Health Disparities of Cardiometabolic Disorders Among Filipino Americans: Implications for Health Equity and Community-Based Genetic Research

Coronado, Gerald; Chio-Lauri, Jacqueline; Cruz, Rosheanne Dela; Roman, Youssef M

doi:10.1007/s40615-021-01190-6

Cited by 20 publications

(13 citation statements)

References 62 publications

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“…For those earning less than $40,000 per year, living in the US for a shorter amount of time was associated with 0.41 times lower prevalence of diabetes compared to those living in the US longer. This may be due to the wide availability of cheap, high caloric foods that are high in refined carbohydrates [42]. Chinese and Korean immigrants with higher incomes may be able to better avoid these types of foods, regardless of how long they have lived in the US [43].…”

Section: Discussionmentioning

confidence: 99%

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Acculturation and Cardiometabolic Abnormalities Among Chinese and Korean Americans

Morey

Ryu

Shi

et al. 2022

J. Racial and Ethnic Health Disparities

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Background Studies generally show that higher acculturation is associated with greater cardiovascular disease (CVD) risk among immigrants in the United States (US). However, few studies have compared how proxies of acculturation are differentially associated with metabolic abnormalities measured using objective biomarkers, self-reported diagnosis, and medication use, particularly among East Asian Americans. Methods Survey data and biomarker measurements collected from random (non-fasting) blood samples of Chinese and Korean immigrants in the US (n = 328) were used to examine the associations between two proxies for acculturation (years living in the US and English speaking proficiency) with three cardiometabolic abnormalities (high triglyceride levels, diabetes, and hypercholesterolemia). Poisson regression models estimated prevalence ratios adjusted for demographic characteristics, socioeconomic factors, and body mass index. Gender, Asian subgroup, and household income were tested as potential effect modifiers. Results Living longer in the US was associated with greater likelihood of having high triglycerides. In addition, living longer in the US was associated with greater likelihood of diabetes for people with lower household income and greater likelihood of hypercholesterolemia for people with higher household income. Higher level of English proficiency was less consistently associated with higher cardiometabolic risk, although there was a significant association with greater likelihood of hypercholesterolemia. Conclusions Longer time lived in the US is associated with higher risk of cardiometabolic abnormalities among Chinese and Korean Americans. Future studies of acculturation and cardiometabolic risk should carefully consider potential mechanisms and what proxy measures of acculturation capture.

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Section: Discussionmentioning

confidence: 99%

“…Living in the US longer may lead to changes in diets and exercise habits that increase risk for diabetes and dyslipidemia [15,42]. These dietary changes may be attributable to different foods being available in the US in comparison to home countries, such as foods that are high in fats and sugars [44,45].…”

Section: Discussionmentioning

confidence: 99%

Acculturation and Cardiometabolic Abnormalities Among Chinese and Korean Americans

Morey

Ryu

Shi

et al. 2022

J. Racial and Ethnic Health Disparities

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“…Visceral fat is one of the criteria for metabolic syndrome, an accumulation of several disorders, which raises the risk for cardiometabolic problems due to the inflammatory damage to cardiac endothelial tissues leading to myocardial infarction and stroke (Amato et al, 2010;Lopes et al, 2016;Swarup et al, 2021). Extant literature, albeit many of which are older studies, showed that FilAms have a higher prevalence of cardiometabolic disorders compared to other AsianAm subgroups with alarming rates comparable to Blacks (Coronado et al, 2021). FilAms have the most years of life lost because of ischemic heart disease and cerebrovascular disease (Iyer et al, 2019).…”

Section: Chronic Diseasementioning

confidence: 99%

An interdisciplinary critical lens on the herstorical contributions and health outcomes among Filipinx American women.

Demanarig,

Sabado-Liwag,

Divino

et al. 2024

Asian American Journal of Psychology

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This analysis explores interdisciplinary perspectives on the purview of lived experiences, intergenerational trauma, and cathartic expressions of Filipinx American (FilAm) women across various health sectors, positions, and journeys. The authors look to dissect the connections and effects of colonialism and health disparities among FilAm women and provide a decolonized roadmap to support this population. Highlighted are undiscussed determinants that plague FilAm women's health for generations, such as sexual and reproductive health, domestic violence, mental health, and cumulative effects of historical and systemic factors over time. These are unspoken perspectives into FilAm women's health herstories; these are our stories. What is the public significance of this article?There are about 4 million Filipinx Americans that make up the U.S. population and are often aggregated with other Asian American subgroups, rendering their historical and diasporic sociopolitical challenges invisible. Additionally, more than half of the Filipino population in the United States are women. This article explores the effects of colonialism, model minority myth, and the trauma on FilAm women's sexual and reproductive health and mental and physical health. The authors also provide interdisciplinary, trauma-informed approaches in overcoming racial and cultural fatigue to support FilAm women.

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“…High rates of hypertension are found amongst BIWOC in North America, an unsurprising finding given that chronic stress often results in hypertension ( 62 , 63 ). Black women, for example, are at high risk of stroke partly because of increasing hypertension severity ( 64 ).…”

Section: Health Issues Facing Biwocmentioning

confidence: 99%

Flames of transformation: Igniting better mental and physical health for racialized and gendered North Americans

Shroff

2023

Front. Glob. Womens Health

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COVID-19 is catalyzing both crises and opportunities for communities of color. 1 The crisis of high mental and physical morbidities and mortalities exposes persistent inequities while providing opportunities to celebrate the power of rejuvenated anti-racism movements, fueled partly in response to the extremism of ultra-conservative governments, the circumstances to reflect deeply on racism because of forced stay-at-home-orders, and digital technologies primarily driven by youth. In marking this historical moment of longstanding anti-racism and decolonial struggles, I assert the importance of foregrounding women’s needs. In analyzing racism, rooted in colonialism and white supremacy, and its impacts on mental and physical health status, I focus on improving racialized women’s lives within the larger context, concentrating on the determinants of health. I contend that fanning the flames to scathe the racist and sexist foundations of North American society will break new ground for sharing wealth, bolstering solidarity and sisterhood, and ultimately improving Black, Indigenous, and Women of Color (BIWOC) health. Canadian BIWOC earn approximately 59 cents to the dollar earned by non-racialized men, creating vulnerabilities to economic downturns, such as the one Canada is currently in. BIWOC care aides, at the bottom of the healthcare hierarchy, are emblematic of other Black, Indigenous, and People of Color (BIPOC), who face risks of frontline work, low wages, poor job security, unpaid sick days and so forth. To that end, policy recommendations include employment equity initiatives that hire groups of racialized women who consciously express solidarity with each other. Cultural shifts within institutions will be key to providing safe environments. Improving food security, internet access and BIWOC-related data collection linked to community-based programming while prioritizing research on BIWOC will go a long way toward improving BIWOC health. Addressing racism and sexism within the healthcare system, aiming for equitable diagnostic and treatment foci, will require transformative efforts including determined leadership and buy-in from all levels of staff, long-term training and evaluation programs, audited by BIPOC communities.

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Health Disparities of Cardiometabolic Disorders Among Filipino Americans: Implications for Health Equity and Community-Based Genetic Research

Cited by 20 publications

References 62 publications

Acculturation and Cardiometabolic Abnormalities Among Chinese and Korean Americans

Acculturation and Cardiometabolic Abnormalities Among Chinese and Korean Americans

An interdisciplinary critical lens on the herstorical contributions and health outcomes among Filipinx American women.

Flames of transformation: Igniting better mental and physical health for racialized and gendered North Americans

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