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Cited by 13Blood Pressure and Hypertension StudiesHealthcare Systems and Public HealthSodium Intake and Health

Hypertension-Related Cardiovascular Mortality in Asian American Subgroups

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Shah, Nilay S., Shimbo, Daichi, Muntner, Paul, Huffman, Mark D., Kandula, Namratha R., Mefford, Matthew T., Lloyd-Jones, Donald M., Khan, Sadiya S.·2023·American Journal of Preventive Medicine
DOI 10.1016/j.amepre.2023.01.003PMC PMC10293105
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Abstract

Introduction Asian American subgroups experience heterogeneity in cardiovascular disease, but differences in hypertension-related cardiovascular disease mortality between Asian American subgroups is not known. Methods Among 1,194,648 deaths in the United States in 2018-2021 with cardiovascular disease as an underlying cause and hypertension-related diseases as contributing cause, sex-specific age-standardized mortality rates, proportional mortality, and proportional mortality ratios for non-Hispanic Asian and Asian subgroups, Hispanic, and non-Hispanic Black individuals were compared with non-Hispanic White individuals. The analysis was conducted in August 2022. Results There were 37,746; 95,404; 193,899; and 867,599 hypertension-related cardiovascular disease deaths in non-Hispanic Asian; Hispanic; non-Hispanic Black; and non-Hispanic White groups, respectively. Among non-Hispanic Asian females, mortality rates ranged from 41.6 (95% CI 40.0-43.3) per 100,000 population in Japanese to 52.6 (51.0-54.2) per 100,000 in Filipina individuals. Among non-Hispanic Asian males, mortality rates ranged from 45.8 (43.3-48.2) per 100,000 in Korean to 81.0 (78.5-83.5) per 100,000 in Filipino individuals. Proportional mortality was higher for all Asian American subgroups compared to non-Hispanic White individuals. Proportional mortality ratios ranged from 1.11 (in Korean males, proportional mortality was 10.2% [95% CI 9.7-10.8] of all deaths) to 1.38 (in Filipino males, proportional mortali…

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  • Recent studies have highlighted both the need to disaggregate API subgroups and relatively higher CVD burden among some subpopulations, particularly South Asians and Filipinos.

    “Recent studies have highlighted both the need to disaggregate API subgroups [7, 8, 13, 14] and relatively higher CVD burden among some subpopulations, particularly South Asians and Filipinos [6, 15, 16].”

    From Prevalence of cardiovascular disease among Asian, Pacific Islander and multi-race populations in Hawai’i and California (2023) · cites this paper as [13]

  • Among Asian populations, study findings of higher prevalence of all three CVD conditions among Filipinos is consistent with previous reports of higher cardiometabolic risk and poorer health outcomes in this population.

    “Among Asian populations, study findings of higher prevalence of all three CVD conditions among Filipinos is consistent with previous reports of higher cardiometabolic risk and poorer health outcomes in this population [4, 7, 13, 15, 19, 22, 30-34].”

    From Prevalence of cardiovascular disease among Asian, Pacific Islander and multi-race populations in Hawai’i and California (2023) · cites this paper as [13]

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Authors
Shah, N. S., Shimbo, D., Muntner, P., Huffman, M. D., Kandula, N. R., Mefford, M. T., Lloyd-Jones, D. M., & Khan, S. S.
Affiliations
  • Northwestern University (US)
  • Columbia University Irving Medical Center (US)
  • University of Alabama at Birmingham (US)
  • Kaiser Permanente (US)
Corresponding author
Shah, Nilay S.
ORCID
Venue
American Journal of Preventive Medicine
Publisher
Elsevier BV
Published
2023-07
Volume
65
Issue
1
Pages
117-121
ISSN
0749-3797 (ISSN-L)
DOI
10.1016/j.amepre.2023.01.003
PMC
PMC10293105
OpenAlex
W4319337571
Cited by
13
References
10
Citations by year
2026: 1 · 2025: 4 · 2024: 7 · 2023: 1
FWCI
2.56
Type
journal article
Language
en
Open access
Licence
Locations
  • American Journal of Preventive Medicine (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Heart, Lung, and Blood Institute (K23HL157766, R01HL161514, R01HL159250)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
Keywords
hypertension, cardiovascular mortality, Asian American subgroups, ethnic disparities, proportional mortality, proportional mortality ratio, Japanese Americans, Korean Americans, Filipino Americans, Chinese Americans, Hispanic Americans, non-Hispanic blacks, sex differences in mortality, age-standardized mortality rates, racial and ethnic health disparities
MeSH terms
Asian, Cardiovascular Diseases, Female, Humans, Hypertension, Male, United States, Asian People

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