Cardiovascular Risk Factors Among Asian Americans: Perspectives on the Role of Acculturation in Cardiovascular Diseases Health Disparities.

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Immigrant and Minority Health Pub Date : 2024-04-01 Epub Date: 2023-05-24 DOI:10.1007/s10903-023-01489-y
Victoria Vo, Glydel Lopez, Shravani Malay, Youssef M Roman
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Abstract

The growing prevalence of cardiovascular diseases in the United States (US) has disproportionately affected minority populations more than their white counterparts. A population that is often overlooked is the Asian American population, particularly Southeastern Asian immigrants. Despite having relatively favorable socioeconomic indicators compared to the general US population, Asian Americans, specifically Southeast Asian individuals, face a significant burden of traditional cardiovascular risk factors and are considered a high cardiovascular disease risk group. In addition, most studies have aggregated Asian populations into one major racial group rather than analyzing the different ethnicities among the Asian categorization. While some studies suggest that the acculturation process has some degree of impact on cardiovascular health, there has not been a widely-used tool to measure or ascertain the totality of acculturation. Instead, multiple proxies have been used to measure acculturation, and prior studies have argued for more culturally-tailored acculturation proxies. This paper aims to assess the implications of different acculturation measures on cardiovascular health among Asian Americans, particularly Southeastern Asian immigrants. The following proxies were expanded on in this paper: English spoken at home, length of stay in the US, religiosity and spirituality, and admixed family structures. Previous studies showed that as the length of stay in the US increases, the burden of cardiovascular risk factors increases. However, the impact of English spoken at home, religiosity, and admixed family structure are still inconclusive given the extent of current studies. While most studies suggest that an increase in acculturation increases the risk of cardiovascular disease, it is critical to note that acculturation is a multifaceted process. Therefore, more studies are necessary to appropriately examine the implications of various acculturation processes on cardiovascular risk factors in Asians, specifically Southeastern Asian individuals in the US.

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亚裔美国人的心血管风险因素:关于文化适应在心血管疾病健康差异中的作用的观点》(Perspectives on the Role of Acculturation in Cardiovascular Diseases Health Disparities)。
在美国,心血管疾病的发病率越来越高,与白人相比,少数族裔受到的影响更大。亚裔美国人,尤其是东南亚移民,是一个经常被忽视的人群。尽管亚裔美国人(尤其是东南亚人)的社会经济指标比美国普通人群相对较好,但他们面临着传统心血管风险因素的沉重负担,被认为是心血管疾病的高危人群。此外,大多数研究都将亚裔人口合并为一个主要种族群体,而不是分析亚裔分类中的不同种族。虽然一些研究表明文化适应过程对心血管健康有一定程度的影响,但还没有一种广泛使用的工具来测量或确定文化适应的整体性。相反,人们使用多种代用指标来衡量文化适应度,而之前的研究则主张使用更符合文化特点的文化适应度代用指标。本文旨在评估不同文化适应度测量方法对亚裔美国人,尤其是东南亚裔移民心血管健康的影响。本文扩展了以下代用指标:在家讲英语、在美国逗留时间长短、宗教信仰和精神信仰以及混血家庭结构。以往的研究表明,随着在美国逗留时间的延长,心血管风险因素的负担也会增加。然而,就目前的研究范围而言,家庭英语、宗教信仰和混血家庭结构的影响仍无定论。虽然大多数研究表明,文化适应度的提高会增加罹患心血管疾病的风险,但必须注意的是,文化适应是一个多方面的过程。因此,有必要进行更多的研究,以适当地考察各种文化适应过程对亚洲人,特别是美国东南部亚洲人心血管风险因素的影响。
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来源期刊
Journal of Immigrant and Minority Health
Journal of Immigrant and Minority Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
5.30%
发文量
104
期刊介绍: Journal of Immigrant and Minority Health is an international forum for the publication of peer-reviewed original research pertaining to immigrant health from contributors in many diverse fields including public health, epidemiology, medicine and nursing, anthropology, sociology, population research, immigration law, and ethics. The journal also publishes review articles, short communications, letters to the editor, and notes from the field.
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