Hi All!
After I emailed SAPHA (a public health online
community), i got this in response. This is exciting
news.
One of the goals of our organization should be to
connect with these scholars.
biren
> Dear All:
>
> I would like to inform all readers of a national
> study on Asian Indians
> called the Diabetes for Indian Americans (DIA)
> Initiative. Below are
> details of the project:
>
>
> (c) Ranjita Misra
> Diabetes among Indian Americans (DIA) Study
>
> Introduction
> Although Asian Indians are the third largest Asian
> group (1.6
> million population; U.S. Census 2000), there is a
> paucity of
> epidemiological studies to determine the prevalence
> of diabetes and
> cardiovascular disease. The current body of research
> on Asian American
> health issues does not adequately address the needs
> of Indian Americans
> (Kar, Campbell, Jimenez, & Gupta, 1995; Hacker,
> 1997). Despite the
> higher age-adjusted CVD rates among Asian Indians,
> there is limited
> metabolic (albeit increasing) & non-clinical data
> from community-based
> studies to provide a clear understanding of risk
> factors for these
> chronic diseases. Limited studies on Indian
> Americans have been based on
> convenient samples with limited generalizability of
> the results to the
> Indian American community. The Diabetes among Indian
> Americans (DIA)
> study is the first community-based random study to
> investigate age and
> gender difference in risk factors (family history of
> diseases, medical
> background of the respondents, dietary habits,
> health promotion
> behaviors, access to care, and preventive health
> behaviors) for diabetes
> and other chronic diseases, especially
> cardiovascular disease and
> cancer, among Indian Americans in the United States.
>
>
> Specific Aims
>
> The Specific Aims of the study are as follows:
> 1. Identify and determine behavioral, clinical,
> anthropometrics,
> and dietary risk factors for diabetes and CVD in
> Indian American males
> and females in the United States.
>
> 2. To determine the prevalence of diabetes,
> hypertension,
> hyperlipidimia and metabolic syndrome among the
> respondents.
>
> Results of the proposed study will generate baseline
> data and will be
> used to develop culturally appropriate diabetes and
> CVD
> prevention/treatment strategies to reduce morbidity
> and mortality
> associated with these diseases.
>
> Sites of study:
> There are six study sites: Houston TX, Phoenix AZ,
> Washington DC, Boston
> MA, Edison & Parsippany NJ, and San Diego CA. The
> six sites were
> selected based on the Indian American population and
> co-investigators/
> collaborators in those sites. Data collection is
> complete in Houston,
> Phoenix, Boston, and DC and currently on-going in
> San Diego and Edison.
>
>
> Sampling and data collection:
> Participants are randomly selected from a master
> directory created from
> the telephone book, temple directories, area
> association directories,
> and local ethnic association directories. Those who
> agree to participate
> complete a telephonic interview followed by fasting
> blood drawing at the
> community centers/clinics/hospitals (based on the
> site of the study).
>
> Survey data provides information on respondent's
> perceived risk for
> diabetes and heart disease, health status and
> behaviors, dietary habits,
> medical history of diseases, knowledge of the
> disease, and use of
> preventive health services. Survey information is
> supplemented by
> bioclinical profile: lipid profile (total
> cholesterol, LDL, HDL,
> triglycerides), subclasses of HDL (HDL2, HDL3),
> subclasses of LDL
> (LDL-C, LDL-R, VLDL12, VLDL3), Lipoprotein a,
> Homocysteine, C-Reactive
> protein, fasting blood glucose, fasting insulin,
> adiponectin, free fatty
> acid, and hemoglobin A1c.
>
> Anthropometrics measurements (height, weight,
> waist-hip ratio), fasting
> blood glucose, and blood pressure measurements are
> taken at the time of
> blood drawing. Serum samples are being analyzed at
> Atherotech laboratory
> in Birmingham AL, Diabetes Diagnostic laboratory in
> Columbia MO, and
> Baylor College of Medicine, TX. Samples are
> currenlty stored at
> Atherotech for tests not currently done due to
> limited funding.
>
> We hope to identify undiagnosed diabetes cases and
> the prevalence
> diabetes, metabolic syndrome, hypertension, and
> dyslipidemias. Results
> of blood tests are provided to the respondents free
> of cost.
