Why the study?
Does Asian American ethnicity affect the risk of hospitalization for ischemic heart disease compared to Whites?
Does Asian American ethnicity affect the risk of hospitalization for ischemic heart disease compared to Whites?
There is significant heterogeneity in ischemic heart disease risk among Asian American subgroups, with South Asians at highest risk and Chinese at lowest risk compared to Whites.
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Heterogeneous IHD risks among Asian American subgroups versus Whites support disaggregated analyses; leaves open targeted prevention strategies.
To supplement sparse data about ischemic heart disease in Asian Americans, hospitalization risk was prospectively examined in a group of Asian Americans living in Northern California. Analyses used Cox models with ischemic heart disease risk traits as covariables. With Whites as the referent category, relative risks by ethnic group were as follows: Chinese, 0.6 (P = .001); Japanese, 1.0 (P = .97); Filipinos, 1.0 (P = .95); South Asians, 3.7 (P < .001); other Asian Americans, 0.8 (P = .55). Thus, unexplained differences in ischemic heart disease risk exist among Asian-American ethnic groups, with Chinese Americans at lowest risk and persons of South Asian origin at highest risk.
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Klatsky et al. (1994) studied this question.
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