Abstract MP89: Cardiovascular and Stroke Mortality in Asian Americans (2003-2010)

• Published in: Circulation (New York, N.Y.) N.Y.), 2014-03, Vol.129 (suppl_1)
• Main Authors: Jose, Powell O, Frank, Ariel T, Kapphahn, Kristopher I, Goldstein, Benjamin A, Eggleston, Karen, Cullen, Mark R, Palaniappan, Latha P
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/circ.129.suppl_1.mp89

Abstract only 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, which masks the heterogeneity of cardiovascular disease and survival among diverse Asian American subgroups. Objective and Design: We examined cardiovascular disease and stroke mortality rates for the six 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 (I00-I09, I11, I13, I20-I69). Standardized mortality ratios (SMR), relative SMRs (rSMRs), and proportional mortality ratios (PMR) were calculated for each sex and ethnic group relative to Non-Hispanic Whites (NHW). Results: 15,943,806 death records were examined. Asian Indian men and women and Filipino men had higher relative SMRs and PMRs for all cardiovascular disease and ischemic heart disease compared to NHWs and other Asian subgroups. Every female Asian subgroup except Koreans had higher rSMRs and PMRs for rheumatic heart disease compared to NHWs. Relative SMRs and PMRs were lower for heart failure but higher for hypertensive heart disease and all cerebrovascular disease including both ischemic and hemorrhagic stroke for men and women in every Asian subgroup compared to NHW men and women, respectively. Conclusions: The variation in cardiovascular disease and stroke mortality patterns among diverse Asian American subgroups calls to attention the need for more research to help direct more specific treatment and prevention efforts, especially in hypertension and stroke, to reduce health disparities for this rapidly growing population.