Leading Causes of Death among Asian American Subgroups (2003-2011).
Leading Causes of Death among Asian American Subgroups (2003-2011).
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DOI：
10.1371/journal.pone.0124341
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Palaniappan LP
中科院分区：
文献类型：
--
作者：
Hastings KG;Jose PO;Kapphahn KI;Frank AT;Goldstein BA;Thompson CA;Eggleston K;Cullen MR;Palaniappan LP
我们目前对亚裔美国人死亡率模式的理解被死亡证明上不同亚裔亚组的历史聚集所扭曲，掩盖了各亚组之间主要死亡原因的重要差异。在这项分析中，我们的目标是填补一个重要的知识差距，在亚裔美国人的健康报告的主要原因，按亚裔美国人亚组分类的死亡率。我们检查了2003-2011年六个最大的亚洲亚组（亚洲印度人，中国人，菲律宾人，日本人，韩国人，越南人）和非西班牙裔白人（NHW）的国家死亡率记录，并对主要死亡原因进行了排名。我们计算了全因和特定原因的年龄调整率，时间趋势与年度百分比变化，以及种族/民族和性别的比率。排名显示，作为一个综合群体，癌症是亚裔美国人的主要死亡原因。如果分类，则存在显著的异质性。在妇女中，癌症是除亚裔印度人以外的所有群体的主要死亡原因。在男性中，癌症是中国、韩国和越南男性的主要死因，而心脏病是亚洲印度人、菲律宾人和日本男性的主要死因。亚洲印度男性因心脏病死亡的比例几乎是癌症的两倍（31%对18%）。时间趋势显示，从2003年至2011年，亚洲印度人和越南人的癌症和糖尿病死亡率增加;亚洲印度人的中风死亡率增加;韩国人的自杀死亡率增加;所有种族/族裔群体的阿尔茨海默病死亡率增加。全因率比显示，亚裔美国人的总体死亡率低于NHWs。我们的研究结果显示，亚裔美国人亚组的主要死亡原因存在异质性。更多的研究应侧重于在这些日益多样化的人口中预防和治疗特定疾病的文化上可行和具有成本效益的方法。
Our current understanding of Asian American mortality patterns has been distorted by the historical aggregation of diverse Asian subgroups on death certificates, masking important differences in the leading causes of death across subgroups. In this analysis, we aim to fill an important knowledge gap in Asian American health by reporting leading causes of mortality by disaggregated Asian American subgroups. We examined national mortality records for the six largest Asian subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese) and non-Hispanic Whites (NHWs) from 2003-2011, and ranked the leading causes of death. We calculated all-cause and cause-specific age-adjusted rates, temporal trends with annual percent changes, and rate ratios by race/ethnicity and sex. Rankings revealed that as an aggregated group, cancer was the leading cause of death for Asian Americans. When disaggregated, there was notable heterogeneity. Among women, cancer was the leading cause of death for every group except Asian Indians. In men, cancer was the leading cause of death among Chinese, Korean, and Vietnamese men, while heart disease was the leading cause of death among Asian Indians, Filipino and Japanese men. The proportion of death due to heart disease for Asian Indian males was nearly double that of cancer (31% vs. 18%). Temporal trends showed increased mortality of cancer and diabetes in Asian Indians and Vietnamese; increased stroke mortality in Asian Indians; increased suicide mortality in Koreans; and increased mortality from Alzheimer’s disease for all racial/ethnic groups from 2003-2011. All-cause rate ratios revealed that overall mortality is lower in Asian Americans compared to NHWs. Our findings show heterogeneity in the leading causes of death among Asian American subgroups. Additional research should focus on culturally competent and cost-effective approaches to prevent and treat specific diseases among these growing diverse populations.
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影响因子：
3.7
作者：
Cullen, Mark R.;Cummins, Clint;Fuchs, Victor R.
通讯作者：
Fuchs, Victor R.
影响因子：
12.7
作者：
Arias, Elizabeth;Eschbach, Karl;Sortie, Paul D.
通讯作者：
Sortie, Paul D.
DOI：
10.1027/0227-5910/a000046
发表时间：
2011-01-01
影响因子：
3
作者：
Kim, Seong Yi;Kim, Myoung-Hee;Cho, Youngtae
通讯作者：
Cho, Youngtae
影响因子：
24
作者：
Jose, Powell O.;Frank, Ariel T. H.;Palaniappan, Latha P.
通讯作者：
Palaniappan, Latha P.
DOI：
10.1111/j.1532-5415.2010.03034.x
发表时间：
2010-10-01
影响因子：
6.3
作者：
Kim, Giyeon;Chiriboga, David A.;Parmelee, Patricia
通讯作者：
Parmelee, Patricia