Kianoush Sina, Al-Rifai Mahmoud, Kalra Ankur, Bk Anupama, Mehta Anurag, Sadaf Murrium I, Misra Arunima, Khalid Umair, Lavie Carl J, Kayani Waleed T, Virani Salim S
Section of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX.
Division of Cardiovascular Medicine, Krannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, IN.
Curr Probl Cardiol. 2023 Aug;48(8):101241. doi: 10.1016/j.cpcardiol.2022.101241. Epub 2022 May 2.
The risk of atherosclerotic cardiovascular disease (ASCVD) varies across Asian Americans. Heterogeneity in preventive health care use may have a role in health disparity across Asian American populations. We included 318,069 White, Chinese, Asian Indian, Filipino, and 'other Asian' (Japanese, Korean, and Vietnamese) participants with and without a self-reported history of ASCVD or ASCVD risk factors (including hypertension, hypercholesterolemia, and diabetes) from 2006 to 2018 National Health Interview Survey (NHIS). We used multivariable logistic regression models adjusted for age, sex, US birth, education, insurance coverage, and a comorbidity score to assess the association between Asian American race/ethnicity and annual health care use. Adjusted odds ratios (aOR) with 95% confidence intervals were reported. Of the total, 187,093 participants did not report ASCVD or ASCVD risk factors (mean age, 40.2±0.1 years; 52% women), and 130,976 participants reported ASCVD or ASCVD risk factors (mean age, 58.3±0.9 years; 49.5% women). Compared with White individuals, among the group without ASCVD or ASCVD risk factors (N=187,093), 'other Asian' adults were less likely to visit a general practitioner (aOR=0.80, 0.72-0.89), or check blood pressure (aOR=0.77, 0.66-0.89), blood cholesterol (aOR=0.80, 0.70-0.92), and fasting blood sugar (aOR=0.73, 0.63-0.84). Among participants with ASCVD or ASCVD risk factors (N=130,976), Asian Indian adults were more likely to visit a general practitioner (aOR=1.29, 1.01-1.66), or check blood pressure (aOR=1.27, 0.83-1.96), blood cholesterol (aOR=1.46, 1.00-2.15), and fasting blood sugar (aOR=1.49, 1.11-1.99). Annual preventive health care use is heterogeneous across the Asian American populations.
动脉粥样硬化性心血管疾病（ASCVD）的风险在亚裔美国人中存在差异。预防性医疗保健使用的异质性可能在亚裔美国人各群体的健康差异中起作用。我们纳入了2006年至2018年美国国家健康访谈调查（NHIS）中的318,069名白种人、华裔、印度裔、菲律宾裔以及“其他亚裔”（日本裔、韩裔和越南裔）参与者，这些参与者有或没有自我报告的ASCVD病史或ASCVD风险因素（包括高血压、高胆固醇血症和糖尿病）。我们使用多变量逻辑回归模型，对年龄、性别、在美国出生、教育程度、保险覆盖范围和合并症评分进行调整，以评估亚裔美国人种族/族裔与年度医疗保健使用之间的关联。报告了调整后的比值比（aOR）及其95%置信区间。总共有187,093名参与者未报告ASCVD或ASCVD风险因素（平均年龄40.2±0.1岁；52%为女性），130,976名参与者报告了ASCVD或ASCVD风险因素（平均年龄58.3±0.9岁；49.5%为女性）。与白种人相比，在没有ASCVD或ASCVD风险因素的群体（N = 187,093）中，“其他亚裔”成年人看全科医生的可能性较小（aOR = 0.80，0.72 - 0.89），检查血压（aOR = 0.77，0.66 - 0.89）、血液胆固醇（aOR = 0.80，0.70 - 0.92）和空腹血糖（aOR = 0.73，0.63 - 0.84）的可能性也较小。在有ASCVD或ASCVD风险因素的参与者（N = 130,976）中，印度裔成年人看全科医生的可能性较大（aOR = 1.29，1.01 - 1.66），检查血压（aOR = 1.27，0.83 - 1.96）、血液胆固醇（aOR = 1.46，1.00 - 2.15）和空腹血糖（aOR = 1.49，1.11 - 1.99）的可能性也较大。亚裔美国人各群体的年度预防性医疗保健使用情况存在异质性。
