Cardiovascular Disease Mortality in Asian Americans
Cardiovascular Disease Mortality in Asian Americans
复制标题
DOI：
10.1016/j.jacc.2014.08.048
复制
发表时间：
2014-12-16
影响因子：
24
通讯作者：
Palaniappan, Latha P.
中科院分区：
文献类型：
--
作者：
Jose, Powell O.;Frank, Ariel T. H.;Palaniappan, Latha P.
亚裔美国人是美国一个快速增长的种族/族裔群体。我们目前对亚裔美国人心血管疾病死亡率模式的理解被不同亚组的聚集所扭曲。结论本研究的目的是检查亚裔美国人亚组的心脏病和中风死亡率，以确定美国心血管疾病死亡率的种族/民族差异。方法我们检查了6个最大的亚裔美国人亚组的心脏病和中风死亡率（亚洲印度人，中国人，菲律宾人，日本人，韩国人和越南人）从2003年到2010年。使用美国死亡记录通过国际疾病分类-第10版编码识别人种/种族和死因。使用美国人口普查数据和死亡记录数据，标准化死亡率比（SMR），相对SMR（rSMR），和比例死亡率比计算每个性别和种族组相对于非西班牙裔白人（NHWs.Results在这项研究中，10，442，034死亡记录进行了检查。虽然NHW男性和女性的总体死亡率最高，但亚洲印度男性和女性以及菲律宾男性的缺血性心脏病死亡率更高。高血压性心脏病和脑血管疾病，特别是出血性中风的死亡率负担的比例，在每个亚裔美国人亚组高于NHWs.CONCLUSIONS之间的异质性心血管疾病死亡率模式不同的亚裔美国人亚组呼吁注意需要更多的研究，以帮助指导更具体的治疗和预防工作，特别是高血压和中风，以减少这一不断增长的人口的健康差距。(C)2014年由美国心脏病学会基金会。
BACKGROUND Asian Americans are a rapidly growing racial/ethnic group in the United States. Our current understanding of Asian-American cardiovascular disease mortality patterns is distorted by the aggregation of distinct subgroups.OBJECTIVES The purpose of the study was to examine heart disease and stroke mortality rates in Asian-American subgroups to determine racial/ethnic differences in cardiovascular disease mortality within the United States.METHODS We examined heart disease and stroke mortality rates for the 6 largest Asian-American subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese) from 2003 to 2010. U.S. death records were used to identify race/ethnicity and cause of death by International Classification of Diseases-10th revision coding. Using both U.S. Census data and death record data, standardized mortality ratios (SMRs), relative SMRs (rSMRs), and proportional mortality ratios were calculated for each sex and ethnic group relative to non-Hispanic whites (NHWs).RESULTS In this study, 10,442,034 death records were examined. Whereas NHW men and women had the highest overall mortality rates, Asian Indian men and women and Filipino men had greater proportionate mortality burden from ischemic heart disease. The proportionate mortality burden of hypertensive heart disease and cerebrovascular disease, especially hemorrhagic stroke, was higher in every Asian-American subgroup compared with NHWs.CONCLUSIONS The heterogeneity in cardiovascular disease mortality patterns among diverse Asian-American subgroups calls attention to the need for more research to help direct more specific treatment and prevention efforts, in particular with hypertension and stroke, to reduce health disparities for this growing population. (C) 2014 by the American College of Cardiology Foundation.