Premature Death Attributable to Social Determinants of Health Among Asian Americans: A Population-Based Cohort
2024

Impact of Social Factors on Premature Death in Asian Americans

Sample size: 3888 publication Evidence: moderate

Author Information

Author(s): Qi Xiang, Katherine Wang, Bei Wu

Primary Institution: New York University

Hypothesis

This study aims to examine the prospective associations of multiple social determinants of health with premature all-cause mortality among Asian Americans.

Conclusion

Social determinants of health significantly contribute to premature mortality in Asian Americans, with unemployment and limited English proficiency being major factors.

Supporting Evidence

  • Unemployment, limited English proficiency, and social isolation were significantly associated with mortality.
  • Social determinants of health explain up to 38.6% of mortality in Asian Americans.
  • Unemployment had the highest relative contribution to mortality at 18.5%.

Takeaway

This study found that things like not having a job or not speaking English well can lead to more deaths among Asian Americans.

Methodology

Cox proportional hazards regression models were used to analyze the data from the National Health and Nutrition Examination Survey.

Potential Biases

Potential bias in data collection due to reliance on English-only national survey data.

Limitations

The study may not fully capture the diversity within the Asian American population and its unique health challenges.

Participant Demographics

Participants were Asian adults aged 20-74 from a nationally-representative cohort.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.0377

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