>
> Cross-cultural Component:
> We have also added a cross-cultural component to
> this study and
> we will examine the risk factors for Type 2 diabetes
> mellitus (DM) and
> cardiovascular disease (CVD) in 500 rural Indians,
> 500 urban Indians,
> and 500 Indian Americans in the US. Texas A&M
> University will be the
> formal Data Coordinating Center (DCC). Data for the
> rural population is
> collected from Aalamarathupatti in Tamil Nadu, India
> and urban
> population in New Delhi. The All India Institute of
> Medical Sciences and
> Gandhigram Rural Insititute are the collaborating
> institutions for the
> study. Atherotech Laboratory in Alabama and
> Diabetes Diagnostic
> Laborary in Missouri will provide the core
> facilities in the US for
> diagnostic services while the All India Institute of
> Medical Sciences in
> New Delhi will provide core facilities for similar
> bioclinical marker
> studies for the Indian populations. Standardization
> of blood tests in
> the US and India will be conducted for the
> cross-cultural comparison.
>
> Principal Investigator: Dr. Ranjita Misra (Texas A&M
> University)
> Co-Investigator: TG Patel, MD (Washington, DC)
>
> Co-Investigators/Site Coordinators:
> Houston TX:
> Dr. Ranjita Misra (site coordinator)
>
> Phoenix AZ:
> Dr. Kris Vijay (site coordinator)
>
> Washington DC:
> Dr. TG Patel (site coordinator)
>
> Boston MA:
> Dr. Raji Annaswamy (site coordinator)
> Dr. Om Ganda
>
> Edison NJ
> Dr. Reema Patel (site coordinator)
>
> San Diego CA
> Dr. Purushotham Kotha (site coordinator)
> Dr. Sundar Mudaliar
>
> Urban India
> Dr. Anoop Misra, All India Institute of Medical
> Sciences, New Delhi
> (site coordinator)
>
> Rural India
> Ms. Padmini Balagopal & Dr. N Kammalama, Gandhigam
> Rural Insititute
> (site coordinators)
>
>
>
>
>
>
>
>
>
>
>
> Ranjita Misra, PhD, CHES
> Associate Professor
> 4243 TAMU, Rm # 158P Read Building
> Department of Health and Kinesiology
> Texas A&M University
> College Station, TX 77843
>
979-845-8726;
979-847-8987 (Fax)
> email:
mi...@hlkn.tamu.edu
>
> -----Original Message-----
> From:
sa...@yahoogroups.com
> [mailto:
sa...@yahoogroups.com] On Behalf Of
> S. Jay Jayasankar, MD
> Sent: Thursday, June 09, 2005 3:12 PM
> To:
sa...@yahoogroups.com; biren_saraiya
> Subject: Re: [sapha] Getting the Data
>
> Dear Biren:
>
> You hit the nail on the head and your questions are
> central!
>
> Lack of US South Asian health data is an important
> impediment both in
> its substantive value and since it dampens the award
> of grants to study
> South Asian problems which in turn is a significant
> disincentive to
> grant writers.
>
> I believe that we need to work on both facilitating
> new primary
> research and also help create a South Asian category
> in existing data
> collection systems such as NHANES. The latter will
> require two
> concerted approaches.
> One is to advocate at HHS, CDC and the agency and
> the other is to lobby
> the US Legislative and Executive branches.
>
> It is my hope that the agenda that is developed from
> the UMDNJ
> conference will include this category addition as a
> goal along with the
> reason to do so. Using this as a springboard, we
> need to involve
> various politically active South Asian organizations
> (and perhaps
> others) to then advance this goal. I have worked on
> this in my
> capacities such as President of AAPI (American
> Association of Physicians
> of Indian Origin) for some years but clearly we need
> a more concerted
> effort. It also appears that the time may be more
> ripe than has been.
>
> Encourage dialogue and coordination by all.
>
> Jay
> S. Jay Jayasankar, MD
> Former President, AAPI
> Former Director, AAPI's Diabetes among Indian
> Americans Initiative
> Keynote and Summation Speaker, UMDNJ conference on
> South Asian Health
>
>
> ----- Original Message -----
> From: "biren_saraiya" <
biren_...@yahoo.com>
> To: <
sa...@yahoogroups.com>
> Sent: Thursday, June 09, 2005 1:33 PM
> Subject: [sapha] Getting the Data
>
>
> >I was at the UMDNJ conference as well and one of
> the biggest concern
> > was: there is no data. One suggsetion was have
> "south
> > asian" as a category in large population databases
> such as NHANES.
> >
> > Any thoughts on that? Does it make sense? How do
> we go about
> > advocating for a category such as that? etc.
> >
> > Biren
> >
> >
> >
> >
> >
> >
> >
> >
> > *********************************************
> >
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> >
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> >
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> >
> >
> >
> >
>
>
>
>
>
>
> *********************************************
>
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