Explaining Health Outcomes of Asian Immigrants: Does Ethnicity Matter?

Lo, Celia C.; Yang, Philip Q.; Cheng, Tyrone C.; Ash-Houchen, William

doi:10.1007/s40615-019-00673-x

Cited by 4 publications

(2 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, a significant proportion of risk is influenced by health behaviors with high rates of smoking, stress, high alcohol consumption, and a high sodium diet being reported in this population [35] . These behaviors are in turn influenced by cultural factors such as acculturation and social support, but also socioeconomic factors like health insurance coverage [36] . Many studies, including ours, have found that Filipino individuals follow lower than recommended levels of physical activity, a well-known contributor to both diabetes and hypertension [ 11 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Heterogeneity in cardio-metabolic risk factors and atherosclerotic cardiovascular disease among Asian groups in the United States

Satish¹,

Sadaf²,

Grandhi³

et al. 2021

American Journal of Preventive Cardiology

View full text Add to dashboard Cite

Objective The Asian American population in the U.S. comprises various, ethnically diverse subgroups. Traditionally, this population has been studied as a single, aggregated group, potentially masking differences in risk among subgroups. Analyses using disaggregated data can help better characterize the health needs of different Asian subpopulations and inform targeted, effective public health interventions. We assessed the prevalence of cardiovascular disease (CVD) risk factors and atherosclerotic CVD (ASCVD) and their associations with socioeconomic factors among Chinese, Asian Indian, Filipino and Other Asian subjects, compared with non-Hispanic White (NHW) subjects in the U.S. Methods : Cross-sectional study using data from 298,286 adults from the National Health Interview Survey (NHIS) from 2007 to 2018. We utilized chi-squared tests to compare characteristics across subgroups. Weighted proportions and unadjusted and adjusted logistic regression models were utilized to examine the associations between Asian subgroups, self-reported CVD risk factors and self-reported ASCVD, as well as between socioeconomic factors within each Asian subgroup. Results : Asian Indian subjects had the highest prevalence of diabetes (12.5%), while Filipino subjects had the highest prevalence of hyperlipidemia (27.7%), hypertension (29.8%) and obesity (19.8%). Despite this, the prevalence of self-reported ASCVD was lower in all Asian groups compared with NHWs. Chinese subjects had the lowest odds of having each of the CVD risk factors assessed. Conclusion : We found considerable heterogeneity in the distribution of risk factors as well as ASCVD among Asian subgroups in the US. Compared with health system or community-based reports, the prevalence of risk factors and ASCVD may be underestimated in some Asian NHIS subgroups. There is an urgent need for efforts to improve recruitment of Asian participants of heterogeneous socioeconomic backgrounds in national surveys, as well as to perform a thorough assessment of risk factors and disease in this population, not relying solely on self-report.

show abstract

Section: Discussionmentioning

confidence: 99%

Heterogeneity in cardio-metabolic risk factors and atherosclerotic cardiovascular disease among Asian groups in the United States

Satish¹,

Sadaf²,

Grandhi³

et al. 2021

American Journal of Preventive Cardiology

View full text Add to dashboard Cite

show abstract

“…Given the diversity and variability of those with Asian heritage in America, scholars suggest unpacking the panethnic label of "Asian" in health research [9,10,39]. Along with variations in experiences of racialization and attainment of socioeconomic status, findings affirmed that among Asian American populations, for the subgroups who have severely discriminated by institutional penalties, those practices of institutional racism are more influential for predicting poor health status.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Discriminatory Experiences and Self-Reported Health Status among Asian Americans and Its Subethnic Group Variations

2021

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

Purpose Using distinct measures for racial microaggressions and discrimination, this article explored the association between discriminatory experiences and self-reported health status among Asian populations in the USA and its subethnic group variation. Methods This article investigated 4393 Asian American adults from the 2016 Post-Election National Asian American Survey (NAAS). Binary measure of self-reported health (not good/good) was accounted for. Two measures of racial microaggressions included (1) verbal microaggression and (2) behavioral microaggression. Two measures of discrimination encompassed (1) workplace discrimination and (2) institutional racism. Ethic groups were classified to (1) East Asian (n=1491), (2) Southeast Asian (n=1758), or (3) South Asian (n=1144). Results Findings from logistic regression analyses showed that increased workplace discrimination and institutional racism yielded decreased odds of reporting good health status. The association between racial microaggressions, discrimination, and self-reported health status varied across ethnic subgroup, indicating that the verbal aggression score was more predictive for the East Asian group while institutional racism was most harmful to Southeast Asians. Discussion Findings highlighted the racialized interpretation and its variations in self-reported health status among Asian populations. Relating to variations in experiences of racialization and attainment of socioeconomic status, disproportionate relationships of discriminatory experiences and health among Asian populations were further discussed.

show abstract

Exploring the Poststroke Experiences and Needs of South Asian Communities Living in High-Income Countries: Findings from a Scoping Review

Kokorelias

Cameron

Salbach

et al. 2023

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

Explaining Health Outcomes of Asian Immigrants: Does Ethnicity Matter?

Cited by 4 publications

References 62 publications

Heterogeneity in cardio-metabolic risk factors and atherosclerotic cardiovascular disease among Asian groups in the United States

Heterogeneity in cardio-metabolic risk factors and atherosclerotic cardiovascular disease among Asian groups in the United States

The Association Between Discriminatory Experiences and Self-Reported Health Status among Asian Americans and Its Subethnic Group Variations

Exploring the Poststroke Experiences and Needs of South Asian Communities Living in High-Income Countries: Findings from a Scoping Review

Contact Info

Product

Resources

About