ACCULTURATION AND CORONARY HEART-DISEASE IN JAPANESE-AMERICANS
ACCULTURATION AND CORONARY HEART-DISEASE IN JAPANESE-AMERICANS
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DOI：
10.1093/oxfordjournals.aje.a112296
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发表时间：
1976-01-01
影响因子：
5
通讯作者：
SYME, SL
中科院分区：
文献类型：
--
作者：
MARMOT, MG;SYME, SL
在日本血统的男性中，冠心病（CHD）的发生率存在梯度。日本最低，夏威夷居中，加州[美国]最高。这种梯度似乎不能完全用饮食摄入量、血清胆固醇、血压或吸烟的差异来解释。为了验证社会和文化差异可能解释日本和美国之间CHD差异的假设，根据他们保留传统日本文化的程度对加州的3809名日裔美国人进行了分类。最传统的日裔美国人群体的冠心病患病率与在日本观察到的一样低。对西方文化适应最深的人群冠心病患病率高出3 - 5倍。文化适应程度最高和文化适应程度最低的人群之间冠心病发病率的差异不能用主要冠心病危险因素的差异来解释。
Among men of Japanese ancestry, there is a gradient in the occurrence of coronary heart disease (CHD). It is lowest in Japan, intermediate in Hawaii and highest in California [USA]. This gradient appears not to be completely explained by differences in dietary intake, serum cholesterol, blood pressure or smoking. To test the hypothesis that social and cultural differences may account for the CHD differences between Japan and USA, 3809 Japanese-Americans in California were classified according to the degree to which they retained a traditional Japanese culture. The most traditional group of Japanese-Americans had a CHD prevalence as low as that observed in Japan. The group that was most acculturated to Western culture had a 3 to 5-fold excess in CHD prevalence. This difference in CHD rate between most and least acculturated groups could not be accounted for by differences in the major coronary risk factors.