TY - JOUR
T1 - Acculturation is associated with higher prevalence of cardiovascular disease risk-factors among Chinese immigrants in Australia
T2 - Evidence from a large population-based cohort
AU - Jin, Kai
AU - Gullick, Janice
AU - Neubeck, Lis
AU - Koo, Fung
AU - Ding, Ding
N1 - The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this
article: KJ is supported by the Skellern Scholarship,
University of Sydney; DD is supported by a Heart
Foundation Future Leader Fellowship (#101234), Australia.
PY - 2017/12/1
Y1 - 2017/12/1
N2 - Background: Acculturation is associated with increased prevalence of cardiovascular disease (CVD) risk-factors among immigrants in Western countries. Little is known about acculturation effects on CVD risks among Chinese immigrants, one of the fastest growing populations in Western countries. In this study, we aim to examine the association between acculturation and CVD risk-factors among Chinese immigrants, Australia’s third-largest foreign-born group. Methods: We accessed a subsample of Chinese immigrants (n = 3220) within the 45-and-Up Study (2006–2009). Poisson regression model with a robust error variance examined the association between acculturation and CVD risk-factors, and prevalence ratios were reported, adjusted for socio-demographic characteristics. Indicators of acculturation included age at migration, length of Australian residence and language spoken at home. The outcomes were self-reported CVD diagnosis and six risk-factors (hypertension, diabetes, high cholesterol, smoking, overweight/obesity, physical inactivity). Results: Mean age of Chinese participants was 58.9-years (SD = 10.7) and 55.5% were women. Chinese migrating to Australia aged <18 years were significantly more likely to report diabetes (prevalence ratio = 1.71; p < 0.01), overweight/obesity (prevalence ratio = 1.49; p < 0.001) and ≥ 3 CVD risk-factors (prevalence ratio = 1.47; p < 0.05) compared with those who migrated after 18-years-old. Chinese immigrants who lived in Australia for ≥ 30 years were significantly more likely to have diabetes (prevalence ratio = 1.84; p < 0.01) and ≥ 3 CVD risk-factors (prevalence ratio = 1.84; p < 0.01). There were no significant differences by language spoken at home. The association between indicators of acculturation and CVD risk-factors appeared to differ by sex. Conclusion: Greater acculturation was associated with adverse CVD risk-factors among Chinese immigrants in Australia.
AB - Background: Acculturation is associated with increased prevalence of cardiovascular disease (CVD) risk-factors among immigrants in Western countries. Little is known about acculturation effects on CVD risks among Chinese immigrants, one of the fastest growing populations in Western countries. In this study, we aim to examine the association between acculturation and CVD risk-factors among Chinese immigrants, Australia’s third-largest foreign-born group. Methods: We accessed a subsample of Chinese immigrants (n = 3220) within the 45-and-Up Study (2006–2009). Poisson regression model with a robust error variance examined the association between acculturation and CVD risk-factors, and prevalence ratios were reported, adjusted for socio-demographic characteristics. Indicators of acculturation included age at migration, length of Australian residence and language spoken at home. The outcomes were self-reported CVD diagnosis and six risk-factors (hypertension, diabetes, high cholesterol, smoking, overweight/obesity, physical inactivity). Results: Mean age of Chinese participants was 58.9-years (SD = 10.7) and 55.5% were women. Chinese migrating to Australia aged <18 years were significantly more likely to report diabetes (prevalence ratio = 1.71; p < 0.01), overweight/obesity (prevalence ratio = 1.49; p < 0.001) and ≥ 3 CVD risk-factors (prevalence ratio = 1.47; p < 0.05) compared with those who migrated after 18-years-old. Chinese immigrants who lived in Australia for ≥ 30 years were significantly more likely to have diabetes (prevalence ratio = 1.84; p < 0.01) and ≥ 3 CVD risk-factors (prevalence ratio = 1.84; p < 0.01). There were no significant differences by language spoken at home. The association between indicators of acculturation and CVD risk-factors appeared to differ by sex. Conclusion: Greater acculturation was associated with adverse CVD risk-factors among Chinese immigrants in Australia.
KW - acculturation
KW - Cardiovascular risk-factors
KW - Chinese immigrants
KW - migrant health
UR - http://www.scopus.com/inward/record.url?scp=85035040027&partnerID=8YFLogxK
U2 - 10.1177/2047487317736828
DO - 10.1177/2047487317736828
M3 - Article
C2 - 29064273
AN - SCOPUS:85035040027
VL - 24
SP - 2000
EP - 2008
JO - European Journal of Preventive Cardiology
JF - European Journal of Preventive Cardiology
SN - 1350-6277
IS - 18
ER -