印度出生人群中心脏病、中风和糖尿病的住院情况：小区域分析。

Hospitalization for heart disease, stroke, and diabetes mellitus among Indian-born persons: a small area analysis.

作者信息

Muennig Peter, Jia Haomiao, Khan Kamran

机构信息

Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10003, USA.

出版信息

BMC Cardiovasc Disord. 2004 Oct 27;4(1):19. doi: 10.1186/1471-2261-4-19.

DOI:10.1186/1471-2261-4-19

PMID:15509299

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC529471/

Abstract

BACKGROUND

We set out to describe the risk of hospitalization from heart disease, stroke, and diabetes among persons born in India, all foreign-born persons, and U.S.-born persons residing in New York City.

METHODS

We examined billing records of 1,083,817 persons hospitalized in New York City during the year 2000. The zip code of each patient's residence was linked to corresponding data from the 2000 U.S. Census to obtain covariates not present in the billing records. Using logistic models, we evaluated the risk of hospitalization for heart disease, stroke and diabetes by country of origin.

RESULTS

After controlling for covariates, Indian-born persons are at similar risk of hospitalization for heart disease (RR = 1.02, 95% confidence interval 1.02, 1.03), stroke (RR = 1.00, 95% confidence interval, 0.99, 1.01), and diabetes mellitus (RR = 0.96 95% confidence interval 0.94, 0.97) as native-born persons. However, Indian-born persons are more likely to be hospitalized for these diseases than other foreign-born persons. For instance, the risk of hospitalization for heart disease among foreign-born persons is 0.70 (95% confidence interval 0.67, 0.72) and the risk of hospitalization for diabetes is 0.39 (95% confidence interval 0.37, 0.42) relative to native-born persons.

CONCLUSIONS

South Asians have considerably lower rates of hospitalization in New York than reported in countries with national health systems. Access may play a role. Clinicians working in immigrant settings should nonetheless maintain a higher vigilance for these conditions among Indian-born persons than among other foreign-born populations.

摘要

背景

我们着手描述出生在印度的人、所有外国出生的人以及居住在纽约市的美国出生的人患心脏病、中风和糖尿病而住院的风险。

方法

我们检查了2000年在纽约市住院的1,083,817人的计费记录。将每位患者居住的邮政编码与2000年美国人口普查的相应数据相关联，以获取计费记录中不存在的协变量。使用逻辑模型，我们按原籍国评估了患心脏病、中风和糖尿病而住院的风险。

结果

在控制协变量后，出生在印度的人患心脏病（相对风险 = 1.02，95%置信区间1.02, 1.03）、中风（相对风险 = 1.00，95%置信区间0.99, 1.01）和糖尿病（相对风险 = 0.96，95%置信区间0.94, 0.97）的住院风险与本土出生的人相似。然而，出生在印度的人比其他外国出生的人更有可能因这些疾病住院。例如，相对于本土出生的人，外国出生的人患心脏病的住院风险为0.70（95%置信区间0.67, 0.72），患糖尿病的住院风险为0.39（95%置信区间0.37, 0.42）。