Acculturation and coronary heart disease in Japanese-Americans.

  title={Acculturation and coronary heart disease in Japanese-Americans.},
  author={Michael Marmot and S Leonard Syme},
  journal={American journal of epidemiology},
  volume={104 3},
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. 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 the United States, 3809 Japanese-Americans in California were classified… CONTINUE READING
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