ArticleAmerican journal of preventive cardiology2023
Association of Acculturation with Cardiovascular Risk Factors in Asian-American Subgroups.
Article in American journal of preventive cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 23 citations in OpenAlex.
- Disability Among Middle Aged and Older Immigrants: Differences by Citizenship, English Proficiency, and Years in United States.Journal of aging and health · 2026Article
- Ethnic Enclaves and Metabolic Syndrome in Chinese Immigrants in Philadelphia.Journal of immigrant and minority health · 2026Article
- Racial and Disaggregated Ethnic Disparities of Blood Pressure Control in Community Health Centers.Journal of general internal medicine · 2025Article
- Association of US Nativity and Length of US Residence With Cardiometabolic Risk Factors, by Disaggregated Race and Ethnicity.Journal of the American Heart Association · 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
- Social Determinants of Health and Allergic Disease Prevalence Among Asian American Children.Journal of racial and ethnic health disparities · 2025Article
- Atherosclerotic Cardiovascular Disease Risk Prediction Models in China, Japan, and Korea: Implications for East Asians?JACC. Asia · 2025Review
- Cardiometabolic Health in Asian American Children.Journal of racial and ethnic health disparities · 2025Article
- Social Determinants of Cardiovascular Risk Factors Among Asian American Subgroups.Journal of the American Heart Association · 2024Article
- Leading causes of death in Vietnamese Americans: An ecological study based on national death records from 2005-2020.PloS one · 2024Article
- Cardiometabolic Health in Asian American Children.medRxiv : the preprint server for health sciences · 2023Article
- Trends of cardiovascular health in Asian American individuals: A national health and nutrition examination survey study.American journal of preventive cardiology · 2023Article
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 1 country.
Funding
Abstract
Objective: This cross-sectional study aims to better understand the heterogeneous associations of acculturation level on CV risk factors among disaggregated Asian subgroups. We hypothesize that the association between acculturation level and CV risk factors will differ significantly by Asian subgroup. Methods: We used the National Health Interview Survey (NHIS), a nationally representative US survey, years 2014-18. Acculturation was defined using: (a) years in the US, (b) US citizenship status, and (c) level of English proficiency. We created an acculturation index, categorized into low vs. high (scores of 0-3 and 4, respectively). Self-reported CV risk factors included diabetes, high cholesterol, hypertension, obesity, tobacco use, and sufficient physical activity. Rao-Scott Chi Square was used to compare age-standardized, weighted prevalence of CV risk factors between Asian subgroups. We used logistic regression analysis to assess associations between acculturation and CV risk factors, stratified by Asian subgroup. Results: The study sample consisted of 6,051 adults ≥ 18 years of age (53.9% female; mean age 46.6 [SE 0.33]). The distribution by race/ethnicity was Asian Indian 26.9%, Chinese 22.8%, Filipino 18.1%, and other Asian 32.3%. The association between acculturation and CV risk factors differed by Asian subgroups. From multivariable adjusted models, high vs. low acculturation was associated with: high cholesterol amongst Asian Indian (OR=1.57, 95% CI: 1.11, 2.37) and other Asian (OR=1.48, 95% CI: 1.10, 2.01) adults, obesity amongst Filipino adults (OR= 1.62, 95% CI: 1.07, 2.45), and sufficient physical activity amongst Chinese (OR= 1.54, 95% CI: 1.09, 2.19) and Filipino adults (OR=1.58, 95% CI: 1.10, 2.27). Conclusion: This study demonstrates that acculturation is heterogeneously associated with higher prevalence of CV risk factors among Asian subgroups. More studies are needed to better understand these differences that can help to inform targeted, culturally specific interventions.
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