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Acculturation and coronary heart disease in Japanese-Americans.

Am. J. Epidemiol. 1976 Sep;104(3):225-47.
PubMed Citation Journal Link

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...e- to five-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.

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