亚裔美国人亚组的心血管疾病和脑血管疾病死亡率。
Cardiovascular and Cerebrovascular Disease Mortality in Asian American Subgroups.
机构信息
Center for Asian Health Research and Education (N.S.S., K.X., M.S., T.A., V.S., V.V., H.Z., L.P.P.), Stanford University School of Medicine, CA.
Department of Medicine (Cardiology) (N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL.
出版信息
Circ Cardiovasc Qual Outcomes. 2022 May;15(5):e008651. doi: 10.1161/CIRCOUTCOMES.121.008651. Epub 2022 May 10.
BACKGROUND
Asian American individuals comprise the fastest-growing race and ethnic group in the United States. Certain subgroups may be at disproportionately high cardiovascular risk. This analysis aimed to identify cardiovascular and cerebrovascular disease mortality trends in Asian American subgroups.
METHODS
Age-standardized mortality rates (ASMR), average annual percent change of ASMR calculated by regression, and proportional mortality ratios of ischemic heart disease, heart failure, and cerebrovascular disease were calculated by sex in non-Hispanic Asian American subgroups (Chinese, Filipino, Asian Indian, Japanese, Korean, and Vietnamese), non-Hispanic White, and Hispanic individuals from US death certificates, 2003 to 2017.
RESULTS
Among 618 004 non-Hispanic Asian American, 30 267 178 non-Hispanic White, and 2 292 257 Hispanic deaths from all causes, ASMR from ischemic heart disease significantly decreased in all subgroups of Asian American women and in non-Hispanic White and Hispanic women; significantly decreased in Chinese, Filipino, Japanese, and Korean men and non-Hispanic White and Hispanic men and remained stagnant in Asian Indian and Vietnamese men. The highest 2017 ASMR from ischemic heart disease among Asian American decedents was in Asian Indian women (77 per 100 000) and men (133 per 100 000). Heart failure ASMR remained stagnant in Chinese, Korean, and non-Hispanic White women, and Chinese and Vietnamese men. Heart failure ASMR significantly increased in both sexes in Filipino, Asian Indian, and Japanese individuals, Vietnamese women, and Korean men, with highest 2017 ASMR among Asian American subgroups in Asian Indian women (14 per 100 000) and Asian Indian men (15 per 100 000). Cerebrovascular disease ASMR decreased in Chinese, Filipino, and Japanese women and men between 2003 and 2017, and remained stagnant in Asian Indian, Korean, and Vietnamese women and men. The highest cerebrovascular disease ASMR among Asian American subgroups in 2017 was in Vietnamese women (46 per 100 000) and men (47 per 100 000).
CONCLUSIONS
There was heterogeneity in cardiovascular and cerebrovascular mortality among Asian American subgroups, with stagnant or increasing mortality trends in several subgroups between 2003 and 2017.
背景
亚裔美国人是美国增长最快的种族和族群。某些亚群可能面临不成比例的高心血管风险。本分析旨在确定亚裔美国人亚群的心血管和脑血管疾病死亡趋势。
方法
使用美国死亡证明，计算了非西班牙裔亚裔美国人亚群（中国人、菲律宾人、印度裔美国人、日本人、韩国人和越南人）、非西班牙裔白人和西班牙裔人群中按性别划分的缺血性心脏病、心力衰竭和脑血管疾病的年龄标准化死亡率（ASMR）、ASMR 回归计算的平均年变化百分比以及比例死亡率比。时间范围为 2003 年至 2017 年。
结果
在所有原因导致的 618004 名非西班牙裔亚裔美国人、30267178 名非西班牙裔白人和 2292257 名西班牙裔死亡中，所有亚裔美国女性亚群以及非西班牙裔白人和西班牙裔女性的缺血性心脏病 ASMR 显著下降；中国人、菲律宾人、日本人、韩国男性和非西班牙裔白人和西班牙裔男性的 ASMR 显著下降，印度男性的 ASMR 则保持不变。2017 年，亚裔美国人死亡者中缺血性心脏病的 ASMR 最高的是印度女性（77/10 万）和男性（133/10 万）。心力衰竭的 ASMR 在中国人、韩国人和非西班牙裔白人女性以及中国人和越南男性中保持不变。菲律宾人、印度人和日本人的两性心力衰竭 ASMR 显著增加，越南女性和韩国男性的心力衰竭 ASMR 也显著增加，其中亚裔美国人亚群中 2017 年 ASMR 最高的是印度女性（14/10 万）和印度男性（15/10 万）。2003 年至 2017 年，中国人、菲律宾人和日本人的男女缺血性心脏病 ASMR 均下降，而印度、韩国和越南的男女 ASMR 则保持不变。2017 年，亚裔美国人亚群中缺血性心脏病的 ASMR 最高的是越南女性（46/10 万）和男性（47/10 万）。
结论
亚裔美国人亚群的心血管和脑血管死亡率存在异质性，2003 年至 2017 年间，几个亚群的死亡率呈停滞或上升趋势。
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