Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, 4200 Valley Drive, College Park, MD, 20742, USA.
Department of Medical Oncology, Division of Population Science, Thomas Jefferson University, 834 Chestnut St, Philadelphia, PA, USA.
J Racial Ethn Health Disparities. 2019 Jun;6(3):584-593. doi: 10.1007/s40615-018-00557-6. Epub 2019 Jan 7.
Data on hypertension among Asian Americans is lacking and often aggregated, which can mask important ethnic differences. This study aims to provide a comprehensive view of hypertension and hypertension-related behaviors, including hypertension treatment, management, and information seeking, among Chinese, Korean, and Vietnamese Americans.
Data were collected from 600 foreign-born Asian Americans (201 Chinese, 198 Korean, and 201 Vietnamese participants) in the Washington-Baltimore metropolitan area, aged 18 years and over, from 2013 to 2014. Hypertension was assessed using direct measurement and self-report of having ever been told by a physician. Hypertension prevalence was compared based on the method of assessment, ethnicity, and sex.
The age-adjusted hypertension prevalence from direct measurement was 27.5%, which is higher than the 2011-2014 National Health and Nutrition Examination Survey estimate for Asians (24.9%). Hypertension prevalences from self-report among Chinese, Korean, and Vietnamese were 13.4%, 23.2%, and 22.9%, respectively, which are lower than 2014 California Health Interview Survey estimates (15.6%, 18.4%, and 25.8%) with the exception of Korean participants. In regard to hypertension-related behaviors, 67.8% of hypertensive adults received management, 64.3% took antihypertensive medication, and 67.0% sought information to improve their hypertension.
Disaggregated data on hypertension based on measured blood pressure may prevent underestimation from self-report, particularly among those with limited healthcare access. More accurate and objective assessment of hypertension is needed for improved monitoring of hypertension among Asian-American subgroups.
亚洲裔美国人的高血压数据往往缺乏且通常是汇总的，这可能掩盖了重要的种族差异。本研究旨在提供一个全面的视角，了解华裔、韩裔和越裔美国人的高血压及与高血压相关的行为，包括高血压治疗、管理和信息寻求。
2013 年至 2014 年，我们从华盛顿-巴尔的摩大都市区的 600 名外国出生的亚洲裔美国人（201 名中国人、198 名韩国人和 201 名越南人）中收集了数据，年龄在 18 岁及以上。高血压是通过直接测量和医生告知曾患有高血压的自我报告来评估的。根据评估方法、族裔和性别比较高血压的患病率。
直接测量的年龄调整高血压患病率为 27.5%，高于 2011-2014 年全国健康和营养调查估计的亚洲裔患病率（24.9%）。中国人、韩国人和越南人的自我报告高血压患病率分别为 13.4%、23.2%和 22.9%，除了韩国人，这些数据均低于 2014 年加利福尼亚州健康访谈调查的估计值（15.6%、18.4%和 25.8%）。关于与高血压相关的行为，67.8%的高血压成年人接受了管理，64.3%服用了降压药物，67.0%寻求信息以改善高血压。
基于血压测量的高血压细分数据可能可以防止自我报告的低估，特别是在那些医疗保健机会有限的人群中。需要更准确和客观的高血压评估，以改善对亚裔美国人亚群的高血压监测。
