title: Associations Between Discrimination and Cardiovascular Health Among Asian Indians in the United States.
abstract: Asian Indians (AI) have a high risk of atherosclerotic cardiovascular disease. The study investigated associations between discrimination and (1) cardiovascular risk and (2) self-rated health among AI. Higher discrimination scores were hypothesized to relate to a higher cardiovascular risk score (CRS) and poorer self-rated health. Asian Indians (n = 757) recruited between 2010 and 2013 answered discrimination and self-reported health questions. The CRS (0-8 points) included body-mass index, systolic blood pressure, total cholesterol, and fasting blood glucose levels of AI. Multiple linear regression analyses were conducted to evaluate relationships between discrimination and the CRS and discrimination and self-rated health, adjusting for psychosocial and clinical factors. There were no significant relationships between discrimination and the CRS (p ≥ .05). Discrimination was related to poorer self-reported health, B = -.41 (SE = .17), p = .02. Findings suggest perhaps there are important levels at which discrimination may harm health.
authors.affiliation: Department of Preventive Medicine, Northwestern University, 680 North Lake Shore Drive, Chicago, IL, 60647, USA. sarahbnadimpalli@gmail.com.
authors.forename: S B
authors.initials: SB
authors.lastname: Nadimpalli
authors.affiliation: Department of Preventive Medicine, Northwestern University, 680 North Lake Shore Drive, Chicago, IL, 60647, USA.|Department of Public Health, Brown University, Providence, RI, 02903, USA.
authors.forename: A
authors.initials: A
authors.lastname: Dulin-Keita
authors.affiliation: Department of Preventive Medicine, Northwestern University, 680 North Lake Shore Drive, Chicago, IL, 60647, USA.|Department of Psychology, The University of Illinois at Chicago, Chicago, IL, 60607, USA.
authors.forename: C
authors.initials: C
authors.lastname: Salas
authors.affiliation: Department of Preventive Medicine, Northwestern University, 680 North Lake Shore Drive, Chicago, IL, 60647, USA.|Division of General Internal Medicine, University of California at San Francisco, San Francisco, CA, 94115, USA.
authors.forename: A M
authors.initials: AM
authors.lastname: Kanaya
authors.affiliation: Department of Preventive Medicine, Northwestern University, 680 North Lake Shore Drive, Chicago, IL, 60647, USA.|Department of General Internal Medicine, Northwestern University, Chicago, IL, 60611, USA.
authors.forename: Namratha R
authors.initials: NR
authors.lastname: Kandula
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian; D001786:Blood Glucose; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000208:ethnology*; D002784:Cholesterol / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D007194:India / Q000208:ethnology; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D063505:Racism / Q000706:statistics & numerical data*; D012307:Risk Factors; D057566:Self Report; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology
chemical_list: D001786:Blood Glucose; D002784:Cholesterol
keywords: Cardiovascular health; Discrimination; Self-rated health; South Asian Indian; Stress