ArticleDiabetes research and clinical practice2020
The relationship of acculturation to cardiovascular disease risk factors among U.S. South Asians: Findings from the MASALA study.
Article in Diabetes research and clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 42 citations in OpenAlex.
- Social Isolation, Acculturative Stress, and Resilience Among Older Asian Indian Immigrants in the United States: A Qualitative Study.Public health challenges · 2026Article
- Drivers of Atherosclerotic Cardiovascular Disease in South Asians: Current Insights and Future Directions.JACC. Asia · 2026Review
- Prevalence and Trends in Cardiovascular Risk Factors Among Middle-Aged South Asian Adults Compared With Other Racial and Ethnic Groups in the United States: A Longitudinal Analysis of 2 Cohort Studies.Journal of the American Heart Association · 2026Article
- Dietary behaviours of young South Asians in Australia: insights from a qualitative study.Public health nutrition · 2025Article
- Immigration, acculturation, and diabetes: A comparative study of diabetes prevalence among Asian Indian immigrants living in the United States and native-born populations in India and the United States.SSM - population health · 2025Article
- From Acculturation to Action: A Comprehensive Framework for Addressing Cardiovascular Disparities in Asian Americans.Journal of immigrant and minority health · 2025Article
- Differences in Coronary Heart Disease and Stroke Incidence Among Single-Race and Multiracial Asian and Pacific Islander Subgroups in Hawaii and California: A Retrospective Cohort Study.Journal of the American Heart Association · 2025Article
- Association between behavioural risk factors for hypertension and concordance with the Dietary Approaches to Stop Hypertension dietary pattern among South Asians in the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study.Journal of nutritional science · 2025Article
- Culturally Tailored Strategies to Enhance Type 2 Diabetes Care for South Asians in the United States.Journal of general internal medicine · 2024Article
- Lessons Learned from Immigrant Health Cohorts: A Review of the Evidence and Implications for Policy and Practice in Addressing Health Inequities among Asian Americans, Native Hawaiians, and Pacific Islanders.Annual review of public health · 2024Review
- Cardiovascular Risk Factors Among Asian Americans: Perspectives on the Role of Acculturation in Cardiovascular Diseases Health Disparities.Journal of immigrant and minority health · 2024Review
- Diabetes in South Asians: Uncovering Novel Risk Factors With Longitudinal Epidemiologic Data: Kelly West Award Lecture 2023.Diabetes care · 2024Review
- Profiles of cardiometabolic risk and acculturation indicators among South Asians in the US: latent class analysis of the MASALA study.Frontiers in public health · 2024Article
- Acculturation and Cardiometabolic Abnormalities Among Chinese and Korean Americans.Journal of racial and ethnic health disparities · 2023Article
- Association of Acculturation and Cardiometabolic Disease Among Immigrants of South Asian Ancestry.JACC. Asia · 2023Article
- A multilevel framework to investigate cardiovascular health disparities among South Asian immigrants in the United States.Annals of epidemiology · 2023Review
- Identification and Management of Atherosclerotic Cardiovascular Disease Risk in South Asian Populations in the U.S.JACC. Advances · 2023Article
- Obesity and Cardiovascular Risk among South Asian Americans.Current cardiovascular risk reports · 2023Article
- Association of American Identity with Cardiovascular Health in South Asian Americans: The MASALA Study.Journal of Asian health · 2023Article
- Association of U.S. birth, duration of residence in the U.S., and atherosclerotic cardiovascular disease risk factors among Asian adults.Preventive medicine reports · 2022Article
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Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
Abstract
aimWe investigated the association between acculturation strategies and cardiometabolic risk among South Asian (SA) immigrants in the US.
methodsIn this cross-sectional analysis of data from 849 SA participants in the Mediators of Atherosclerosis in SAs Living in America (MASALA), we performed multidimensional measures of acculturation to categorize the participants into three acculturation classes: separation (preference for SA culture), assimilation (preference for US culture), and integration (similar preference for both cultures). Differences in glycemic indices, blood pressure, lipid parameters and body composition by acculturation strategy were examined.
resultsWomen in the integration class had the lowest prevalence of diabetes (16.4%), prediabetes (29.7%), fasting and 2-h glucose compared to women in the separation class with the highest prevalence of diabetes (29.3%), prediabetes (31.5%), fasting and 2-h glucose and 2-hr insulin (all p < 0.05). Women in the assimilation class had significantly lower triglycerides, BMI, and waist circumference and higher HDL compared to women in the separation class after adjusting for age, study site, and years in the US. After additionally accounting for socioeconomic/lifestyle factors, women in the assimilation class had significantly lower triglyceride and higher HDL levels compared to women in the separation class (p < 0.01). There was no significant association between acculturation strategies and cardiometabolic risk in SA men.
conclusionSA women who employed an assimilation or integration strategy had a more favorable cardiometabolic profile compared to women using a separation strategy. Future research should investigate the behavioral and psychosocial pathways linking acculturation strategies with cardiometabolic health to inform preventive interventions among SAs living in America.
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