Cardiovascular Risk Factors among Asian Americans: Results from a National Health Survey
Cardiovascular Risk Factors among Asian Americans: Results from a National Health Survey
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DOI：
10.1016/j.annepidem.2009.03.022
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发表时间：
2009-10-01
影响因子：
5.6
通讯作者：
Daniels, Elvan
中科院分区：
文献类型：
--
作者：
Ye, Jiali;Rust, George;Daniels, Elvan
目得：我们评估了中国人，亚洲印度人，菲律宾人和其他亚洲人群中的主要心血管疾病（CVD）的危险因素的患病率相比，非西班牙裔白人在美国。方法：我们分析了汇总数据从全国健康访谈调查（NHIS）从2003年至2005年。双变量分析用于确定亚洲亚组和白色成人中CVD危险因素患病率的差异。Logistic回归分析也进行了比较每个亚洲亚组与白色成年人后，考虑到socio-demographic variables.RESULTS：未调整的患病率体力活动是最高的亚洲印度人和其他亚洲人。在我们控制了协变量后，亚裔印度人仍然比白人有更高的身体不活动的几率（比值比[OR] = 1.50，95%置信区间[CI] = 1.22-1.84）。所有亚裔群体报告吸烟、肥胖和酗酒的可能性明显低于白人。与白人相比，菲律宾人更易患高血压（OR = 1.18，95% CI = 1.02-1.44），亚裔印度人更易患糖尿病（OR = 2.27，95% CI = 1.63-3.20）。结论：虽然亚裔人群总体上与较低的CVD风险相关，但某些危险因素在某些亚裔亚群中尤其高。未来的干预措施应具体说明特定亚群的需求，并设计具有文化针对性的方案，以减少每个亚洲亚群的健康风险行为。Ann Epidemiol 2009;19：718-723. (C)2009 Elsevier Inc. All rights reserved.
PURPOSE: We assessed the prevalence of major cardiovascular disease (CVD) risk factors among Chinese, Asian Indian, Filipino, and other Asian populations compared to non-Hispanic Whites in the United States.METHODS: We analyzed aggregated data from the National Health Interview Survey (NHIS) from 2003 to 2005. Bivariate analyses were used to determine differences in the prevalence of CVD risk factors among Asian subgroups and white adults. Logistic regression analyses were also conducted to compare each Asian subgroup with white adults after taking sociodemographic variables into account.RESULTS: The unadjusted prevalence of physical inactivity was highest among Asian Indians and other Asians. After we controlled for covariates, Asian Indians still had higher odds of physical inactivity than Whites (odds ratio [OR] = 1.50, 95% confidence interval [CI] = 1.22-1.84). All Asian ethnic groups were significantly less likely than Whites to report smoking, obesity, and binge drinking. Compared with Whites, Filipinos were more likely to have hypertension (OR 1.18, 95% CI = 1.02-1.44) and Asian Indians were more likely to have diabetes (OR = 2.27, 95% CI 1.63-3.20).CONCLUSION: Although Asian race was generally associated with lower risk for CVD, certain risk factors were particularly high among some Asian subgroups. Future interventions should specify the needs of specific subgroups and design Culturally specific programs to reduce health risk behaviors in each Asian subpopulation. Ann Epidemiol 2009;19:718-723. (C) 2009 Elsevier Inc. All rights reserved.