Nativity and prevalence of cardiometabolic diseases among U.S. Asian immigrants.

Publisher: Elsevier Science Pub. Co Country of Publication: United States NLM ID: 9204583 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-460X (Electronic) Linking ISSN: 10568727 NLM ISO Abbreviation: J Diabetes Complications Subsets: MEDLINE

Original Publication: New York, NY : Elsevier Science Pub. Co., c1992-

Asian* ; Cardiovascular Diseases*/ethnology ; Diabetes Mellitus, Type 2*/ethnology ; Emigrants and Immigrants* ; Prediabetic State*/ethnology; Humans ; Prevalence ; United States/epidemiology

Aims: Acculturation has been shown to be an important factor for immigrants' health in the United States. We investigate whether nativity is associated with a greater risk for cardiometabolic diseases among Asian Americans (Asians) vs. non-Hispanic whites (whites).
Methods: Based on data from the U.S. National Health Interview Survey in 2006-2015, 146,862 Asians and whites aged ≥30 years were evaluated. Nativity as a proxy for acculturation was defined using a combination of birthplace and the duration of U.S. residency. Cardiometabolic diseases were defined based on self-reported diagnoses of diabetes, prediabetes, or cardiovascular diseases (CVD). Using 10-year pooled data accounting for complex sampling designs and weights, multiple logistic regression models were used to assess associations. Four Asian subgroups, including Chinese, Filipinos, Asian Indians and other Asians, were evaluated in subgroup analyses.
Results: Compared to U.S.-born whites, prevalent type 2 diabetes and prediabetes were higher among Asians depending on nativity. However, the prevalence of CVD was lower among Asians than among whites regardless of nativity (OR ≥15 years  = 0.5 [95% CI:0.5-0.6], OR U.S-born  = 0.7 [95% CI:0.6-0.8]). In addition, compared to U.S.-born whites, prevalent type 2 diabetes and prediabetes increased with an increasing length of U.S. residency for foreign-born Asians among Asians overall (≥15 years: OR diabetes  = 1.5 [95% CI:1.3-1.7]; OR prediabetes  = 1.3 [95% CI:1.2-1.6]) and Asian Indians and Filipinos. Furthermore, a significant graded association between prediabetes and length of U.S. residency was found among foreign-born Asians.
Conclusions: The prevalence of diabetes and prediabetes is higher among Asian immigrants who have spent more years in the U.S., than those in U.S.-born whites. Monitoring and prevention efforts for diabetes should target this group.
Competing Interests: Declaration of competing interest None.
(Copyright © 2020 Elsevier Inc. All rights reserved.)

JAMA. 2004 Dec 15;292(23):2860-7. (PMID: 15598917)
Demography. 2004 Aug;41(3):385-415. (PMID: 15461007)
Soc Sci Med. 2003 Jul;57(1):71-90. (PMID: 12753817)
J Am Heart Assoc. 2016 Nov 4;5(11):. (PMID: 27815269)
Diabetes Care. 2008 Aug;31(8):1621-8. (PMID: 18458142)
Int J Obes (Lond). 2008 Aug;32 Suppl 3:S56-9. (PMID: 18695655)
MMWR Morb Mortal Wkly Rep. 2007 Nov 2;56(43):1129-32. (PMID: 17975525)
Eur J Cardiovasc Prev Rehabil. 2005 Dec;12(6):535-41. (PMID: 16319542)
Am J Epidemiol. 1996 Oct 1;144(7):674-81. (PMID: 8823064)
Diabet Med. 1996 Sep;13(9 Suppl 6):S133-42. (PMID: 8894497)
Diabetes Care. 2011 Feb;34(2):353-7. (PMID: 21216863)
Nurs Health Sci. 2012 Mar;14(1):58-66. (PMID: 22303895)
Diabetes Care. 2003 Jul;26(7):2010-4. (PMID: 12832304)
Prev Med. 2017 Jun;99:222-227. (PMID: 28219784)
Lancet. 2004 Jan 10;363(9403):157-63. (PMID: 14726171)
Prog Cardiovasc Dis. 2014 Nov-Dec;57(3):286-92. (PMID: 25246267)
J Immigr Minor Health. 2016 Apr;18(2):468-78. (PMID: 25894534)
Am J Epidemiol. 1975 Dec;102(6):514-25. (PMID: 1202953)
Diabetes Care. 1991 Jul;14(7):649-54. (PMID: 1914814)
Public Health Nutr. 2009 Jul;12(7):909-16. (PMID: 18761759)
Obes Res. 2001 Jul;9(7):381-7. (PMID: 11445659)
Lancet. 2006 Nov 11;368(9548):1681-8. (PMID: 17098087)
Am J Prev Med. 2004 Nov;27(4):323-6. (PMID: 15488363)
J Diabetes Complications. 2018 Jun;32(6):539-544. (PMID: 29703553)
Soc Sci Med. 2011 May;72(9):1555-62. (PMID: 21489670)
Obesity (Silver Spring). 2014 Jul;22(7):1739-46. (PMID: 24634406)
Am J Public Health. 2006 Aug;96(8):1342-6. (PMID: 16809597)
Diabetes Care. 2015 Jul;38(7):1312-8. (PMID: 25877810)
Diabetes Care. 2009 Feb;32(2):257-62. (PMID: 18984778)
J Gen Intern Med. 2007 Jun;22(6):841-6. (PMID: 17503110)
J Natl Med Assoc. 2003 Jul;95(7):560-9. (PMID: 12911254)
Hum Biol. 1992 Dec;64(6):791-805. (PMID: 1427739)

P30 DK079637 United States DK NIDDK NIH HHS

Keywords: Asian Americans; Cardiometabolic diseases; Nativity; United States National Health Interview Survey

Date Created: 20200909 Date Completed: 20211123 Latest Revision: 20230916

20231215

PMC9078065

10.1016/j.jdiacomp.2020.107679

32900593