Heart Disease Prevention Among Chinese Immigrants

Taylor, Vicky; Yasui, Yutaka; Tu, Shin Ping; Neuhouser, Marian L.; Li, Lin; Woodall, Erica; Acorda, Elizabeth; Cripe, Swee May; Hislop, T. Gregory

doi:10.1007/s10900-007-9057-5

Cited by 42 publications

(43 citation statements)

References 13 publications

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“…In the present study, we examined the associations between three acculturation measures and three health examination behaviors to provide a more comprehensive depiction of this relationship. Overall among the three Asian ethnic groups, greater acculturation was associated with a higher likelihood of having a routine physical exam, dental exam, and eye exam which is similar to findings from previous studies [4, 11, 28, 29]. This was particularly true when we used SL-ASIA or clusters as acculturation measures compared to length of stay.…”

Section: Discussionsupporting

confidence: 86%

Health Examination Is Not a Priority for Less Acculturated Asian Americans

Lee

Chae

Jung

et al. 2016

J. Racial and Ethnic Health Disparities

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This study examines the associations between acculturation and three health examination behaviors (physical, dental, and eye exams) among 846 Chinese, Korean, and Vietnamese Americans. The study was part of a randomized, community-based trial on liver cancer prevention that targeted Asian Americans in Washington DC metropolitan area. Acculturation was assessed using Suinn-Lew Asian Self-Identity Acculturation scale (SL-ASIA), acculturation clusters, and length of stay. Health examination behaviors in the last two years were self-reported. Potential confounders such as age, gender, ethnicity, income, marital status, self-rated health status, health insurance, and having a regular physician were adjusted. Increased acculturation was associated with greater receipt of preventive services when acculturation was measured by SL-ASIA and acculturation clusters. Compared to those in the ‘Asian’ cluster, those in the ‘American’ cluster and ‘Bicultural’ clusters were more likely to have physical exams (American: Odds Ratio (OR)=1.83, 95% Confidence Interval (CI): 0.99, 3.88; Bicultural: OR=1.11; 95% CI: 0.72, 1.70); dental exams (American: OR=1.99, 95% CI: 1.09, 3.65; Bicultural: OR=1.83, 95% CI: 1.21, 2.78); and eye exams (American: OR= 4.48, 95% CI: 2.67, 7.66; Bicultural: OR=1.92, 95% CI: 1.31, 2,81). A gradient was observed in these associations with the ‘American’ cluster having stronger associations than the ‘Bicultural’ cluster. Interaction was found between acculturation and gender for receipt of a physical exam. Future studies are needed to further explicate how access to health care impacts the association between acculturation and health examinations among Asian Americans.

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Section: Discussionsupporting

confidence: 86%

Health Examination Is Not a Priority for Less Acculturated Asian Americans

Lee

Chae

Jung

et al. 2016

J. Racial and Ethnic Health Disparities

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“…Although only a few studies have examined the relationship between acculturation and hypertension[5,7], the number of years living in the US has generally been an indicator for the risk of developing chronic diseases, including cardiovascular disease[25]. For example, among Chinese immigrants who moved to the US, recent immigrants reported a healthier diet and more physical activity compared with those who have resided in the US for more than 10 years[26]. Interestingly, however, Filipino Americans who lived in the US more than 30 years were not significantly different in their hypertension status compared with those who lived less than 20 years.…”

Section: Discussionmentioning

confidence: 99%

Risk Assessment and Prevention of Hypertension in Filipino Americans

et al. 2017

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Background Despite that Filipino Americans represent an important target group for hypertension, health behaviors associated with hypertension in this population have not been well studied. Methods Two hundred Filipino Americans from eight community-based organizations completed the study. Information was collected to determine whether modifiable behavioral factors, as well as acculturation and demographic characteristics, were associated with hypertension status in Filipino Americans. Results Approximately 67% of Filipino Americans were hypertensive. Logistic regression analysis showed that adding salt, physical inactivity, and old age were significantly associated with hypertension status after controlling for other covariates. Discussion The present study confirmed a high rate of hypertension among Filipino Americans and demonstrates the association of hypertension status with behavioral factors. These findings highlight the need for targeted interventions to prevent and manage hypertension in this high-risk community by facilitating health behaviors, particularly, salt reduction and physical activity.

