Heterogeneity in the prevalence of premature hypertension among Asian American populations compared with white individuals: A National Health Interview Survey study
Background: Differences in prevalence of risk factors such as hypertension may explain heterogeneity in cardiovascular risk across Asian American populations. Methods: We used National Health Interview Survey (NHIS) data from 2006 to 2018 among White, Chinese, Asian Indian, Filipino, and ‘other Asia...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S277248752200023X |
| _version_ | 1828453095969914880 |
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| author | Sina Kianoush Mahmoud Al Rifai Anwar T. Merchant Xiaoming Jia Zainab Samad Aneil Bhalla Ayesha Khan Dongshan Zhu Salim Virani |
| author_facet | Sina Kianoush Mahmoud Al Rifai Anwar T. Merchant Xiaoming Jia Zainab Samad Aneil Bhalla Ayesha Khan Dongshan Zhu Salim Virani |
| author_sort | Sina Kianoush |
| collection | DOAJ |
| description | Background: Differences in prevalence of risk factors such as hypertension may explain heterogeneity in cardiovascular risk across Asian American populations. Methods: We used National Health Interview Survey (NHIS) data from 2006 to 2018 among White, Chinese, Asian Indian, Filipino, and ‘other Asians’ (Japanese, Korean, and Vietnamese). Unadjusted and adjusted odds ratios (aOR) with 95% confidence intervals were reported using logistic regression models for the association between race and self-reported premature hypertension (age <50 years old). Models were adjusted for sex, education, body mass index, smoking status, diabetes, and coronary heart disease. Results: We studied 99,864 participants with history of hypertension (mean age, 59.3 ± 0.1; 50% women, 90% US born). Asian Indians had higher prevalence of premature hypertension (37%) compared with Filipinos (27%), ‘other Asians’ (26%), Whites (25%), and Chinese (21%). Compared with Whites, Chinese individuals had lower odds of premature hypertension (aOR = 0.79, 0.63–0.98), but Asian Indians had higher odds (aOR = 1.85, 1.48–2.31). Compared with Chinese, odds of premature hypertension was higher for Asian Indians (aOR = 2.39, 1.74–3.27), Filipinos (aOR = 1.53, 1.16–2.04), and ‘other Asians’ (OR = 1.32, 1.03–1.70; aOR = 1.59, 1.20–2.10). Overall prevalence of hypertension was lower among Asian Indians (aOR = 0.52, 0.46–0.58) and ‘other Asians’ (aOR = 0.74, 0.68–0.79) compared with Whites. Conclusions: There is heterogeneity in the risk of hypertension across Asian Americans by age. Asian Indians and ‘other Asians’ had higher prevalence of premature hypertension and lower prevalence of overall hypertension, which may call for earlier screening for risk factors among these populations. |
| first_indexed | 2024-12-11T00:02:28Z |
| format | Article |
| id | doaj.art-b58e59a9b15a45d79c2085c09083f316 |
| institution | Directory Open Access Journal |
| issn | 2772-4875 |
| language | English |
| last_indexed | 2024-12-11T00:02:28Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| spelling | doaj.art-b58e59a9b15a45d79c2085c09083f3162022-12-22T01:28:25ZengElsevierInternational Journal of Cardiology. Cardiovascular Risk and Prevention2772-48752022-09-0114200147Heterogeneity in the prevalence of premature hypertension among Asian American populations compared with white individuals: A National Health Interview Survey studySina Kianoush0Mahmoud Al Rifai1Anwar T. Merchant2Xiaoming Jia3Zainab Samad4Aneil Bhalla5Ayesha Khan6Dongshan Zhu7Salim Virani8Section of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, USASection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, USADepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, USASection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, USADepartment of Medicine, Aga Khan University, Karachi, Pakistan Aga Khan University, Karachi, PakistanSection of Cardiovascular Medicine, Department of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USADepartment of Medicine, Aga Khan University, Karachi, Pakistan Aga Khan University, Karachi, PakistanDepartment of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, USA; Section of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA; Health Policy, Quality & Informatics Program, Michael E. DeBakey VA Medical Center Health Services Research & Development Center for Innovations in Quality, Effectiveness, and Safety, Houston, TX, USA; DeBakey Heart and Vascular Institute, Houston Methodist, Houston, TX, USA; Corresponding author. Baylor College of Medicine 2002 Holcombe Blvd., Houston, TX, 77030, USA.Background: Differences in prevalence of risk factors such as hypertension may explain heterogeneity in cardiovascular risk across Asian American populations. Methods: We used National Health Interview Survey (NHIS) data from 2006 to 2018 among White, Chinese, Asian Indian, Filipino, and ‘other Asians’ (Japanese, Korean, and Vietnamese). Unadjusted and adjusted odds ratios (aOR) with 95% confidence intervals were reported using logistic regression models for the association between race and self-reported premature hypertension (age <50 years old). Models were adjusted for sex, education, body mass index, smoking status, diabetes, and coronary heart disease. Results: We studied 99,864 participants with history of hypertension (mean age, 59.3 ± 0.1; 50% women, 90% US born). Asian Indians had higher prevalence of premature hypertension (37%) compared with Filipinos (27%), ‘other Asians’ (26%), Whites (25%), and Chinese (21%). Compared with Whites, Chinese individuals had lower odds of premature hypertension (aOR = 0.79, 0.63–0.98), but Asian Indians had higher odds (aOR = 1.85, 1.48–2.31). Compared with Chinese, odds of premature hypertension was higher for Asian Indians (aOR = 2.39, 1.74–3.27), Filipinos (aOR = 1.53, 1.16–2.04), and ‘other Asians’ (OR = 1.32, 1.03–1.70; aOR = 1.59, 1.20–2.10). Overall prevalence of hypertension was lower among Asian Indians (aOR = 0.52, 0.46–0.58) and ‘other Asians’ (aOR = 0.74, 0.68–0.79) compared with Whites. Conclusions: There is heterogeneity in the risk of hypertension across Asian Americans by age. Asian Indians and ‘other Asians’ had higher prevalence of premature hypertension and lower prevalence of overall hypertension, which may call for earlier screening for risk factors among these populations.http://www.sciencedirect.com/science/article/pii/S277248752200023XHypertensionRacial disparityAsians |
| spellingShingle | Sina Kianoush Mahmoud Al Rifai Anwar T. Merchant Xiaoming Jia Zainab Samad Aneil Bhalla Ayesha Khan Dongshan Zhu Salim Virani Heterogeneity in the prevalence of premature hypertension among Asian American populations compared with white individuals: A National Health Interview Survey study International Journal of Cardiology. Cardiovascular Risk and Prevention Hypertension Racial disparity Asians |
| title | Heterogeneity in the prevalence of premature hypertension among Asian American populations compared with white individuals: A National Health Interview Survey study |
| title_full | Heterogeneity in the prevalence of premature hypertension among Asian American populations compared with white individuals: A National Health Interview Survey study |
| title_fullStr | Heterogeneity in the prevalence of premature hypertension among Asian American populations compared with white individuals: A National Health Interview Survey study |
| title_full_unstemmed | Heterogeneity in the prevalence of premature hypertension among Asian American populations compared with white individuals: A National Health Interview Survey study |
| title_short | Heterogeneity in the prevalence of premature hypertension among Asian American populations compared with white individuals: A National Health Interview Survey study |
| title_sort | heterogeneity in the prevalence of premature hypertension among asian american populations compared with white individuals a national health interview survey study |
| topic | Hypertension Racial disparity Asians |
| url | http://www.sciencedirect.com/science/article/pii/S277248752200023X |
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