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A study of Asian Americans, including Asian Indian adults, published in the Journal of the American Heart Association found that the association between these adverse social determinants of health variables and cardiovascular disease risk factors varied widely among people in different subgroups.
However, the team’s researchers said that an association does not mean that social determinants of health directly cause risk.
For the data, the team included data from 6,395 adults who self-identified as Asian. Of these, 22 percent were Asian Indian adults.
A 20 percent chance of suboptimal sleep has been reported in Asian Indian adults; And a 42 percent increased chance of insufficient physical activity — a major risk factor for heart disease.
The analysis also found that for all Asian groups, “a higher adverse social determinants of health score by one standardized unit was associated with a 14 percent higher risk of hypertension; 17 percent greater risk of poor sleep; and a 24 percent higher risk of type 2 diabetes — all of which increase the risk of cardiovascular disease.”
Lead author Eugene Yang, professor of medicine at the University of Washington School of Medicine in Seattle, said: “Many social determinants of health are often interconnected, such as neighborhood cohesion, economic stability and health care system utilization.”
“People of South Asian heritage have higher rates of premature heart disease worldwide, and have recently been shown to have higher rates of heart disease than non-Hispanic whites. A better understanding of why cardiovascular risk differences exist between Asian subgroups is essential to reducing risk and improving outcomes,” Yang said.
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