Online Program

Impact of Residence in the US on Metabolic Health of Non-Hispanic Asians: Evidence from 2011-12 NHANES

Tuesday, November 3, 2015

Hannah Jackson, MPH, PhD, Center for Reducing Health Disparities, University of Nebraska Medical Center, Omaha, NE
Jim Stimpson, PhD, Health Services Research and Administration, University of Nebraska Medical Center, Omaha, NE
May C. Wang, DrPH, Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA
Harlan Sayles, MS, Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE
Terry Huang, PhD, MPH, CPH, City University of New York, Graduate School of Public Health and Health Policy, New York, NY
Background:Few nationally representative analyses have examined the metabolic health of Asian immigrants in the U.S.

Methods: This study used the NHANES 2011-2012 data to examine the association of length of U.S. residence with metabolic health among Asian immigrants in the U.S. (N = 820). Standardized thresholds for blood pressure, lipids, and glucose were used to determine metabolic dysfunction.

Results: Length of residence was positively associated with higher odds of metabolic dysfunction and type 2 diabetes risk.  Asians with 15+ years of U.S. residence had elevated odds of high levels of triglycerides (OR: 2.53, p<0.001), and high cholesterol (OR: 2.15, p<0.05).

Conclusions: The odds of metabolic dysfunction were evident among Asian immigrants relative to U.S. born Asians, and markedly elevated among foreign-born Asians after 15 years of U.S. residence. Greater research and public health prevention efforts should be focused on immigrant Asians in the U.S.

Learning Areas:

Chronic disease management and prevention
Diversity and culture
Social and behavioral sciences

Learning Objectives:
Compare risk metabolic symptoms of Asians born in the US and immigrant Asians living in the US. Identify intervention and prevention strategies to reduce adverse metabolic symptoms among Asians living in the US. Discuss factors and variable that may be contribute to elevated metabolic risk among Asians living in the US for more than 15 years.

Keyword(s): Asian Americans, Chronic Disease Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: published research scientist in asian american health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.