Cardiovascular Disease Mortality in Asian Americans

Jose, Powell; Frank, Ariel T.H.; Kapphahn, Kristopher; Goldstein, Benjamin A.; Eggleston, Karen; Hastings, Katherine; Cullen, Mark R.; Palaniappan, Latha

doi:10.1016/j.jacc.2014.08.048

Cited by 249 publications

(169 citation statements)

References 26 publications

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“…Huang et al, 2013;Klatsky & Armstrong, 1991;Klatsky, Tekawa, & Armstrong, 1996;Zhao et al, 2015), which further supports national data indicating a higher likelihood of hypertension among Filipinos (Ye et al, 2009). Jose et al (2014) observed similar ethnic heterogeneity in hypertension prevalence among the Vietnamese, Filipino, and Japanese populations, though findings were not specific to men. However, previous studies that controlled for nativity identified higher odds of hypertension only among U.S.-born Chinese men, suggesting that odds of high blood pressure may be affected by immigrant status (Klatsky & Armstrong, 1991;Klatsky et al, 1996).…”

Section: Discussionsupporting

confidence: 85%

“…California is also home to one of the highest percentages of Asian American men (U.S. Census Bureau, 2014). Asian American men, in particular, have been identified to be at higher risk for heart disease and diabetes than women (Jose et al, 2014;Nguyen, Nguyen, Fischer, Ha, & Tran, 2015). Furthermore, heart disease leads mortality rates among Japanese, Filipino, and Asian Indian men (Hastings et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Ethnic Group Differences in Health Outcomes Among Asian American Men in California

et al. 2016

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The numbers of Asian American men are continually increasing, yet limited research exists on this understudied population. Addressing this lack of research is necessary to better inform how best to improve quality of care. This study examined health outcome differences across ethnically diverse groups of Asian American men in California, compared with non-Hispanic White men. Using data from the 2007, 2009, and 2011-2012 California Health Interview Survey, distributions of health status and health-related characteristics across (n = 43,030) racial/ethnic groups of men (Chinese, Japanese, Korean, Filipino, Vietnamese, Other Asian Americans, and non-Hispanic Whites) were calculated. Compared with non-Hispanic Whites, odds of reporting fair or poor health were higher among Vietnamese, while odds of diabetes were higher among Korean, Filipino, and Other Asian Americans. Odds of high blood pressure were higher among Filipino and Vietnamese but lower among Other Asian Americans, while odds of disability were lower across all ethnic groups except Filipino and Vietnamese. This study's findings highlight the importance of understanding ethnic heterogeneity to develop culturally appropriate health interventions for Asian American men.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Ethnic Group Differences in Health Outcomes Among Asian American Men in California

et al. 2016

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“…In particular, the prevalence of cardiovascular disease (CVD) and cardiovascular risk factors is exceptionally high among Filipino Americans. 8 An estimated two in five Filipino…”

mentioning

confidence: 99%

Diabetes among non-obese Filipino Americans: Findings from a large population-based study

Fuller‐Thomson

Roy

Chan

et al. 2017

Can J Public Health

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OBJECTIVES: Filipino Americans form the second-largest Asian American and Pacific Islanders subgroup. Growing evidence suggests that Filipino Americans have higher rates of diabetes than non-Hispanic whites. The key objectives of this study are 1) to determine the prevalence of diabetes in non-obese Filipino Americans compared to non-obese non-Hispanic whites, and 2) to identify risk factors for diabetes in non-obese Filipino men and women.METHODS: Secondary analysis of population-based data from combined waves (2007, 2009 and 2011) of the adult California Health Interview Survey (CHIS). The study sample was restricted to non-obese Filipino Americans (n = 1629) and non-Hispanic whites (n = 72 072).RESULTS: Non-obese Filipino Americans had more than twice the odds of diabetes compared to non-Hispanic whites, even after correcting for several known risk factors (OR = 2.80, p < 0.001). For non-obese Filipino men, older age, poverty, cigarette smoking, and being overweight are associated with increased odds for diabetes, while older age was the only factor associated with diabetes among Filipina women.DISCUSSION: Diabetes prevention approaches need to be targeted towards non-obese Filipino Americans, due to their high risk of diabetes.KEY WORDS: Diabetes; Filipino Americans; non-obese; prevalence; risk factors; sex La traduction du résumé se trouve à la fin de l'article.

