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Billboards and stores in predominantly urban Asian American communities have been found to have more tobacco advertising compared with other urban neighborhoods, and to be less likely to have health warnings compared with predominantly white neighborhoods

have partially explained the paradoxical phenomenon of this protective effect by studying prevalent cases at birth rather than all incident cases in a pregnancy cohort, which results in selection bias [35]

This Review posits the complex interplay between determinants of cardiovascular disease, incorporating intergenerational socioeconomic disadvantage, structural discrimination and racism, and the way in which colonization increases exposure to risks, contributing to the erosion of cultural strengths and cardioprotective factors