Evidence map›Paper›PMID 38567660›Full record

ArticleJournal of the American Heart Association2024

Social Determinants of Cardiovascular Risk Factors Among Asian American Subgroups.

Alicia L Zhu, Austin D Le, Yuemeng Li, Latha P Palaniappan, Malathi Srinivasan, Nilay S Shah, Sally S Wong, Javier Valero-Elizondo, Tali Elfassy, Eugene Yang

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

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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

10 authors at 9 institutions in 1 country.

Alicia L ZhuStanford University Center for Asian Healthcare Research and Education Stanford CA.ORCID 0000-0003-3800-2274
Austin D LeStanford University Center for Asian Healthcare Research and Education Stanford CA.ORCID 0000-0003-0491-6529
Yuemeng LiStanford University Center for Asian Healthcare Research and Education Stanford CA.ORCID 0000-0003-3166-9359
Latha P PalaniappanStanford University Center for Asian Healthcare Research and Education Stanford CA.ORCID 0000-0002-1245-665X
Malathi SrinivasanStanford University Center for Asian Healthcare Research and Education Stanford CA.ORCID 0000-0001-9951-0016
Nilay S ShahDepartments of Medicine (Cardiology) and Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0003-3519-8662
Sally S WongAmerican Heart Association, Office of Science, Medicine, and Health Dallas TX.
Javier Valero-ElizondoDivision of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center Houston TX.ORCID 0000-0002-9136-5093
Tali ElfassyStanford University Center for Asian Healthcare Research and Education Stanford CA.ORCID 0000-0002-7528-7988
Eugene YangStanford University Center for Asian Healthcare Research and Education Stanford CA.ORCID 0000-0003-3945-7529
Stanford University · USAmerican Heart Association · USBerkeley Public Health Division · USEmory University · USHouston Methodist · USNew York University · USNorthwestern University · USUniversity of Miami · USUniversity of Washington · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
MASALA-2G: Multi-level Assessment of the South Asian Life-course of Atherosclerosis (2nd Generation Offspring Study)K23HL157766 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHAH, NILAY S. · 2021 to 2025
$873k
NHLBI NIH HHS K23 HL157766NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundSocial determinants of health (SDOH) play a significant role in the development of cardiovascular risk factors. We investigated SDOH associations with cardiovascular risk factors among Asian American subgroups. METHODS AND

resultsWe utilized the National Health Interview Survey, a nationally representative survey of US adults, years 2013 to 2018. SDOH variables were categorized into economic stability, neighborhood and social cohesion, food security, education, and health care utilization. SDOH score was created by categorizing 27 SDOH variables as 0 (favorable) or 1 (unfavorable). Self-reported cardiovascular risk factors included diabetes, high cholesterol, high blood pressure, obesity, insufficient physical activity, suboptimal sleep, and nicotine exposure. Among 6395 Asian adults aged ≥18 years, 22.1% self-identified as Filipino, 21.6% as Asian Indian, 21.0% as Chinese, and 35.3% as other Asian. From multivariable-adjusted logistic regression models, each SD increment of SDOH score was associated with higher odds of diabetes among Chinese (odds ratio [OR], 1.45; 95% CI, 1.04-2.03) and Filipino (OR, 1.24; 95% CI, 1.02-1.51) adults; high blood pressure among Filipino adults (OR, 1.28; 95% CI, 1.03-1.60); insufficient physical activity among Asian Indian (OR, 1.42; 95% CI, 1.22-1.65), Chinese (OR, 1.58; 95% CI, 1.33-1.88), and Filipino (OR, 1.24; 95% CI, 1.06-1.46) adults; suboptimal sleep among Asian Indian adults (OR, 1.20; 95% CI, 1.01-1.42); and nicotine exposure among Chinese (OR, 1.56; 95% CI, 1.15-2.11) and Filipino (OR, 1.50; 95% CI, 1.14-1.97) adults.

conclusionsUnfavorable SDOH are associated with higher odds of cardiovascular risk factors in Asian American subgroups. Culturally specific interventions addressing SDOH may help improve cardiovascular health among Asian Americans.

Indexed as

Cardiovascular DiseasesDiabetes MellitusHypertensionAdultAsianHeart Disease Risk FactorsHumansNicotineRisk FactorsSocial Determinants of HealthNicotineAsian Americancardiovascular risksocial determinants of health

Identifiers

PMID38567660
PMCPMC11262505
OpenAlexW4393902412

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.