Associations Between Discrimination and Cardiovascular Health Among Asian Indians in the United States

Nadimpalli, Sarah B.; Dulin‐Keita, Akilah; Salas, Carlos; Kanaya, Alka M.; Kandula, Namratha R.

doi:10.1007/s10903-016-0413-3

Cited by 19 publications

(14 citation statements)

References 39 publications

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“…The low prevalence of ideal CVH metrics in US South Asians is similar to what has been found in the general US population Longitudinal follow-up of the MASALA cohort will allow further study of the relationship between the AHA CVH metrics and progression of subclinical atherosclerosis, incident CVD events, and mortality. Effective primordial and primary prevention interventions are needed to preserve and improve CVH in US South Asians, as well as continued research on novel and emerging risk factors (Bharmal et al, 2016; Flowers et al, 2015; Nadimpalli et al, 2016; A. D. Shah et al, 2016; B.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular health metrics among South Asian adults in the United States: Prevalence and associations with subclinical atherosclerosis

Talegawkar

Jin

Kandula

et al. 2017

Preventive Medicine

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South Asians, a fast growing ethnic group in the US, have an increased risk for cardiovascular disease compared to the general population. We examined the prevalence and distribution of the American Heart Association’s Life’s Simple 7 cardiovascular health (CVH) metrics using data from Mediators of Atherosclerosis in South Asians Living in America (MASALA) study, and cross-sectional associations between number of CVH metrics in the ideal range with subclinical atherosclerosis assessed using coronary artery calcium (CAC) measured using cardiac computed tomography and carotid intima media thickness (CIMT) measured using high-resolution B-mode ultrasonography. CAC was modeled as Agatston scores=0, 1–400 and >400; CIMT was examined continuously and as internal CIMT >1.5 mm. In the MASALA cohort (N=875; mean age: 55 y; 53% men; living in greater San Francisco and Chicago areas; October 2010-March 2013) without prevalent coronary heart disease, no participant had all 7 metrics in ideal range; approximately 20% of the participants had at least 5 metrics in ideal range. Higher number of CVH metrics in the ideal range was inversely associated with subclinical atherosclerosis. A 1 unit increase in the number of CVH metrics in the ideal range was associated with 32% lower odds of CAC=1–400 (vs. CAC=0; OR=0.68, 95% CI: 0.60, 0.78) and 28% lower odds of internal CIMT > 1.5mm (OR=72, 95% CI: 0.61, 0.85). These data show the prevalence of CVH metrics among South Asians in the US, and provide empirical evidence on inverse associations of meeting ideal levels for higher number of metrics and subclinical atherosclerosis.

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Section: Discussionmentioning

confidence: 99%

Cardiovascular health metrics among South Asian adults in the United States: Prevalence and associations with subclinical atherosclerosis

Talegawkar

Jin

Kandula

et al. 2017

Preventive Medicine

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“…The issues arising from the model minority label result in undue academic pressure in SA youth and a hesitation in seeking academic help which has far reaching mental health consequences (Daga & Raval, 2018). Perceived discrimination was found to be significantly related to psychological stress for first- and second-generation SAA (Kaduvettoor-Davidson & Inman, 2013) and impacted self-reported health (Nadimpalli et al, 2016). Benner et al (2018) showed the pernicious effects of racial/ethnic discrimination across multiple domains on adolescents’ mental health, their engagement in risky health behaviors and their educational success.…”

Section: Clinical Challengementioning

confidence: 99%

Engaging South Asian youth and families: A clinical review

Sharma

Shaligram

Yoon

2020

Int J Soc Psychiatry

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Objective: South Asians (SAs), a rapidly growing minority group in the United States are underrepresented in mental health research. They represent a unique sub-group of Asian immigrants in that their journey to the United States in the last 50 years was driven by the pursuit of academic and career opportunities. Our goal is to provide a topical overview of factors contributing to the mental health challenges of South Asian American (SAA) youth and to describe culturally sensitive approaches that would provide effective treatment for SAA youth and their families. Methods: We conducted a review of published literature in PubMed and PsycInfo search engines using the key words South Asian immigrants, South Asian Americans, psychological, psychiatric, mental health treatment, therapy and interventions. Results: The challenges faced by these highly educated families are distinctive in that there is a struggle to maintain ethnic identity based on collectivism while embracing American ideals of individualism. These opposing values along with model minority expectations put SAs at high risk for mental health concerns and acculturative family distancing. Furthermore, mental health stigma impedes help-seeking. Mental health practitioners must navigate the different value systems of the parent–child dyad without ostracizing either generation and deliver effective care. Hence, culturally adapted family therapy and community-based approaches may be particularly relevant in SA youth. Conclusion: Our article outlines common family attitudes and issues pertinent to mental health in youth and discusses useful clinical approaches to dealing with SAA youth and their families.

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“…South Asians are among the fastest growing ethnic groups in the United States (U.S.), yet epidemiological research among this group is scant (Kanaya et al, 2013;United States Census Bureau, 2010). Given higher rates of social discrimination and physical health problems experienced by South Asians, mental and physical health in this population are important spheres of study (Nadimpalli, Dulin-Keita, Salas, Kanaya, & Kandula, 2016). Within the psychosocial domain, religiosity and spirituality (R/S) are understudied constructs that may affect health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Self-Rated Religiosity/Spirituality and Four Health Outcomes Among US South Asians

et al. 2020

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Almost no research exists on the relationship between religion/spirituality (R/S) and health in the U.S. South Asian population. Using data from the joint Study on Stress, Spirituality, and Health and Mediators of Atherosclerosis Among South Asians Living in America Study (MASALA), this paper examined associations between self-rated R/S and self-rated health, emotional functioning, trait anxiety, and trait anger in a community-based sample (n = 933) from the Chicago and San Francisco Bay areas. OLS regression was used to analyze categorical differences in levels of R/S and ordinal trends for R/S, adjusting for potential confounders. Being slightly or moderately R/S was associated with lower levels of self-rated health compared to being very R/S, and being slightly or moderately R/S was associated with higher levels of anxiety. In both cases, there was no significant difference between very R/S individuals and non-R/S individuals, suggesting a curvilinear relationship. Self-rated R/S was not significantly associated with emotional functioning or anger. In sum, high-R/S and low-R/S individuals had positive associations with self-rated health and anxiety compared to individuals with slight/moderate levels of R/S. It is important for clinicians and policy makers to recognize the role R/S can play in the health status of South Asians living in the United States.

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Associations Between Discrimination and Cardiovascular Health Among Asian Indians in the United States

Cited by 19 publications

References 39 publications

Cardiovascular health metrics among South Asian adults in the United States: Prevalence and associations with subclinical atherosclerosis

Cardiovascular health metrics among South Asian adults in the United States: Prevalence and associations with subclinical atherosclerosis

Engaging South Asian youth and families: A clinical review

Self-Rated Religiosity/Spirituality and Four Health Outcomes Among US South Asians

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