HYPERTENSION PREVALENCE IN NEW YORK CITY ADULTS: UNMASKING UNDETECTED RACIAL/ETHNIC VARIATION, NYC HANES 2004
HYPERTENSION PREVALENCE IN NEW YORK CITY ADULTS: UNMASKING UNDETECTED RACIAL/ETHNIC VARIATION, NYC HANES 2004
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DOI：
10.18865/ed.26.3.339
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发表时间：
2016-06-01
影响因子：
3.2
通讯作者：
Thorpe, Lorna E.
中科院分区：
文献类型：
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作者：
Giambrone, Ashley E.;Gerber, Linda M.;Thorpe, Lorna E.
目的：利用 2004 年纽约市健康和营养检查调查 (NYC HANES) 数据，我们试图检查八个亚洲和西班牙裔亚群的高血压 (HTN) 患病率变化。设计：横断面设置：纽约市，2004 年主要结果测量：进行 Logistic 回归以确定在控制年龄、性别、教育程度和 BMI 的情况下各种族亚群之间高血压 (HTN) 患病率的差异。结果：纽约市成年人的总体高血压患病率是25.5%（95% CI：23.4-27.8），其中白人为 21.1%（95% CI：18.2-24.3），黑人为 32.8%（95% CI：28.7-37.2），西班牙裔为 26.4%（95% CI：22.3-31.0），西班牙裔为 24.7%（95% CI： 19.9-30.3）亚洲人。在西班牙裔亚群体中，多米尼加人的高血压患病率最高（32.2%），其次是波多黎各人（27.7%），而墨西哥人的患病率最低（8.1%）。在亚洲亚群体中，南亚人 (29.9%) 的高血压患病率略高于中国人 (21.3%)。调整年龄后，多米尼加成年人患高血压的可能性几乎是非西班牙裔 (NH) 白人的两倍（OR=1.96，95% CI：1.24-3.12），但在调整性别和教育程度后，这种情况有所减弱（OR=1.27，95% CI：0.76 - 2.12）。将南亚裔与新罕布什尔州白人进行比较时，调整后结果也不显着（OR=2.00，95% CI：.90-4.43）。结论：在分析种族/族裔亚组时，来自多米尼加共和国的新罕布什尔州黑人和西班牙裔成年人的高血压患病率最高，其次是南亚人和波多黎各成年人。墨西哥成年人的患病率是所有群体中最低的。这些发现强调，当按更广泛的种族/族裔类别进行分层时，种族亚群体差异不会被发现。据我们所知，这是第一项使用客观措施来强调这些差异的基于人群的研究。
Objective: Using 2004 New York City Health and Nutrition Examination Survey (NYC HANES) data, we sought to examine variation in hypertension (HTN) prevalence across eight Asian and Hispanic subgroups.Design: Cross-sectionalSetting: New York City, 2004Main Outcome Measures: Logistic regression was performed to identify differences in HTN prevalence between ethnic subgroups controlling for age, sex, education and BMI.Results: Overall HTN prevalence among NYC adults was 25.5% (95% CI: 23.4-27.8), with 21.1% (95% CI: 18.2-24.3) among Whites, 32.8% (95% CI: 28.7-37.2) Black, 26.4% (95% CI: 22.3-31.0) Hispanics, and 24.7% (95% CI: 19.9-30.3) Asians. Among Hispanic subgroups, Dominicans had the highest HTN prevalence (32.2%), followed by Puerto Ricans (27.7%), while Mexicans had the lowest prevalence (8.1%). Among Asian subgroups, HTN prevalence was slightly higher among South Asians (29.9%) than among Chinese (21.3%). Adjusting for age, Dominican adults were nearly twice as likely to have HTN as non-Hispanic (NH) Whites (OR=1.96, 95% CI: 1.24-3.12), but this was attenuated after adjusting for sex and education (OR=1.27, 95% CI:.76 - 2.12). When comparing South Asians with NH Whites, results were also non-significant after adjustment (OR=2.00, 95% CI:.90-4.43).Conclusion: When analyzing racial/ethnic subgroups, NH Black and Hispanic adults from Dominican Republic had the highest HTN prevalence followed by South Asian and Puerto Rican adults. Mexican adults had the lowest prevalence of all groups. These findings highlight that ethnic subgroup differences go undetected when stratified by broader racial/ethnic categories. To our knowledge, this is the first population-based study using objective measures to highlight these differences.