Background The burden of cardiovascular disease (CVD) is increasing in the aging population. However, little is known about CVD risk factors and outcomes for Asian American, Native Hawaiian, and Other Pacific Islander (NH/PI) older adults by disaggregated subgroups. Methods Data were from the Centers for Medicare and Medicaid Services 2011–2015 Health Outcomes Survey, which started collecting expanded racial/ethnic data in 2011. Guided by Andersen and Newman’s theoretical framework, multivariable logistic regression analyses were conducted to examine the prevalence and determinants of CVD risk factors (obesity, diabetes, smoking status, hypertension) and CVD conditions (coronary artery disease [CAD], congestive heart failure [CHF], myocardial infarction [MI], other heart conditions, stroke) for 10 Asian American and NH/PI subgroups and White adults. Results Among the 639 862 respondents, including 26 853 Asian American and 4 926 NH/PI adults, 13% reported CAD, 7% reported CHF, 10% reported MI, 22% reported other heart conditions, and 7% reported stroke. CVD risk factors varied by Asian American and NH/PI subgroup. The prevalence of overweight, obesity, diabetes, and hypertension was higher among most Asian American and NH/PI subgroups than White adults. After adjustment, Native Hawaiians had significantly greater odds of reporting stroke than White adults. Conclusions More attention should focus on NH/PIs as a priority population based on the disproportionate burden of CVD risk factors compared with their White and Asian American counterparts. Future research should disaggregate racial/ethnic data to provide accurate depictions of CVD and investigate the development of CVD risk factors in Asian Americans and NH/PIs over the life course.

中文翻译：

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亚裔美国人、夏威夷原住民和太平洋岛民种族的心血管疾病趋势，2011-2015 年医疗保险健康结果调查


背景随着人口老龄化，心血管疾病（CVD）的负担日益增加。然而，对于按分类亚组划分的亚裔美国人、夏威夷原住民和其他太平洋岛民 (NH/PI) 老年人的 CVD 危险因素和结果知之甚少。方法 数据来自医疗保险和医疗补助服务中心 2011-2015 年健康结果调查，该调查于 2011 年开始收集扩大的种族/族裔数据。在 Andersen 和 Newman 的理论框架指导下，进行多变量逻辑回归分析来检查10 名亚裔美国人和新罕布什尔州人的 CVD 危险因素（肥胖、糖尿病、吸烟状况、高血压）和 CVD 状况（冠状动脉疾病 [CAD]、充血性心力衰竭 [CHF]、心肌梗死 [MI]、其他心脏病、中风） PI 亚群和白人成年人。结果 在 639 862 名受访者中，包括 26 853 名亚裔美国人和 4 926 名 NH/PI 成年人，13% 报告有 CAD，7% 报告有 CHF，10% 报告有 MI，22% 报告有其他心脏病，7% 报告有中风。 CVD 危险因素因亚裔美国人和 NH/PI 亚组而异。大多数亚裔美国人和 NH/PI 亚群体中超重、肥胖、糖尿病和高血压的患病率高于白人成年人。调整后，夏威夷原住民报告中风的几率明显高于白人成年人。结论 与白人和亚裔美国人相比，由于 CVD 危险因素的负担不成比例，因此应更多地关注 NH/PI 作为优先人群。未来的研究应该分解种族/民族数据，以提供对 CVD 的准确描述，并调查亚裔美国人和 NH/PI 在生命历程中 CVD 危险因素的发展。