New research reveals striking differences in cardiovascular health among Asian American, Native Hawaiian, and Pacific Islander populations—groups often lumped together in studies. “Aggregating data masks important variations in both risk factor prevalence and disease burden,” said lead author Rishi V. Parikh.
The PANACHE study analyzed health records from more than 2.6 million adults in California and Hawaii. It found that while all subgroups had higher rates of diabetes and high cholesterol compared to non-Hispanic white adults, the range of risk factors was dramatic. High blood pressure affected just 12% of Chinese adults but soared to 30% among Filipinos. Cholesterol rates ranged from 20% in Chinese adults to 33% in Filipinos.
Obesity showed the widest gap: 11% among Vietnamese adults versus 41% in Native Hawaiian and Pacific Islander adults, who also faced the highest predicted 10-year risk for heart attack or stroke. Type 2 diabetes was lowest in Chinese adults at 5% and highest in Native Hawaiian/Pacific Islanders at 14%.
ricans represent a diverse and heterogeneous group,” said Dr. Sadiya S. Khan, adding that tailored strategies are essential. Study coauthor Dr. Alan S. Go emphasized the need for data on social factors like discrimination, diet, and access to care to better understand disparities and guide prevention.
See: “Big differences found in heart and stroke risks among Asian American, Native Hawaiian and Pacific Islander groups” (March 10, 2025)
