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Journal of Transcultural Nursing
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Coronary Heart Disease in South Asian Immigrants

Synthesis of Research and Implications for Health Promotion and Prevention in Nursing Practice

Rahel Mathews, MPH

Constella Group LLC

Rachel Zachariah, DNSc, MS

Wayne State University College of Nursing

Although the literature reflects that Asian Indians in the United States and globally have the highest rates of morbidity and mortality because of coronary heart disease (CHD) and diabetes, few studies have described the clinical implications in the United States. Traditional risk factors dictate practice, yet these risk factors do not fully explain the rates. Central obesity, lipoprotein (a), and insulin resistance may have a strong role. The literature suggests that proactive nursing using culturally specific clinical measures are necessary to reduce risk factors for CHD and diabetes in South Asians. Additional research and prevention strategies focused on immigrant South Asians in the United States are recommended.

Key Words: South Asians • Asian Indian immigrants • Pakistan • Bangladesh • Sri Lanka • Asian Indian

This version was published on July 1, 2008

Journal of Transcultural Nursing, Vol. 19, No. 3, 292-299 (2008)
DOI: 10.1177/1043659608317448
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