Prevalence of cardiovascular disease among Asian, Pacific Islander and multi-race populations in Hawai'i and California

被引:11
作者
Waitzfelder, Beth [1 ]
Palaniappan, Latha [2 ]
Varga, Alexandra [3 ]
Frankland, Timothy B. [1 ]
Li, Jiang [4 ]
Daida, Yihe G. [1 ]
Kaholokula, Joseph Keawe'aimoku [5 ]
Bacong, Adrian Matias [2 ]
Rawlings, Andreea M. [3 ]
Chung, Sukyung [6 ]
Howick, Connor [1 ]
Fortmann, Stephen P. [3 ,7 ]
机构
[1] Kaiser Permanente Hawaii, Ctr Integrated Hlth Care Res, Honolulu, HI USA
[2] Stanford Univ, Sch Med, Stanford, CA USA
[3] Kaiser Permanente Ctr Hlth Res, 3800 N Interstate Ave, Portland, OR 97227 USA
[4] Sutter Hlth, Palo Alto Med Fdn Res Inst, Ctr Hlth Syst Res, Palo Alto, CA USA
[5] Univ Hawaii, John A Burns Sch Med, Dept Native Hawaiian Hlth, Honolulu, HI USA
[6] Genesis Res, Hoboken, NJ USA
[7] Kaiser Permanente Bernard J Tyson Sch Med, Pasadena, CA 91101 USA
基金
美国国家卫生研究院;
关键词
Cardiovascular disease; Stroke; Asian; Pacific Islander; Filipino; Native Hawaiian; NATIVE HAWAIIANS; TRANSLATING-RESEARCH; RACIAL CONCORDANCE; ISCHEMIC-STROKE; DIABETES CARE; RISK-FACTORS; MORTALITY; DISPARITIES; ASSOCIATION; OUTCOMES;
D O I
10.1186/s12889-023-15795-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundCardiovascular disease (CVD) remains the leading cause of death in the US. CVD incidence is influenced by many demographic, clinical, cultural, and psychosocial factors, including race and ethnicity. Despite recent research, there remain limitations on understanding CVD health among Asians and Pacific Islanders (APIs), particularly some subgroups and multi-racial populations. Combining diverse API populations into one study group and difficulties in defining API subpopulations and multi-race individuals have hampered efforts to identify and address health disparities in these growing populations.MethodsThe study cohort was comprised of all adult patients at Kaiser Permanente Hawai'i and Palo Alto Medical Foundation in California during 2014-2018 (n = 684,363). EHR-recorded ICD-9 and ICD-10 diagnosis codes were used to indicate coronary heart disease (CHD), stroke, peripheral vascular disease (PVD), and overall CVD. Self-reported race and ethnicity data were used to construct 12 mutually exclusive single and multi-race groups, and a Non-Hispanic White (NHW) comparison group. Logistic regression models were used to derive prevalence estimates, odds ratios, and confidence intervals for the 12 race/ethnicity groups.ResultsThe prevalence of CHD and PVD varied 4-fold and stroke and overall CVD prevalence varied 3-fold across API subpopulations. Among Asians, the Filipino subgroup had the highest prevalence of all three CVD conditions and overall CVD. Chinese people had the lowest prevalence of CHD, PVD and overall CVD. In comparison to Native Hawaiians, Other Pacific Islanders had significantly higher prevalence of CHD. For the multi-race groups that included Native Hawaiians and Other Pacific Islanders, the prevalence of overall CVD was significantly higher than that for either single-race Native Hawaiians or Other Pacific Islanders. The multi-race Asian + White group had significantly higher overall CVD prevalence than both the NHW group and the highest Asian subgroup (Filipinos).ConclusionsStudy findings revealed significant differences in overall CVD, CHD, stroke, and PVD among API subgroups. In addition to elevated risk among Filipino, Native Hawaiian, and Other Pacific Islander groups, the study identified particularly elevated risk among multi-race API groups. Differences in disease prevalence are likely mirrored in other cardiometabolic conditions, supporting the need to disaggregate API subgroups in health research.
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页数:9
相关论文
共 54 条
  • [1] [Anonymous], 2018, TABLE A 1A AGE ADJUS
  • [2] Bacong Adrian Matias, 2016, Hawaii J Med Public Health, V75, P337
  • [3] Socioeconomic Status Correlates with the Prevalence of Advanced Coronary Artery Disease in the United States
    Bashinskaya, Bronislava
    Nahed, Brian V.
    Walcott, Brian P.
    Coumans, Jean-Valery C. E.
    Onuma, Oyere K.
    [J]. PLOS ONE, 2012, 7 (09):
  • [4] Cardiometabolic risks, lifestyle health behaviors and heart disease in Filipino Americans
    Bayog, Maria L. G.
    Waters, Catherine M.
    [J]. EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2017, 16 (06) : 522 - 529
  • [5] Patient-provider and patient-staff racial concordance and perceptions of mistreatment in the health care setting
    Blanchard, Janice
    Nayar, Shakti
    Lurie, Nicole
    [J]. JOURNAL OF GENERAL INTERNAL MEDICINE, 2007, 22 (08) : 1184 - 1189
  • [6] cdc, Interactive Summary Health Statistics for Adults
  • [7] CDC, HEART DIS FACTS
  • [8] CDC, About us
  • [9] census, RACE ETHNICITY US 20
  • [10] census, Improved Race and Ethnicity Measures Reveal U.S. Population is Much More Multiracial