Hypertension-Related Cardiovascular Mortality in Asian American Subgroups.
Hypertension-Related Cardiovascular Mortality in Asian American Subgroups.
复制标题
亚裔美国人亚群体中与高血压相关的心血管死亡率。
DOI：
10.1016/j.amepre.2023.01.003
复制
发表时间：
2023
影响因子：
5.5
通讯作者：
Khan,SadiyaS
中科院分区：
文献类型：
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作者：
Shah,NilayS;Shimbo,Daichi;Muntner,Paul;Huffman,MarkD;Kandula,NamrathaR;Mefford,MatthewT;Lloyd-Jones,DonaldM;Khan,SadiyaS
介绍亚裔美国人亚群在心血管疾病方面存在异质性，但亚裔美国人亚群之间高血压相关心血管疾病死亡率的差异尚不清楚。 方法在 2018-2021 年美国 1,194,648 例以心血管疾病为根本原因、高血压相关疾病为促成原因的死亡中，分析非西班牙裔亚裔和亚裔亚群、西班牙裔和亚裔亚裔的特定性别年龄标准化死亡率、比例死亡率和比例死亡率。将非西班牙裔黑人与非西班牙裔白人进行比较。分析于 2022 年 8 月进行。结果有 37,746 个； 95,404； 193,899；非西班牙裔亚洲人中有 867,599 人因高血压相关心血管疾病死亡；西班牙裔；非西班牙裔黑人；和非西班牙裔白人群体。在非西班牙裔亚洲女性中，日本人的死亡率为每 10 万人 41.6 人（95% CI 40.0-43.3），菲律宾人为每 10 万人 52.6 人（95% CI 40.0-43.3）。在非西班牙裔亚洲男性中，韩国人的死亡率为每 10 万人 45.8 人（43.3-48.2 人），菲律宾人为每 10 万人 81.0 人（78.5-83.5 人）。与非西班牙裔白人相比，所有亚裔美国人亚群体的死亡率比例均较高。死亡率比例范围为 1.11（韩国男性，死亡率为所有死亡的 10.2% [95% CI 9.7-10.8]）至 1.38（菲律宾男性，死亡率为所有死亡的 12.7% [12.4-13.1]；中国女性，死亡率为 11.9% [11.6-12.3]；菲律宾女性女性，死亡率比例为 11.9% [12.3-13.0]）。结论 亚裔美国人亚群体中高血压相关心血管疾病死亡率的差异高达两倍。与非西班牙裔白人相比，所有亚组的高血压相关心血管疾病死亡率均较高。
IntroductionAsian American subgroups experience heterogeneity in cardiovascular disease, but differences in hypertension-related cardiovascular disease mortality between Asian American subgroups is not known.MethodsAmong 1,194,648 deaths in the United States in 2018-2021 with cardiovascular disease as an underlying cause and hypertension-related diseases as contributing cause, sex-specific age-standardized mortality rates, proportional mortality, and proportional mortality ratios for non-Hispanic Asian and Asian subgroups, Hispanic, and non-Hispanic Black individuals were compared with non-Hispanic White individuals. The analysis was conducted in August 2022.ResultsThere were 37,746; 95,404; 193,899; and 867,599 hypertension-related cardiovascular disease deaths in non-Hispanic Asian; Hispanic; non-Hispanic Black; and non-Hispanic White groups, respectively. Among non-Hispanic Asian females, mortality rates ranged from 41.6 (95% CI 40.0-43.3) per 100,000 population in Japanese to 52.6 (51.0-54.2) per 100,000 in Filipina individuals. Among non-Hispanic Asian males, mortality rates ranged from 45.8 (43.3-48.2) per 100,000 in Korean to 81.0 (78.5-83.5) per 100,000 in Filipino individuals. Proportional mortality was higher for all Asian American subgroups compared to non-Hispanic White individuals. Proportional mortality ratios ranged from 1.11 (in Korean males, proportional mortality was 10.2% [95% CI 9.7-10.8] of all deaths) to 1.38 (in Filipino males, proportional mortality was 12.7% [12.4-13.1] of all deaths; in Chinese females, proportional mortality was 11.9% [11.6-12.3]; and in Filipina females, proportional mortality was 11.9% [12.3-13.0]).ConclusionsThere was up to two-fold variation in hypertension-related cardiovascular disease mortality among Asian American subgroups. All subgroups experienced higher proportional mortality for hypertension-related cardiovascular disease compared with non-Hispanic White individuals.