Al Rifai Mahmoud, Kianoush Sina, Jain Vardhmaan, Joshi Parag H, Cainzos-Achirica Miguel, Nasir Khurram, Merchant Anwar T, Dodani Sunita, Wong Sally S, Samad Zainab, Mehta Anurag, Chunara Rumi, Kalra Ankur, Virani Salim S
Section of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Department of Medicine, Cleveland Clinic Foundation, Cleveland, OH, United States.
Prev Med Rep. 2022 Jul 22;29:101916. doi: 10.1016/j.pmedr.2022.101916. eCollection 2022 Oct.
Prior studies have shown a direct association between U.S. birth and duration of residence with atherosclerotic cardiovascular disease (ASCVD) though, few have specifically focused on Asian Americans.
We utilized cross-sectional data from the 2006 to 2015 National Health Interview Survey. We compared prevalent cardiovascular risk factors and ASCVD among Asian American individuals by U.S. birth and duration of time spent in the U.S.
The study sample consisted of 18,150 Asian individuals of whom 20.5 % were Asian Indian, 20.5 % were Chinese, 23.4 % were Filipino, and 35.6 % were of other Asian ethnic groups. The mean (standard error) age was 43.8 (0.21) years and 53 % were women. In multivariable-adjusted logistic regression models, U.S. birth was associated with a higher prevalence odds ratio (95 % confidence interval) of current smoking 1.31 (1.07,1.60), physical inactivity 0.62 (0.54,0.72), obesity 2.26 (1.91,2.69), hypertension 1.33 (1.12,1.58), and CAD 1.96 (1.24,3.11), but lower prevalence of stroke 0.28 (0.11,0.71). Spending greater than 15 years in the U.S. was associated with a higher prevalence of current smoking 1.65 (1.24,2.21), obesity 2.33 (1.57,3.47), diabetes 2.68 (1.17,6.15), and hyperlipidemia 1.72 (1.09,2.71).
Heterogeneity exists in cardiovascular risk factor burden among Asian Americans according to Asian ethnicity, U.S. birth, and duration of time living in the U.S.
先前的研究表明，在美国出生以及在美国的居住时长与动脉粥样硬化性心血管疾病（ASCVD）之间存在直接关联，不过，很少有研究专门聚焦于亚裔美国人。
我们使用了2006年至2015年美国国家健康访谈调查的横断面数据。我们根据在美国的出生情况和在美国度过的时长，比较了亚裔美国人中普遍存在的心血管危险因素和ASCVD。
研究样本包括18150名亚裔个体，其中20.5%为印度裔，20.5%为华裔，23.4%为菲律宾裔，35.6%为其他亚裔族群。平均（标准误）年龄为43.8（0.21）岁，53%为女性。在多变量调整逻辑回归模型中，在美国出生与当前吸烟的较高患病率比值比（95%置信区间）相关，为1.31（1.07，1.60），身体活动不足为0.62（0.54，0.72），肥胖为2.26（1.91，2.69），高血压为1.33（1.12，1.58），冠心病为1.96（1.24，3.11），但中风患病率较低，为0.28（0.11，0.71）。在美国居住超过15年与当前吸烟的较高患病率相关，为1.65（1.24，2.21），肥胖为2.33（1.57，3.47），糖尿病为2.68（1.17，6.15），高脂血症为1.72（1.09，2.71）。
根据亚裔族群、在美国的出生情况以及在美国居住的时长，亚裔美国人的心血管危险因素负担存在异质性。
