Subgroup Variation and Neighborhood Social Gradients-an Analysis of Hypertension and Diabetes Among Asian Patients (New York City, 2014-2017).
Subgroup Variation and Neighborhood Social Gradients-an Analysis of Hypertension and Diabetes Among Asian Patients (New York City, 2014-2017).
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亚组变异和社区社会顺应性-亚洲患者高血压和糖尿病分析（纽约市，2014-2017）。
DOI：
10.1007/s40615-020-00779-7
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发表时间：
2021-03
影响因子：
3.9
通讯作者：
Thorpe LE
中科院分区：
文献类型：
--
作者：
Feldman JM;Conderino S;Islam NS;Thorpe LE
糖尿病和高血压的社会模式由个人种族/民族和邻里经济背景，但亚洲亚组之间的分布特征不足。我们研究了这两种情况的患病率变化，比较了美国亚洲亚组之间的差异，包括南亚民族，并通过邻里经济背景进行了亚组内的比较。我们获得了来自美国纽约纽约市633，664例年龄为18-64岁患者的非概率样本数据（2014-2017年）; 30，138例属于7个亚洲亚组之一（亚洲印度人、孟加拉人、巴基斯坦人、中国人、韩国人、日本人和菲律宾人）。我们使用电子健康记录来分类疾病状态。我们的特点是人口普查区的经济背景下使用的指数集中在极端和估计的患病率差异，使用多层次模型。在亚洲男子中，菲律宾人的高血压患病率最高。在亚洲妇女中，菲律宾人和孟加拉人的高血压患病率最高。糖尿病患病率在巴基斯坦人和孟加拉国人中最高，超过了所有其他亚洲和非亚洲群体。有一致的证据表明，这两种情况下的经济梯度，即居住在最优越的邻里三分位数的人有最低的疾病患病率。经济梯度在巴基斯坦人中对糖尿病的影响特别大，他们在最贫困的三分之一人群中的患病率超过了最特权人群9个百分点（95% CI：3，14）。只有韩国人偏离了这一趋势，在最特权的三分之一人群中糖尿病患病率最高。美国亚裔群体在很大程度上表现出与其他群体相似的邻里经济梯度。对亚洲亚组（包括南亚民族）进行分类，揭示了患病率的重要异质性。
Diabetes and hypertension are socially patterned by individual race/ethnicity and by neighborhood economic context, but distributions among Asian subgroups are under-characterized. We examined variation in prevalence for both conditions, comparing between US Asian subgroups, including within South Asian nationalities, and comparing within subgroups by neighborhood economic context. We obtained data on a nonprobability sample of 633,664 patients ages 18–64 in New York City, New York, USA (2014–2017); 30,138 belonged to one of seven Asian subgroups (Asian Indian, Bangladeshi, Pakistani, Chinese, Korean, Japanese, and Filipino). We used electronic health records to classify disease status. We characterized census tract economic context using the Index of Concentration at the Extremes and estimated prevalence differences using multilevel models. Among Asian men, hypertension prevalence was highest for Filipinos. Among Asian women, hypertension prevalence was highest for Filipinas and Bangladeshis. Diabetes prevalence was highest among Pakistanis and Bangladeshis of both genders, exceeding all other Asian and non-Asian groups. There was consistent evidence of an economic gradient for both conditions, whereby persons residing in the most privileged neighborhood tertile had the lowest disease prevalence. The economic gradient was particularly strong for diabetes among Pakistanis, whose prevalence in the most deprived tertile exceeded that of the most privileged by 9 percentage points (95% CI: 3, 14). Only Koreans departed from the trend, experiencing the highest diabetes prevalence in the most privileged tertile. US Asian subgroups largely demonstrate similar neighborhood economic gradients as other groups. Disaggregating Asian subgroups, including within South Asian nationalities, reveals important heterogeneity in prevalence.
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影响因子：
4.4
作者：
Williamson, Tyler;Green, Michael E.;Drummond, Neil
通讯作者：
Drummond, Neil
DOI：
10.1038/ajg.2013.488
发表时间：
2014-04
期刊：
The American journal of gastroenterology
影响因子：
--
作者：
Ladabaum U;Clarke CA;Press DJ;Mannalithara A;Myer PA;Cheng I;Gomez SL
通讯作者：
Gomez SL
影响因子：
8.2
作者：
Sohani, Zahra N.;Deng, Wei Q.;Pare, Guillaume;Meyre, David;Gerstein, Hertzel C.;Anand, Sonia S.
通讯作者：
Anand, Sonia S.
影响因子：
6.3
作者：
Pickett, KE;Pearl, M
通讯作者：
Pearl, M
影响因子：
5.6
作者：
Ye, Jiali;Rust, George;Daniels, Elvan
通讯作者：
Daniels, Elvan