Mar 2014 News



Congratulations to Kathy Ko Chin, President & Chief Executive Officer of the Asian & Pacific Islander American Health Forum, on her appointment to the President’s Advisory Commission on Asian Americans and Pacific Islanders. The President has also appointed Tung Nguyen, MD, ARCH Director, to be Chair of the Commission.


Tsoh Burke

  • Drs. Janice Tsoh and Nancy Burke presented results from their project entitled “A Social Network Family-Focused Intervention to Promote Smoking Cessation in Chinese and Vietnamese Male Smokers: A Mixed Methods Feasibility Study.”
    Link to powerpoint present will be available here. Please come back for more information.
  • Our first collaborative ARCH paper has been published electronically! Congratulations to Jane Jih, Arnab Mukherjea, Tung Nguyen, Janice Tsoh, Yoshimi Fukuoka, Melinda Bender, Winston Tseng, and Alka Kanaya for their article in Preventive Medicine entitled “Using Appropriate Body Mass Index Cut-points for Overweight and Obesity among Asian Americans.” This paper was a secondary analysis of the 2009 adult California Health Interview Survey comparing non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian, Japanese). Using the WHO Asian BMI cut-points (overweight=23-27.5kg/m2; obese>27.5kg/m2) for Asian subgroups and standard BMI cut-points for other groups, they found that Filipinos had a high prevalence of overweigh/obesity, comparable to that of African Americans and Latinos and much higher than that of non-Hispanic whites. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut-points.
  • Congratulations to Alka Kanaya and her team for their recent publication in Diabetes Care entitled “Understanding the High Prevalence of Diabetes in U.S. South Asians Compared with Four Racial/Ethnic Groups: The MASALA and MESA Studies.” ¬†They found South Asians had significantly higher age-adjusted prevalence of diabetes (23%) than whites, African Americans, Latinos, and Chinese Americans. This higher prevalence of diabetes in South Asians is not explained by traditionally measured risk factors.
  • Congratulations to Elisa Tong and her team for their recent publication in Nicotine and Tobacco Research entitled “Increases in Light and Intermittent Smoking Among Asian Americans and Non-Hispanic Whites.” They analyzed a series of California Tobacco Surveys before and after the 1998 Master Settlement Agreement (MSA). Compared to pre-MSA, English-speaking Asian Americans of all groups had an increase in light and intermittent smoking post-MSA. Post-MSA, Chinese and Filipinos were more likely to be light and intermittent smokers than non-Hispanic Whites.

Abstract Highlights

Along with the three papers by ARCH investigators, the abstract highlights include:

In a study that pooled data from prospective cohort studies with a total of 20,672 Asian Americans with no cancer or heart disease at baseline, a high BMI was
associated with increased risk of overall mortality, cardiovascular disease mortality, and cancer mortality among those age 35-69.

In a prospective study of the Multiethnic Cohort in Hawaii and California with 85,089 women followed over 12 years, higher alcohol consumption was associated with increased risk of breast cancer in African American, Japanese American, Latino, and White women, but not Native Hawaiians.

In a cross-sectional study of 31,631 hospital discharges for subarachnoid hemorrhage, a type of stroke, from the Nationwide Inpatient Sample from 2005-2010, Asian Pacific Islander patients had a higher risk for death compared to White patients.

In a retrospective cohort study of 792 patients with hepatitis C-related liver cancer from Stanford, Asian patients with HCV-related liver cancer more likely than non-Asian to be older and women. More Asian patients were diagnosed with liver cancer within 2 years of HCV diagnosis, suggesting that their HCV was diagnosed later. In addition, Asian patients were more likely to undergo palliative therapy and to be listed for liver transplantation despite having similar clinical indications.

In a cross-sectional study of 169,430 patients age 35 and older at Kaiser Permanente, an HMO in Northern California, the prevalence of an elevated low-density lipoprotein cholesterol (LDL or “bad” cholesterol) was higher among Asian Indians, Filipinos, Japanese, and Vietnamese compared with non-Hispanic whites. Those groups, along with Chinese and Koreans, also were more likely than non-Hispanic whites to have elevated triglycerides, another risk factor for cardiovascular disease.

Prev Med. 2014 Apr 12. [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/24736092

Using Appropriate Body Mass Index Cut-points for Overweight and Obesity among Asian Americans. Jih J1, Mukherjea A2, Vittinghoff E3, Nguyen TT4, Tsoh JY5, Fukuoka Y6, Bender MS7, Tseng W7, Kanaya AM8.

Diabetes Care. 2014 Apr 4. [Epub ahead of print]

Understanding the High Prevalence of Diabetes in U.S. South Asians Compared with Four Racial/Ethnic Groups: The MASALA and MESA Studies. Kanaya AM1, Herrington DVittinghoff EEwing SKLiu KBlaha MJDave SSQureshi FKandula NR.

Nicotine Tob Res. 2014 Mar 17. [Epub ahead of print]. http://www.ncbi.nlm.nih.gov/pubmed/24638853
Increases in Light and Intermittent Smoking Among Asian Americans and Non-Hispanic Whites. Blanco L1, Nydegger LA, Sakuma KL, Tong EK, White MM, Trinidad DR.

Am J Public Health. 2014 Mar;104(3):520-5. doi: 10.2105/AJPH.2013.301573. Epub 2014 Jan 16. http://www.ncbi.nlm.nih.gov/pubmed/24432919

Body mass index and risk of death in Asian Americans.

Park Y1, Wang SKitahara CMMoore SCBerrington de Gonzalez ABernstein LChang ETFlint AJFreedman DMGaziano JMHoover RNLinet MSPurdue MRobien KSchairer CSesso HDWhite EWillcox BJThun MJHartge PWillett WC.

Int J Cancer. 2014 Mar 15;134(6):1504-10. doi: 10.1002/ijc.28476. Epub 2013 Oct 9. http://www.ncbi.nlm.nih.gov/pubmed/24037751

Alcohol consumption and breast cancer risk among women from five ethnic groups with light to moderate intakes: the Multiethnic Cohort Study.

Park SY1, Kolonel LNLim UWhite KKHenderson BEWilkens LR.

J Neurosurg. 2013 Dec;119(6):1627-32. doi: 10.3171/2013.7.JNS13544. Epub 2013 Sep 10. http://www.ncbi.nlm.nih.gov/pubmed/24015781

Racial/ethnic differences in inpatient mortality and use of institutional postacute care following subarachnoid hemorrhage.

Jaja BN1, Saposnik GNisenbaum RLo BWSchweizer TAThorpe KEMacdonald RL.

Dig Dis Sci. 2014 Jan;59(1):192-200. doi: 10.1007/s10620-013-2948-7. Epub 2013 Nov 27. http://www.ncbi.nlm.nih.gov/pubmed/24282055

Clinical presentation and survival of Asian and non-Asian patients with HCV-related hepatocellular carcinoma.

Yip B1, Wantuck JMKim LHWong RJAhmed AGarcia GNguyen MH.

Circulation. 2014 Feb 4;129(5):570-9. doi: 10.1161/CIRCULATIONAHA.113.005757. Epub 2013 Nov 5. http://www.ncbi.nlm.nih.gov/pubmed/24192801

Racial/ethnic differences in dyslipidemia patterns.

Frank AT1, Zhao BJose POAzar KMFortmann SPPalaniappan LP.

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2012 Dec News