Department of Healthcare Policy and Research, Weill Cornell Medical College.
City University of New York School of Public Health.
Ethn Dis. 2016 Jul 21;26(3):339-44. doi: 10.18865/ed.26.3.339.
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.
Cross-sectional.
New York City, 2004.
Logistic regression was performed to identify differences in HTN prevalence between ethnic subgroups controlling for age, sex, education and BMI.
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).
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.
利用 2004 年纽约市健康与营养调查（NYC HANES）的数据，我们旨在研究 8 个亚裔和西班牙裔亚组中高血压（HTN）患病率的差异。
横断面研究。
纽约市，2004 年。
采用 logistic 回归分析方法，在控制年龄、性别、教育程度和 BMI 的情况下，确定不同亚组之间 HTN 患病率的差异。
纽约市成年人总体 HTN 患病率为 25.5%（95%可信区间：23.4-27.8），白人组为 21.1%（95%可信区间：18.2-24.3），黑人组为 32.8%（95%可信区间：28.7-37.2），西班牙裔组为 26.4%（95%可信区间：22.3-31.0），亚裔组为 24.7%（95%可信区间：19.9-30.3）。在西班牙裔亚组中，多米尼加裔的 HTN 患病率最高（32.2%），其次是波多黎各裔（27.7%），而墨西哥裔的患病率最低（8.1%）。在亚裔亚组中，南亚裔的 HTN 患病率（29.9%）略高于华裔（21.3%）。调整年龄因素后，与非西班牙裔白人相比，多米尼加裔成年人患 HTN 的可能性几乎是其两倍（OR=1.96，95%可信区间：1.24-3.12），但调整性别和教育程度后，这一关联减弱（OR=1.27，95%可信区间：.76-2.12）。与非西班牙裔白人相比，南亚裔成年人在调整后结果也无统计学意义（OR=2.00，95%可信区间：.90-4.43）。
在分析种族/民族亚组时，非西班牙裔黑人及来自多米尼加共和国的西班牙裔成年人的 HTN 患病率最高，其次是南亚裔和波多黎各裔成年人。墨西哥裔成年人的患病率在所有群体中最低。这些发现表明，当按更广泛的种族/民族类别分层时，亚种族/民族差异会被忽略。据我们所知，这是第一项使用客观测量方法来突出这些差异的基于人群的研究。
