Evidence map›Paper›PMID 31760942›Full record

ArticleBMC public health2019

Aggregation of Asian-American subgroups masks meaningful differences in health and health risks among Asian ethnicities: an electronic health record based cohort study.

Nancy P Gordon, Teresa Y Lin, Jyoti Rau, Joan C Lo

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 137 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 2 pooled it
16.4field-weighted citation impact, top 1% of its field
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

137 citing papers in PubMed, 2 syntheses or guidelines pooled it, 220 citations in OpenAlex.

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  13. Heart Failure Quality of Care Among Asian Patients in the United States.Journal of the American College of Cardiology · 2026
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77 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Nancy P GordonKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA, 94612, USA. nancy.gordon@kp.org.ORCID http://orcid.org/0000-0003-3692-112X
Teresa Y LinKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA, 94612, USA.
Jyoti RauKaiser Permanente Santa Clara Medical Center, 710 Lawrence Expressway, Santa Clara, CA, 95051, USA.
Joan C LoKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA, 94612, USA.
Kaiser Permanente · USKaiser Permanente Santa Clara Medical Center · US

Funding

Kaiser Permanente n/a
6 · The paper itself

Abstract

backgroundFew large cohort studies have examined the prevalence of diabetes mellitus (DM), hypertension (HTN), coronary artery disease (CAD), obesity, and smoking among middle-aged and older adults in the major Asian-American ethnic groups and Native Hawaiian/Pacific Islanders (PIs). The aim of this study was to evaluate how prevalence of these conditions and risk factors differs across Asian-American and PI ethnic groups and compares with an aggregated All Asian-American racial group.

methodsThis study used a cohort of 1.4 million adults aged 45 to 84 who were Kaiser Permanente Northern California health plan members during 2016. The cohort included approximately 274,910 Asian-Americans (Chinese, Filipino, Japanese, Korean, Southeast Asian, South Asian, other), 8450 PIs, 795,080 non-Hispanic whites, 107,200 blacks, and 210,050 Latinos. We used electronic health record data to produce age-standardized prevalence estimates of DM, HTN, CAD, obesity (using standard and Asian thresholds), and smoking for men and women in all racial/ethnic subgroups and compared these subgroups to an aggregated All Asian-American racial group and to whites, blacks, and Latinos.

resultsWe found large differences in health burden across Asian-American ethnic subgroups. For both sexes, there were 16 and > 22 percentage point differences between the lowest and highest prevalence of DM and HTN, respectively. Obesity prevalence among Asian subgroups (based on an Asian BMI ≥ 27.5 kg/m

conclusionsIn a population of middle-aged and older adult Northern California health plan members, we found substantive differences in prevalence of chronic cardiovascular conditions, obesity, and smoking across Asian-American ethnic groups and between Asian-American ethnic groups and an aggregated All Asian racial group. Our study confirms that reporting statistics for an aggregated Asian-American racial group masks meaningful differences in Asian-American ethnic group health.

Indexed as

AgedAged, 80 and overAsianCaliforniaChronic DiseaseCohort StudiesElectronic Health RecordsFemaleHumansMaleMiddle AgedNative Hawaiian or Pacific IslanderPrevalenceRisk FactorsAsian AmericanCardiovascular risk factorsChineseCoronary artery diseaseDiabetesFilipinoHealth disparitiesHypertensionJapaneseKoreanObesityPacific IslanderPopulation studyPrevalenceRace/ethnicitySmokingSouth AsianSoutheast Asian

Identifiers

PMID31760942
PMCPMC6876105
OpenAlexW2990820413

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.