Asian-American subgroups had a higher proportionate mortality burden from hypertensive heart disease and cerebrovascular disease, especially hemorrhagic stroke, compared to Non-Hispanic Whites.
Observational (n=10,442,034)
Asian-American subgroups exhibit significant heterogeneity in cardiovascular mortality, with higher proportionate burdens of hypertensive heart disease and stroke compared to Non-Hispanic Whites.
Background Asian Americans are a rapidly growing racial/ethnic group in the United States. Our current understanding of Asian-American cardiovascular disease mortality patterns is distorted by the aggregation of distinct subgroups. Objectives To examine heart disease and stroke mortality rates in Asian-American subgroups to determine racial/ethnic differences in cardiovascular disease mortality within the United States. Methods We examined heart disease and stroke mortality rates for the 6 largest Asian-American subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese) from 2003–2010. U.S. death records were used to identify race/ethnicity and cause of death by ICD-10 coding. Using both U.S. Census and death record data, standardized mortality ratios (SMR), relative SMRs (rSMR), and proportional mortality ratios (PMR) were calculated for each sex and ethnic group relative to Non-Hispanic Whites (NHW). Results 10,442,034 death records were examined. While NHW men and women had the highest overall mortality rates, Asian Indian men and women and Filipino men had greater proportionate mortality burden from ischemic heart disease. The proportionate mortality burden of hypertensive heart disease and cerebrovascular disease, especially hemorrhagic stroke, was higher in every Asian-American subgroup compared to NHWs. Conclusions The heterogeneity in cardiovascular disease mortality patterns among diverse Asian-American subgroups calls attention to the need for more research to help direct more specific treatment and prevention efforts, in particular with hypertension and stroke, to reduce health disparities for this growing population.
“The messages on prevention and management of CVD are not effectively reaching this population. The lack of national mortality statistics for CVD among Asian Americans has made it difficult to recommend research agendas, to create public health policy, and to offer appropriate clinical guidelines.”
Jose et al. (Mon,) conducted a observational in Cardiovascular disease mortality (n=10,442,034). Asian-American ethnicity vs. Non-Hispanic Whites was evaluated on Proportionate mortality burden of heart disease and stroke. Asian-American subgroups had a higher proportionate mortality burden from hypertensive heart disease and cerebrovascular disease, especially hemorrhagic stroke, compared to Non-Hispanic Whites.