Health

‘One-size-fits-all’ flawed for assessing cardiovascular disease risk among Asian Americans

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In a recent large-scale study that included data from the past two decades, the number of heart disease deaths in the United States varied between people from different ethnic groups in Asia, with the prevalence of stunting standing check in some groups and increased in others, according to a new published study. today in Circulation: Heart Improvement and OutcomeMagazine reviewed by colleagues of the American Heart Association.

Asians are the largest ethnic and racial group in the United States, growing 81% – from 11 million to 19 million – between 2000 and 2019, and the population is projected to reach 36 million by 2060, according to Pew Research Center. . However public health same to you clinical data they used to unite the Asian-American into one unit of “Asia”, which hides health consequences (including mortality rate) and similar risks high blood pressureObesity, Type 2 diabetes and smoking for different Asian groups.

“Asian Americans are very different in the way they deal with groups health consequences, “said lead researcher Nilay S. Shah, MD, MPH, assistant professor of cardiology and immunology at Feinberg School of Medicine at Northwestern Chicago University and an international member affiliated with Stanford University’s Center for Asian Studies and Education. There is a great opportunity to improve the health of Asian people by focusing and coordinating research and care for the unique needs and cultural characteristics of these communities. “

Study US death Certificates from 2003 to 2017 are available from the National Institutes of Health, researchers analyzed the death toll for ischemic heart disease (also known as coronary heart disease); heart failure; same to you cerebrovascular disease, which includes stroke. Data was collected and compiled among Asian adults who reported their group as Indians, Chinese, Filipino, Japanese, Korean or Vietnamese, who are the only Asians found on U.S. death certificates since 2003. Health information about these different groups of Asian Americans was compared. to the certificate of death of whites and Hispanic people.

Compare the deaths of more than 600,000 Asian Americans with more than 30 million non-Hispanic. white and more than 2 million Hispanics, researchers found:

  • Mortality from ischemic heart disease decreased significantly between 2003-2017 in all women (For example, in 2003 and 2017, the number decreased from 67 per 100,000 to 35 per 100,000, respectively, for Japanese women, and from 79 per 100,000.in 100,000, respectively, among Chinese women; Decreased significantly among Chinese, Filipino, Japanese and Korean, as well as non-Hispanic, and Hispanic, as they continue to live among Asian Asians and Vietnamese males. (In 2003 vs. 2017, the rankings varied: it was the same level, at 71 per 100,000 among Vietnamese men; and decreased from 162 per 100,000 to 107 per 100,000, respectively, among Filipino men.) Asian Indian women are more likely to die.for ischemic heart disease in 2017.
  • Heart disease rates did not change among Chinese, Korean and white Spanish Hispanic, Chinese and Vietnamese men between 2003-2017; and increased significantly among Filipinos, Asians and Japanese, Vietnamese women and Korean men. The Asian Indians were the largest heart attack The number of deaths among the entire group of Asian Americans in 2017 (14 per 100,000 in women, 15 per 100,000 in men).
  • Mortality rates for cerebrovascular disease have decreased among Chinese, Filipino and Japanese women and have not reverted between Indian, Korean, and Vietnamese women and men. Vietnamese people have the highest number of cerebrovascular deaths in 2017.

“A very long time, because Asians are divided into one group, shows that Asians in the United States have a lower risk of developing cardiovascular disease compared to other groups,” Shah said. “Our research shows this is not the case. By dividing Asian groups, we can identify populations and communities at risk for heart disease, and can benefit from improved heart disease prevention and treatment options. “

The statistical significance of the mortality rate is based on the management criteria of the causes of death, which can sometimes mistakenly identify the cause of death. Despite the potential for limited fractionality, the researchers noted that the data still provide the best national anticipation for the number of cardiovascular deaths among individuals from racial and ethnic backgrounds.

Accompanied by Monica Parks, MD; Brahmajee Nallamothu, MD, MPH; and P. Michael Ho MD, Ph.D., note that while this text plays an important role in the information available on this subject, “it only erodes the top of the research needed.” Nallamothu is the editor-in-chief of the newspaper Promenade: Heart Improvement and Outcomes newspaper, and Ho is the assistant editor of the magazine.

The editor notes that the U.S. Department of Health and Human Services (HHS) began adding Asian Asian Indians, Chinese, Filipino, Japanese, Korean and Vietnamese minority groups to birth and death certificates in 2003. A in 2010, the Affordable Care Act stipulates that all medical examinations carried out by HHS must also include these subgroups and subdivisions. It was through these orders that the study of Shah et al.

“Obviously not only has the ethnicity of the American population changed, but the totality of life of these communities has evolved and can lead to different interactions with the health care system. of a box next to “white” or “Asian American” is not enough to catch such a complication, “they wrote.

Authors with Shah are Kevin Xi, BS; Kristopher I. Kapphahn, MS; Malathi Srinivasan, MD; Timothy Au, BS; undergraduates Vedant Sathye, Vaibhav Vishal and Han Zhang; by Latha P. Palaniappan, MD, MS


Asian-American groups differ in age at which they disappear due to untreated heart disease, stroke


Learn more:
Improving Blood Pressure and Consequences (2022). DOI: 10.1161 / CIRCOUTCOMES.121.008651

hint: ‘One-size-fits-all’ is critical to assessing the risk of cardiovascular disease among Asian Americans (2022, May 10) Retrieved 10 May 2022 from https://medicalxpress.com/news/2022-05 -one-size-fits-all-off-cardiovascular-disease-asian.html

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