Social factors may affect cardiovascular risk differently among Asian American adults

没有工作, health insurance or a college education are social factors linked to an increased likelihood for Asian American adults to have risk factors for heart disease and stroke, 新研究发现.

但是这些和其他因素, 被称为健康的社会决定因素, 对每个亚洲亚群的影响是不同的, 根据 这项研究, published Wednesday in the Journal of the 美国心脏协会.

"Despite the perception that Asian Americans may be less impacted by social determinants of health compared to people in other racial/ethnic groups, our findings indicate unfavorable social factors are associated with higher prevalence of cardiovascular risk factors among Asian American adults,心脏病专家. 该研究的主要作者尤金·杨(Eugene Yang)在一份声明中说 沙巴足球体育平台发布会上. He is a professor of cardiology and medicine at the University of Washington School of Medicine in Seattle.

"The Asian American population is the fastest-growing racial/ethnic group in the United States,杨说. "People of South Asian heritage have higher rates of premature heart disease globally, and they recently have been found to have higher cardiovascular mortality than non-Hispanic white people."

Understanding why differences in cardiovascular risk exist among Asian subgroups is vital to reducing risk and improving outcomes, 他说.

Researchers analyzed national household survey data from 2013 to 2018 for 6,395 adults in the U.S. 被认为是亚裔的人. 在这个群体中, 22%自称是菲律宾人, 22%是亚裔印度人, 21%是中国人，35%是其他亚洲人, 包括日语, 朝鲜文, 越南人和其他群体. 大多数参与者出生在美国以外.S.

自我报告的心血管危险因素包括糖尿病, 高胆固醇, 高血压, 肥胖, 体力活动或睡眠不足, 暴露于尼古丁. 没有测量健康饮食.

The researchers created a composite score for 27 social determinants of health, 对他们进行有利或不利的评价. 这些因素被分为以下几类:经济稳定, including employment and income status; neighborhood and social cohesion, including neighborhood trust and whether homes were rented or owned; mental health; food security; education; and health care utilization.

整体, there was a strong link between unfavorable social determinants of health and risk factors for cardiovascular disease. However, the association varied considerably among Asian subgroups.

例如, having more unfavorable social factors was linked to a 58% increased likelihood of insufficient physical activity among Chinese adults, 42%的亚裔印度成年人，24%的菲律宾成年人. The link to Type 2 diabetes and nicotine exposure also was strongest among Chinese adults. But the link to 高血压 was strongest for Filipino adults, while Asian Indian adults had higher odds for suboptimal sleep due to negative social factors than their Chinese and Filipino peers.

Yang said many of the social vulnerabilities he and his team ranked were interconnected, 比如邻里凝聚力, 经济稳定和卫生保健系统的使用.

The researchers said it's important to include more Asian American people in national surveys because 这项研究's small sample size did not allow for individual analysis of some Asian subgroups, 包括日本, 韩国和越南人.