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“…The proportionate mortality ratios of stroke, especially hemorrhagic stroke, were higher in KA women (2.07) and men (1.89), compared to non-Hispanic white women (1.06) and men (0.94) [24]. Elderly KAs have a higher prevalence of stroke risk factors such as hypertension, dyslipidemia, etc.…”

Section: Introductionmentioning

confidence: 92%

Trustworthiness, Readability, and Suitability of Web-Based Information for Stroke Prevention and Self-Management for Korean Americans: Critical Evaluation (Preprint)

Lee¹,

Shin²,

An³

2018

Preprint

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Background: The websites are common resources of health-information to stroke survivors and caregivers to obtain information and resources for continual management of stroke and the long-term sequels. Korean Americans (KAs) are frequent users of the webbased health information related to stroke management. The high stroke risk factors and mortality in KAs and lack of insurance, thus limited access to long-term care explains KAs' reliance on the web-based information. Quality of information on the websites is often questioned. Objective: This study aimed to provide a systematic evaluation of stroke-related websites regarding (1) trustworthiness (2) readability, and (3) the suitability for stroke prevention and self-management in KAs. Methods: The search terms 'stroke,' 'CVA,' '중풍 [jungpung],' and '뇌졸증[noejoljung]' were used to find stroke-related websites on Google and Yahoo. A total of 156 websites appeared on the 1 st and 2 nd pages. After eliminating duplicates and irrelevant websites (n=116), a total of 42 websites (15 in English and 27 in Korean) were evaluated using the National Library of Medicine's health websites evaluation tool for trustworthiness; SMOG for readability; and Suitability Assessment of Materials (SAM) for suitability. All three instruments used the 3-point Likert scale: superior (=2), adequate (=1), or not suitable (=0). Results: Overall, 26 (61.9%) websites received a rating of "adequate" or above for trustworthiness; however, in currency/timeline, the information on 47.6% hasn't been updated more than a year. In terms of authority, 33% failed to provide the publisher and contact information. Regarding accuracy, 50% of the websites didn't cite sources of health information. The overall readability was not suitable; only two (4.8%) websites were rated 5 th grade or lower reading level. In the suitability evaluation, only one website was rated as "superior," 25 (59.5%) websites were "adequate," and 16 (38.1%) websites were "not suitable." Among the suitability subcategory criteria, many websites were limited in graphical directions, interactive motivations for desired healthy behaviors, and multiplelanguage translations. Conclusion: The existing stroke-related websites in either English or Korean are trustworthy and suitable, yet precise citation of evidence-based information will improve trustworthiness. The high reading level of the information may set a barrier to utilization of web-based health information to KAs with a lower level of education. With the consideration of culturally relevant information in multiple languages, graphical examples, multimedia, and interaction features are the areas for improvement in suitability. The improved features can reduce the reading burden of stroke patients/caregivers and build more confidence or self-efficacy when applying the information for condition management and rehabilitation in daily living. These strategies are especially crucial to KAs, who inevitably seek web-based information to fill the gap between their demand and access to he...

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Cardiovascular Disease Mortality in Asian Americans

Cited by 249 publications

References 26 publications

Ethnic Group Differences in Health Outcomes Among Asian American Men in California

Ethnic Group Differences in Health Outcomes Among Asian American Men in California

Diabetes among non-obese Filipino Americans: Findings from a large population-based study

Trustworthiness, Readability, and Suitability of Web-Based Information for Stroke Prevention and Self-Management for Korean Americans: Critical Evaluation (Preprint)

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