Correlates of Undiagnosed Hypertension Among Chinese and Korean American Immigrants.
Correlates of Undiagnosed Hypertension Among Chinese and Korean American Immigrants.
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DOI：
10.1007/s10900-022-01069-5
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发表时间：
2022-06
影响因子：
5.9
通讯作者：
Lee S
中科院分区：
文献类型：
--
作者：
Morey BN;Valencia C;Lee S
与非西班牙裔白色美国人相比，亚裔美国人更可能不知道他们患有高血压，尽管在较低的体重指数下患高血压的风险较高。此外，移民更有可能比他们的美国（美国）-出生的同龄人有未确诊的高血压，使他们在随后的发病率和死亡率的风险更大。本研究旨在探讨亚裔美国移民中未确诊高血压的社会决定因素。通过对从巴尔的摩-华盛顿特区大都会区的医生诊所招募的年龄在50-75岁之间的外国出生的中国和韩国美国人（n = 355）的研究，我们使用由训练有素的工作人员测量的血压读数，由医疗专业人员自我报告的诊断，以及自我报告的高血压药物使用来确定高血压状态-患者是否为非高血压，已诊断为高血压或未诊断为高血压。使用多项逻辑回归，我们研究了人口、社会经济和移民相关因素与高血压状况的相关性。结果表明，年龄较大，男性，韩国亚组，婚姻状况与被诊断为高血压相比，非高血压。与非高血压患者相比，缺乏健康保险是未确诊高血压的最强预测因素。文化适应变量与高血压状态没有很强的相关性。然后，我们探讨了中国和韩裔美国移民的健康保险状况的相关性。那些没有医疗保险的人更有可能收入较低，目前没有就业。我们的研究结果指出，增加亚裔美国移民群体获得医疗保险的重要性，以确保高血压不会得不到诊断和治疗。
Asian Americans are more likely to be unaware that they have hypertension compared to non-Hispanic white Americans, despite having higher risk of hypertension at lower body-mass indices. Furthermore, immigrants are more likely than their United States (U.S.)-born counterparts to have undiagnosed hypertension, placing them at greater risk of subsequent morbidity and mortality. This study examines the social determinants of undiagnosed hypertension among Asian American immigrants. Using a study of foreign-born Chinese and Korean Americans between the ages of 50–75 years-old recruited from physicians’ clinics in the Baltimore-Washington DC Metropolitan Area (n = 355), we used blood pressure readings measured by trained staff members, self-reported diagnosis by a medical professional, and self-reported hypertension medication use to determine hypertension status—whether patients were non-hypertensive, had diagnosed hypertension, or had undiagnosed hypertension. Using multinomial logistic regression, we examined how demographic, socioeconomic, and immigration-related factors were associated with hypertension status. Results indicated that older age, male gender, Korean subgroup, and marital status were associated with having diagnosed hypertension compared to being non-hypertensive. Lack of health insurance was the strongest predictor of having undiagnosed hypertension compared to being non-hypertensive. Acculturation variables had no strong associations with hypertension status. We then explored correlates of health insurance status for Chinese and Korean American immigrants. Those without health insurance were more likely to have lower income and to be not currently employed. Our findings point to the importance of increasing health insurance access for Asian American immigrant groups to ensure that hypertension is not left undiagnosed and untreated.
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DOI：
10.1161/hypertensionaha.114.04276
发表时间：
2014-11
期刊：
Hypertension (Dallas, Tex. : 1979)
影响因子：
--
作者：
Egan BM;Li J;Small J;Nietert PJ;Sinopoli A
通讯作者：
Sinopoli A
影响因子：
20.8
作者：
Abraído-Lanza AF;Echeverría SE;Flórez KR
通讯作者：
Flórez KR
影响因子：
5.4
作者：
Gee, Gilbert C.;Spencer, Michael;Takeuchi, David T.
通讯作者：
Takeuchi, David T.
影响因子：
24
作者：
Jose, Powell O.;Frank, Ariel T. H.;Palaniappan, Latha P.
通讯作者：
Palaniappan, Latha P.
影响因子：
3.7
作者：
Hastings KG;Jose PO;Kapphahn KI;Frank AT;Goldstein BA;Thompson CA;Eggleston K;Cullen MR;Palaniappan LP
通讯作者：
Palaniappan LP