other ethnic groups, they are still diagnosed with hypertension and heart disease. Cardiovascular Disease and associated risk factors among Asian Americans and Pacific Islanders are high blood cholesterol, high blood pressure, cigarette smoking, obesity, and Diabetes Mellitus. According to American Heart Association in 2016, around 19.5% of Asian Americans have high blood pressure. In 2013, 18,819 deaths among Asians and Pacific Islanders were due to Cardiovascular Disease; 8,477 due to Chronic Heart Disease; and 2,616 due to Myocardial Infarction. Cancer, the second leading cause of death, contributed to 21.3% in 2017. The prevalence of coronary heart disease among Asian Americans is estimated to be around 4.9%. Cardiovascular disease remains the leading cause of death for all Americans, and continues to disproportionally affect the Asian Americans who are disadvantageous in society due to various social determinants. These social determinants leading to health disparity include but not limit to lack of language proficiency, health illiteracy due to lower education attainment, racial discrimination, economic instability and poor community engagement. According to the National Institute on Minority Health and Health Disparity (NIMHD) sponsored lecture about Health Disparity Research in Diverse Asian American Populations in 2016, 70% of foreign born Asian Americans were identified as having limited English proficiency, dissimilar cultural beliefs and behaviors, as well as unfamiliarity with the Western health care system and difficulty following instructions at the doctor’s office. Addressing the health disparities requires significant awareness, comprehension, and consideration for the growing diversity of Asian population, especially for the foreign born older Asian Americans. Understanding the impact of social determinants on heath equity is crucial to health care professionals and policy makers to reduce health disparities and improve the health equality among Asian Americans and the underserved populations. Diabetes With the adaptation of American culture, immigrant populations can be seen to have increased risks of diseases as Western diets are being introduced into their daily food consumptions. However, there is a heightened risk of type 2 diabetes amongst Asian Americans as its presence makes up 21% of the Asian American population, twice as high as non-Hispanic whites. Due to various genetic and environmental factors, Asian Americans are more likely to develop type 2 diabetes than other racial and ethnic groups, even though their body mass index (BMI) tends to be lower. Asian Americans have a higher percentage of body fat for their BMIs which in turn elevates the risk of type 2