Prevalence and Predictors of Premature Coronary Heart Disease Among Asians in the United States: A National Health Interview Survey Study

被引:7
|
作者
Kianoush, Sina [1 ]
Al Rifai, Mahmoud [1 ]
Jain, Vardhmaan [2 ]
Samad, Zainab [3 ]
Rana, Jamal [4 ]
Dodani, Sunita [5 ]
Jia, Xiaoming [1 ]
Lee, Michelle [1 ,13 ]
Khan, Safi U. [6 ]
Gupta, Kartik [7 ]
Lavie, Carl J. [8 ]
Wong, Sally S. [9 ]
Palla, Amber H. [10 ,11 ]
Virani, Salim [1 ,6 ,12 ,13 ]
机构
[1] Baylor Coll Med, Sect Cardiol, Dept Med, Houston, TX 77030 USA
[2] Cleveland Clin Fdn, Dept Med, Cleveland, OH 44195 USA
[3] Pakistan Aga Khan Univ, Aga Khan Univ, Dept Med, Karachi, Pakistan
[4] Kaiser Permanente, Oakland Med Ctr, Oakland, CA USA
[5] Eastern Virginia Med Sch EVMS, Sect Cardiol, Dept Internal Med, Norfolk, VA USA
[6] Houston Methodist, DeBakey Heart & Vasc Inst, Houston, TX USA
[7] Henry Ford Hosp, Dept Internal Med, Detroit, MI USA
[8] Univ Queensland, John Ochsner Heart & Vasc Inst, Ochsner Clin Sch, Sch Med, New Orleans, LA USA
[9] Amer Heart Assoc, Dallas, TX USA
[10] Aga Khan Univ, Biomed Sci Med Coll, Dept Biol, Karachi, Pakistan
[11] Aga Khan Univ, Biomed Sci Med Coll, Karachi, Pakistan
[12] Baylor Coll Med, Sect Cardiovasc Res, Dept Med, Houston, TX USA
[13] Michael E DeBakey VA Med Ctr, Hlth Serv Res & Dev Ctr Innovat Qual Effectivene, Hlth Policy Qual & Informat Program, Houston, TX USA
关键词
CARDIOVASCULAR-DISEASE; SOUTH ASIANS; RISK-FACTORS;
D O I
10.1016/j.cpcardiol.2022.101152
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
variable logistic regression models. A total of 17,266 participants with history of CHD (mean age, 66.0 </n> 0.2; 39% women) were included. Risk of premature CHD was higher among Asian Indians (OR = 1.77, 1.05-2.97) and "other Asians" (OR = 1.68, 1.17-2.42) than Whites adults. Compared with Chinese, the risk of premature CHD was significantly higher for Asian Indians in the unadjusted models (OR = 2.72, 1.19-6.3). "Other Asians" exhibited significantly higher risk in crude (OR = 2.88, 1.32-6.27) and adjusted models (aOR = 2.29, 1.01-5.18). Among younger adults (<50 years) with CHD, Asian Indian adults (aOR = 2.43, 1.26-4.70) and other Asian adults (aOR = 1.86, 1.14-3.02) showed higher odds of premature CHD com-pared with White adults. The risk of premature CHD varies across Asian populations. More studies with an adequate sampling of Asian subgroups are needed to identify the risk and determinants of premature CHD. (Curr Probl Cardiol 2023;48:101152.) Identifying Asian subgroups with higher risk of premature coronary heart disease (CHD) can help implement targeted strategies to prevent future CHD events. We conducted this National Health Inter-view Survey study from 2006 to 2015 among partici-pants with history of CHD to compare the risk of premature CHD (<65 for women and <55 years old for men) across Whites, Chinese, Asian Indians, Filipi-nos, and "other Asians" (Japanese, Korean, and Viet-namese individuals) using univariate and multi -
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页数:12
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