A new scientific statement from the American Heart Association has shed light on the intricate web of social factors affecting cardiovascular health among Asian Americans. The report, published in the journal Circulation, highlights how immigration status, structural racism, and socioeconomic factors contribute to heart health disparities within this diverse population.
Asian Americans, the fastest-growing ethnic group in the U.S., are often underrepresented in medical research. Dr. Nilay S. Shah, chair of the statement writing group, emphasizes that combining different Asian subgroups into a single category can mask clinically relevant health differences.
The study points out that factors such as immigration experiences, cultural norms, and acculturation processes uniquely influence cardiovascular health behaviors among Asian Americans. For instance, refugees from countries like Bhutan, Burma, and Vietnam may face chronic stress due to past exposure to war and trauma, potentially worsening their heart health.
Socioeconomic diversity within the Asian American community also plays a crucial role. While some subgroups have high median incomes, others face significant economic challenges. This disparity affects access to healthcare, nutritious food, and health insurance.
The researchers call for more nuanced studies that consider the distinct experiences of various Asian subgroups. They stress the importance of understanding how structural racism and immigration policies have historically impacted Asian Americans’ health outcomes.
As the Asian American population is projected to reach 46 million by 2060, addressing these health disparities becomes increasingly urgent. The statement serves as a call to action for researchers and policymakers to develop targeted strategies that can improve cardiovascular health equity among all Asian American subgroups.
See “How Asian-American heart health is impacted by immigration status and racism” (October 8, 2024)
