Acculturation is associated with higher prevalence of cardiovascular disease risk-factors among Chinese immigrants in Australia: Evidence from a large population-based cohort
Key result
Migrating to Australia before age 18 was associated with a higher prevalence of diabetes (PR 1.71, p<0.01) and overweight/obesity (PR 1.49, p<0.001) compared to migrating after age 18.
Why the study?
Does greater acculturation increase the prevalence of cardiovascular disease risk factors among Chinese immigrants in Australia?
Population
3,220 Chinese immigrants in Australia from the 45-and-Up Study (2006-2009), mean age 58.9 years, 55.5% women.
Comparison
Greater acculturation vs Lower acculturation
Design
Cohort
Authors
Discussion
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Member takes
Implication
Early migration to Australia may elevate diabetes and obesity risk; hypothesis-generating, needs longitudinal confirmation before guiding screening.
Study Design
Type
Cohort (n=3,220)
Structured PICO
Does greater acculturation increase the prevalence of cardiovascular disease risk factors among Chinese immigrants in Australia?
P
Population
3,220 Chinese immigrants in Australia (mean age 58.9 years, 55.5% women) from the 45-and-Up cohort study assessed for acculturation and cardiovascular risk factors.
E
Exposure
Greater acculturation (measured by age at migration <18 years, length of Australian residence ≥30 years, and language spoken at home)
C
Comparator
Lower acculturation (migrated >18 years old, shorter length of residence)
O
Outcome
Self-reported CVD diagnosis and six risk-factors (hypertension, diabetes, high cholesterol, smoking, overweight/obesity, physical inactivity)patient reported
Main Result
Relative Risk: 1.71
p-value: p=<0.01
Greater acculturation, indicated by younger age at migration and longer residence, is associated with a higher prevalence of adverse CVD risk factors among Chinese immigrants in Australia.
Cite This Study
Jin et al. (2017) conducted a cohort in Cardiovascular disease risk-factors (n=3,220). Greater acculturation (e.g., migration <18 years of age or residence ≥30 years) vs. Lower acculturation (e.g., migration ≥18 years of age or residence <30 years) was evaluated on Diabetes (migration <18 years vs ≥18 years) (PR 1.71, p=<0.01). Migrating to Australia before age 18 was associated with a higher prevalence of diabetes (PR 1.71, p<0.01) and overweight/obesity (PR 1.49, p<0.001) compared to migrating after age 18.