Ethnicity and Cardiovascular Risk Factors Among Asian Americans Residing in Michigan

被引:17
作者
Wu, Tsu-Yin [1 ]
Hsieh, Hsing-Fang [2 ]
Wang, Jing [3 ]
Yao, Lan [4 ]
Oakley, Deborah [5 ]
机构
[1] Eastern Michigan Univ, Sch Nursing, Ypsilanti, MI 48197 USA
[2] Univ Michigan, Sch Publ Hlth, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Dept Stat, Ann Arbor, MI 48109 USA
[4] Michigan State Univ, Sch Nursing, E Lansing, MI 48824 USA
[5] Univ Michigan, Sch Nursing, Ann Arbor, MI 48109 USA
关键词
Community; Screening; Chinese; Vietnamese; Hmong; Filipino; Diabetes; BLOOD-PRESSURE; UNITED-STATES; HYPERTENSION; DISEASE; HEALTH; ACCULTURATION; ASSOCIATION; PREVALENCE; MORTALITY; CHINESE;
D O I
10.1007/s10900-011-9379-1
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Asian Americans are at least 4% of the US population, but there are very few studies about the prevalence of cardiovascular risk factors among this group. Cardiovascular disease (CVD) is the leading cause of death among Asian Americans in the United States. Limited research that studied cardiovascular risks among Asian Americans were available, therefore, more information is urgently needed. Cross-sectional surveys and blood tests were conducted at community-based health fairs in southeastern Michigan. A total of 388 Asian participants provided data for this analysis. The results showed that four Asian groups differ in the level of specific risk factors; in particular, the most urgent hypertension and cholesterol problems were found among Chinese and Filipino participants, while the risk of diabetes may be highest among the Hmong participants. The results from the multivariate analysis showed that after controlling for demographic and medical care-related factors in the model, ethnicity is still a significant predictor that contributed to the differences in CVD risks. The results show that cardiovascular and diabetes risks are high in the Asian American populations studied. Attention needs to be paid to the extent and nature of ethnic-specific health problems because each culture's health-related habits and beliefs affect their entry into preventive care so that strategies can be designed and implemented to effectively reduce and ultimately eliminate health disparities.
引用
收藏
页码:811 / 818
页数:8
相关论文
共 35 条
[1]  
American Heart Association, 2004, KNOW FACTS GET STATS
[2]  
[Anonymous], 2000, ASIA PACIFIC PERSPEC
[3]  
[Anonymous], 2000, AS PAC PERSP RED OB
[4]   Health care and social service use among Chinese Immigrant elders [J].
Aroian, KJ ;
Wu, B ;
Tran, TV .
RESEARCH IN NURSING & HEALTH, 2005, 28 (02) :95-105
[5]  
Association American Heart, 2003, HEART DIS STROK STAT
[6]   Ethnic differences in cardiovascular disease [J].
Chaturvedi, N .
HEART, 2003, 89 (06) :681-686
[7]  
Cho J., 2006, PREV CHRONIC DIS, V3, P1
[8]   Stroke risk among Chinese immigrants in New York City [J].
Fang J. ;
Foo S.H. ;
Fung C. ;
Wylie-Rosett J. ;
Alderman M.H. .
Journal of Immigrant and Minority Health, 2006, 8 (4) :387-393
[9]   Barriers to and strategies for recruiting Korean Americans for community-partnered health promotion research [J].
Han H.-R. ;
Kang J. ;
Kim K.B. ;
Ryu J.P. ;
Kim M.T. .
Journal of Immigrant and Minority Health, 2007, 9 (2) :137-146
[10]   Association of acculturation levels and prevalence of diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA) [J].
Kandula, Namratha R. ;
Diez-Roux, Ana V. ;
Chan, Cheeling ;
Daviglus, Martha L. ;
Jackson, Sharon A. ;
Ni, Hanyu ;
Schreiner, Pamela J. .
DIABETES CARE, 2008, 31 (08) :1621-1628