Sentell Tetine, Miyamura Jill, Ahn Hyeong Jun, Chen John J, Seto Todd, Juarez Deborah
Office of Public Health Studies, University of Hawai'i at Manoa, 1960 East-West Road, Biomed T102, Honolulu, HI, 96822, USA,
J Immigr Minor Health. 2015 Oct;17(5):1289-97. doi: 10.1007/s10903-014-0098-4.
Many congestive heart failure (CHF) hospitalizations are considered potentially preventable with access to high-quality primary care. Some Asian American and Pacific Islander groups have poor access to health care compared to Whites, yet CHF preventable hospitalizations are understudied in these groups. Hawai'i hospitalizations from December 2006 to December 2010 for Chinese, Japanese, Native Hawaiian, Filipino, and Whites aged 18+ years were considered (N = 245,435). CHF preventable hospitalizations were compared in multivariable models by age group (<65 vs. 65+) and gender. Native Hawaiians and Filipinos with CHF preventable hospitalizations were significantly (p < 0.001) younger than other racial/ethnic groups. In adjusted models, Native Hawaiians and Filipinos of all age and gender combinations had significantly higher CHF hospitalization rates than Whites as did Chinese women 65+. High preventable CHF hospitalization rates are seen in some Asian and Pacific Islander groups, especially Native Hawaiians and Filipinos, who have these hospitalizations at younger ages than other studied groups.
许多充血性心力衰竭(CHF)住院病例被认为通过获得高质量的初级保健是有可能预防的。与白人相比,一些亚裔美国人和太平洋岛民群体获得医疗保健的机会较差,然而这些群体中CHF可预防的住院情况研究较少。研究了2006年12月至2010年12月期间夏威夷18岁及以上的华裔、日裔、夏威夷原住民、菲律宾裔和白人的住院情况(N = 245,435)。在多变量模型中,按年龄组(<65岁与65岁以上)和性别比较CHF可预防的住院情况。患有CHF可预防住院的夏威夷原住民和菲律宾人比其他种族/族裔群体明显年轻(p < 0.001)。在调整后的模型中,所有年龄和性别组合的夏威夷原住民和菲律宾人以及65岁以上的华裔女性的CHF住院率均显著高于白人。在一些亚裔和太平洋岛民群体中,尤其是夏威夷原住民和菲律宾人,CHF可预防的住院率很高,他们发生这些住院情况的年龄比其他研究群体更小。