Hypertension, diabetes, and corresponding annual clinical testing utilization: Comparison between Asian Indians and other races/ethnicities

Visaria, Aayush; Islam, Sumaiya; Polamarasetti, Pooja; James, Joel; Raju, P. Krishnam; Sharma, Akarsh; Khangura, Karen K; Thawani, Rajat; Dodani, Sunita

doi:10.1016/j.ypmed.2021.106761

Cited by 3 publications

(5 citation statements)

References 36 publications

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“…In consultation with local SA community groups prior to the study, we thus elected to not translate our survey into SA languages because of the group's much higher English fluency than other groups, the large number of native tongues, and insufficient language expertise on the research team to equitably represent sufficient number of native tongues to not alienate potential participants. This decision reflects our older SA community members’ preference for completing surveys in English even when research staff spoke Hindi or Gujarati, and is further supported by national surveys conducted only in English or Spanish that nevertheless elucidated health behaviors and cultural practices in SA communities 30,31 . The survey was piloted (Supplementary Methods) before the final version was administered, and its completion took 3 to 5 minutes.…”

Section: Methodsmentioning

confidence: 97%

“…This decision reflects our older SA community members’ preference for completing surveys in English even when research staff spoke Hindi or Gujarati, and is further supported by national surveys conducted only in English or Spanish that nevertheless elucidated health behaviors and cultural practices in SA communities. 30 , 31 The survey was piloted ( Supplementary Methods ) before the final version was administered, and its completion took 3 to 5 minutes.…”

Section: Methodsmentioning

confidence: 99%

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Factors associated with attitudes toward research MRI in older Asian Americans

Kota,

Dawson,

Papas

et al. 2024

A&D Transl Res & Clin Interv

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INTRODUCTIONSouth Asian (SA) and East Asian (EA) older adults represent the fastest‐growing racial/ethnic groups of Americans at risk for dementia. While recruiting older SA adults into a brain health study, we encountered unexpected hesitancy toward structural brain magnetic resonance imaging (MRI) analysis and stigmatizing attitudes related to internal locus of control (LoC) for future dementia risks. We hypothesized that support for MRI‐related research was influenced by these attitudes as well as personal MRI experience, perceived MRI safety, and concerns for personal risk for future dementia/stroke.METHODSWe developed a brief cross‐sectional survey to assess older adults’ MRI experiences and perceptions, desire to learn of six incidental findings of increasing impact on health, and attitudes related to dementia (including LoC) and research participation. We recruited a convenience sample of 256 respondents (74% reporting as 50+) from the New Jersey/New York City area to complete the survey (offered in English, Chinese, Korean, and Spanish) and modeled the proportional odds (PO) for favorable attitudes toward research activities.RESULTSSeventy‐seven SA and 84 EA respondents were analyzed alongside 95 White, Black, or Hispanic adults. White (PO = 2.54, p = 0.013) and EA (PO = 2.14, p = 0.019) respondents were both more likely than SA respondents to endorse healthy volunteers’ participation in research, and the difference between White and SA respondents was mediated by the latter's greater internal LoC for dementia risks. EA respondents had more worries for future dementia/stroke than SA respondents (p = 0.006) but still shared SA respondents’ lower wish (measured by proportion of total) to learn of incidental MRI findings.DISCUSSIONSA—and EA compared to SA—older adults had low desire to learn of incidental MRI findings but had different attitudes toward future dementia/stroke risks. A culturally appropriate protocol to disclose incidental MRI findings may improve SA and EA participation in brain health research.Highlights Older Asian Americans have limited interest in incidental findings on research MRI South Asians are most likely to attribute dementia to people's own behaviors South Asians’ attitudes mediate lower support for healthy volunteers in research South and East Asians differ in dementia worries and research‐related attitudes

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Section: Methodsmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Factors associated with attitudes toward research MRI in older Asian Americans

Kota,

Dawson,

Papas

et al. 2024

A&D Transl Res & Clin Interv

View full text Add to dashboard Cite

show abstract

“…Over 6 million South Asians reside in the United States and the evidence suggests that they often suffer from heightened cardiometabolic risk. 8 A recent analysis of data from the National Health and Interview Survey (2011-2018; n=257 652) reported a 23% increase in the adjusted odds for hypertension in 3049 Asian Indians versus White adults. 8 They also found a doubling in the odds for diabetes, the highest of any race or ethnicity.…”

Section: See Article By Islam Et Almentioning

confidence: 99%

“…8 A recent analysis of data from the National Health and Interview Survey (2011-2018; n=257 652) reported a 23% increase in the adjusted odds for hypertension in 3049 Asian Indians versus White adults. 8 They also found a doubling in the odds for diabetes, the highest of any race or ethnicity. This highlights the importance of trials like that by Islam et al 7 aiming to reduce cardiometabolic risk in South Asians.…”

Section: See Article By Islam Et Almentioning

confidence: 99%

“…Moreover, it has been increasingly recognized that negative social determinants health are barriers to the success of health care in many (particularly immigrant) South Asian communities. 8 Islam et al fittingly worked with local community members to develop tailored care strategies for the CHWs. The positive results further support the importance of delivering culturally sensitive care relevant for each unique community in order to successfully improve health outcomes.…”

Section: See Article By Islam Et Almentioning

confidence: 99%

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