomes (mortality and recurrent events) after acute myocardial infarction.

conclusionsThese findings provide an important focus for resource planning to enhance early secondary prevention of CHD to improve short-term survival outcomes among Western-dwelling Chinese immigrants.

Indexed as

Asia, WesternChinaCoronary DiseaseDeveloped CountriesEmigrants and ImmigrantsFemaleHumansIncidenceMaleSex FactorsWhite PeopleChinesecoronary heart diseasemortalityoutcome

Identifiers

PMID26683217
PMCPMC4845291

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.