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“…(See Table 1. [19][20][21][22][23][24][25][26][27][28][29][30][31][32] ) All papers were reviewed by one author (CG) and by one or more of the other authors, with coding disagreements resolved through discussion. Papers were reviewed against the STROBE Statement 22-item checklist for cross-sectional studies 33 to ensure they were adequately reported.…”

Section: Methodsmentioning

confidence: 99%

“…The nature of this relationship was the same and was found across various diverse ways of measuring acculturation and smoking, and using different statistical analytics and modeling. Five of the eight studies that used some aspect of language use or proficiency as an indicator of acculturation found a relationship 19,21,23,27,32 and three did not, 25,26,28 such that more use of English language was linked with less smoking for men 19,22,24,28,30,32 Both studies that distinguished between foreign-and North American-born found a relationship with smoking behaviour, 19,27 such that men born in China smoked more 27 and women born in China smoked less. 19,27 Of the studies that used multidimensional acculturation scales, 20,29,31,32 two studies, both in adolescents, did not find a relationship between scale scores and acculturation.…”

Section: Smoking Prevalencementioning

confidence: 97%

“…24 Four other studies, however, failed to find any significant association between education and smoking behaviour. 23,26,30,32 One study reported that women with household incomes between $20,001-$50,000 had significantly higher smoking rates than women with lower and higher household incomes, 24 while two other studies did not find any significant relationship between household income and smoking behaviour. 26,28 One study found a significant positive relationship between employment and smoking behaviour, 32 while two other studies did not find it to be significant.…”

Section: Other Correlates Of Smoking Behaviourmentioning

confidence: 99%

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Acculturation and smoking in North Americans of Chinese ancestry: A systematic review

Gotay

Reid

Dawson

et al. 2015

Can J Public Health

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were extracted from Canadian and American studies for population characteristics, study design, measures of smoking and acculturation, and findings regarding smoking rates and associations between smoking and acculturation. SYNTHESIS:The literature search identified 147 articles, and 14 met inclusion criteria. Three studies were based on Canadian samples and the remaining 11 were from the United States. Of the 14 papers, 3 reported findings for youth and 11 for adults. Among adults, daily smoking rates were consistently much higher in men than women; for men, rates varied from 9% to 30%. Language use and time in North America were the most common indicators of acculturation. Almost all studies found a relationship between acculturation and smoking, such that more acculturated men smoke less and more acculturated women smoke more. CONCLUSION:The findings suggest that the association between acculturation and smoking is gender-specific. This correlation is found in youth and adults and in both Canada and the US. Increased acculturation has a protective effect on smoking for Chinese North American men, but a harmful effect for women. Tobacco control interventions need to develop targeted strategies appropriate to these different populations. Smoking rates vary markedly internationally. For women, rates range from 1% (in Saudi Arabia) to 50% (in Nauru), and for men, rates go from a low of 8% (in Ethiopia) to 71% (in Kiribati). Rates in North America are intermediate, with 17% and 25% of women and 24% and 33% of men smoking in Canada and the United States respectively. 4 Individuals who emigrate from other parts of the world to North America often face many challenges in adjusting to their new homes, including differences in modal behaviours such as the prevalence of smoking. Immigrants from China comprise an interesting subgroup, since they are the largest group of immigrants to Canada (making up almost 13% of new Canadians) 5 and one of the largest groups in the US, accounting for 4.2% of new immigrants (after individuals from Mexico, India and the Philippines). 6 Smoking rates in China are 2% for women and 51% for men, both greatly different from North American rates. 4This paper reviews published literature on smoking rates in North Americans of Chinese origin, with an emphasis on understanding one of the most important factors affecting smoking in these individuals. Specifically, we focus on acculturation, which has been defined as "a complex, multidimensional process by which foreign born individuals adopt the values, customs, norms, attitudes, and behaviors of the mainstream culture".7 Acculturation plays a crucial role in many health behaviours, including smoking, diet and exercise.

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Heart Disease Prevention Among Chinese Immigrants

Cited by 42 publications

References 13 publications

Health Examination Is Not a Priority for Less Acculturated Asian Americans

Health Examination Is Not a Priority for Less Acculturated Asian Americans

Risk Assessment and Prevention of Hypertension in Filipino Americans

Acculturation and smoking in North Americans of Chinese ancestry: A systematic review

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