Evidence map›Paper›PMID 36418646›Full record

ArticleJournal of general internal medicine2023

Cardiometabolic Risk in Asian Americans by Social Determinants of Health: Serial Cross-sectional Analyses of the NHIS, 1999-2003 to 2014-2018.

Megha K Shah, Nikhila Gandrakota, Unjali P Gujral, Nadia Islam, K M Venkat Narayan, Mohammed K Ali

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06471595 (Peau o le Vasa), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

NCT06471595 nacompletednot on this mapstarted 2024, after this paper: background citation

Peau o le Vasa: Accelerating the Currents of Health Equity for Pasifika People

TypeinterventionalSponsorUniversity of HawaiiRan2024 to 2025Enrolled242ConditionsWeight Loss Trial, Cardiometabolic Syndrome, Hypertension, DyslipidemiaArmsPartnership for Improving Lifestyle Intervention (PILI) Lifestyle Program + Social Determinants of Health (SDOH) Component
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Cardiometabolic Health in Asian American Children.Journal of racial and ethnic health disparities · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Cardiometabolic Health in Asian American Children.medRxiv : the preprint server for health sciences · 2023
    Article
  7. Review
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

6 authors at 3 institutions in 1 country.

Megha K ShahDepartment of Family and Preventive Medicine, Emory University School of Medicine, Dunwoody, GA, USA. mkshah@emory.edu.ORCID 0000-0002-6722-7846
Nikhila GandrakotaDepartment of Family and Preventive Medicine, Emory University School of Medicine, Dunwoody, GA, USA.
Unjali P GujralHubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Nadia IslamDepartment of Population Health, NYU School of Medicine, New York, NY, USA.
K M Venkat NarayanHubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Mohammed K AliDepartment of Family and Preventive Medicine, Emory University School of Medicine, Dunwoody, GA, USA.
Emory University · USEmory Healthcare · USNew York University · US

Funding

Translational Research Core - Engagement and Behavior ChangeP30DK111024 · NIDDK · EMORY UNIVERSITY · PI Mohammed Kumail Ali · 2016 to 2026
$13.4M
Scaling Community-Clinical Linkage Models to Address Diabetes and Hypertension Disparities in the Southeastern U.S.U54MD000538 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TRINH-SHEVRIN, CHAU · 2017 to 2022
$11.3M
Better Together: Leveraging primary care and social network resources to create a patient-centered approach to improve diabetes among immigrant communitiesK23MD015088 · NIMHD · EMORY UNIVERSITY · PI SHAH, MEGHA · 2020 to 2024
$753k
NIDDK NIH HHS P30 DK111024NIMHD NIH HHS K23 MD015088NIMHD NIH HHS U54 MD000538
6 · The paper itself

Abstract

backgroundDiabetes and hypertension are common in Asian Americans and vary by subgroup. There may be further variation by social determinants of health (SDOHs), but few studies have examined this previously.

objectiveTo examine the associations of SDOHs and diabetes and hypertension within and across Asian subgroups in the USA

designSeries cross-sectional analyses

settingNational Health Interview Surveys (NHIS) from 1999 to 2018

participantsAsian-American adults (Chinese, Filipino, Asian Indian, and Other Asian [Korean, Vietnamese, Japanese, and other]) MEASUREMENTS: Self-reported diabetes and hypertension prevalence in pooled 5-year increments over 1999-2018 and multivariable regression models to assess the adjusted prevalence of diabetes or hypertension by poverty, marital status, education, and years in the USA, adjusting for age, sex, BMI, and health insurance status

resultsFrom 1999-2003 to 2014-2018, the age- and sex-adjusted prevalence of diabetes increased for Other Asians (absolute change: 4.6%) but not for other subgroups; age- and sex-adjusted hypertension prevalence significantly increased for Asian Indians and Other Asians (absolute change: 5-7.5%). For Filipinos, high school education or less was associated with an increase in diabetes prevalence over time (difference from 1999-2003 to 2014-2018: +6.0 (95% CI: 2.0-10.0)), while for Asian Indians, college education or higher was associated with an increase in diabetes prevalence for the same period (difference: +2.7 (95% CI: 0.01-5.4). Differences over the 2 time periods (1999-2003 and 2014-2018) show that Filipino and Other Asians, who lived in the USA for ≥10 years, increased in diabetes prevalence. Similar variations in associations of SDOHs by Asian subgroup were seen for hypertension. LIMITATIONS: Self-reported primary outcomes and multi-year data were pooled due to small sample sizes.

conclusionsThe influence of SDOHs on cardiometabolic risk is not uniform among Asian Americans, implying tailored strategies may be needed for different population subgroups. PRIMARY FUNDING SOURCE: NIH.

Indexed as

AsianHypertensionAdultCross-Sectional StudiesHumansSelf ReportSocial Determinants of Health

Identifiers

PMID36418646
PMCPMC9971386
OpenAlexW4309878865

What OpenQuestion holds

Textmetadata
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Registered trials

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.