Association of U.S. birth, duration of residence in the U.S., and atherosclerotic cardiovascular disease risk factors among Asian adults

Authors

Mahmoud Al Rifai, Baylor College of Medicine, USA.
Sina Kianoush, aylor College of Medicine, USA.
Vardhmaan Jain, Cleveland Clinic Foundation, USA.
Parag H. Joshi, UT Southwestern Medical Center, USA.
Miguel Cainzos-Achirica, Houston Methodist DeBakey Heart & Vascular Center, USA.
Khurram Nasir, Houston Methodist DeBakey Heart & Vascular Center, USA.
Anwar T. Merchant, University of South Carolina, USA.
Sunita Dodani, Eastern Virginia Medical School, USA.
Zainab Samad, Aga Khan UniversityFollow
Salim S. Virani, Baylor College of Medicine, USA.Follow

Document Type

Article

Department

Medicine; Cardiology; Office of the Provost

Abstract

Introduction: Prior studies have shown a direct association between U.S. birth and duration of residence with atherosclerotic cardiovascular disease (ASCVD) though, few have specifically focused on Asian Americans.
Methods: We utilized cross-sectional data from the 2006 to 2015 National Health Interview Survey. We compared prevalent cardiovascular risk factors and ASCVD among Asian American individuals by U.S. birth and duration of time spent in the U.S.
Results: The study sample consisted of 18,150 Asian individuals of whom 20.5 % were Asian Indian, 20.5 % were Chinese, 23.4 % were Filipino, and 35.6 % were of other Asian ethnic groups. The mean (standard error) age was 43.8 (0.21) years and 53 % were women. In multivariable-adjusted logistic regression models, U.S. birth was associated with a higher prevalence odds ratio (95 % confidence interval) of current smoking 1.31 (1.07,1.60), physical inactivity 0.62 (0.54,0.72), obesity 2.26 (1.91,2.69), hypertension 1.33 (1.12,1.58), and CAD 1.96 (1.24,3.11), but lower prevalence of stroke 0.28 (0.11,0.71). Spending greater than 15 years in the U.S. was associated with a higher prevalence of current smoking 1.65 (1.24,2.21), obesity 2.33 (1.57,3.47), diabetes 2.68 (1.17,6.15), and hyperlipidemia 1.72 (1.09,2.71).
Conclusion: Heterogeneity exists in cardiovascular risk factor burden among Asian Americans according to Asian ethnicity, U.S. birth, and duration of time living in the U.S.

Comments

Issue, and pagination are not provided by the author/publisher. This work was published before Salim joined Aga Khan University.

Publication (Name of Journal)

Preventive medicine reports

DOI

10.1016/j.pmedr.2022.10191

Recommended Citation

Rifai, M. A., Kianoush, S., Jain, V., Joshi, P. H., Cainzos-Achirica, M., Nasir, K., Merchant, A. T., Dodani, S., Samad, Z., Virani, S. S. (2022). Association of U.S. birth, duration of residence in the U.S., and atherosclerotic cardiovascular disease risk factors among Asian adults. Preventive medicine reports, 29, 101916.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_med_cardiol/207

Creative Commons License

This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License.