Interventions for Cardiovascular Disease Risk Reduction in Korean Americans: A Systematic Review

Abstract

This systematic review was to identify and synthesize literature that described the cultural appropriateness and effectiveness of interventions aimed at cardiovascular risk reduction in Korean Americans. We searched multiple electronic databases for studies published between January 2000 and August 2017 and identified 14 eligible research reports. All reviewed studies targeted first-generation Korean American adults. Most of the reviewed studies incorporated components of surface structure, and leveraged deep structure in those interventions. Significant changes in cardiovascular health outcomes were reported in most of the reviewed studies; however, the role of cultural factors in the outcomes was rarely evaluated, and few reported long-term effects. Future research needs to consider long-term effects. Deploying cultural factors and evaluating their contributions to the target outcomes will enhance the research on cardiovascular health disparities.

Errors Associated with Aggregating Asian American Ethnic Groups in Diabetes Research, Education, and Clinical Practice

“…In addition, Filipino American diets are high in salt [32]. Likewise, Korean Americans have diets that are high in salt [33].…”

“…A notable complication of T2DM is heart disease [33]. About three-fourths of deaths in persons with T2DM are a consequence of cardiovascular diseases [51,52].…”

O Estado das Disparidades em Saúde dos Luso-Americanos

“…1 A notable difference between Portuguese Americans and other ethnic American populations is evident in their lack of presence in the published health disparities literature. There is much published health disparities research on Cuban, 2 Vietnamese, 3 and Korean Americans, 4 yet Portuguese Americans have received little attention.…”

Special Issue: Cardiovascular Nursing Research

“…Highlighting the importance of addressing culture within nursing research, the systematic review of the literature by (Shin et al, 2020) found that interventions were successful in improving cardiovascular health outcomes for Korean Americans. Yet, the role of the participants Korean culture was not consistently addressed in the analysis of the cardiovascular outcomes.…”

“…Additionally, long-term cardiovascular outcomes were not addressed in the studies reviewed. Shin and colleagues (2020) suggest that by integrating and deploying cultural informed interventions would improve nursing’s ability to decrease cardiovascular health disparities for Korean Americans (Shin et al, 2020).…”