Prevalence of heart disease and its risk factors related to age in Asians, Pacific Islanders, and Whites in Hawai'i

To examine disparities in disease prevalence related to age and race/ethnicity. Study design. Retrospective observational study. Eligible population included enrollees with largest insurer in Hawai'i. Chronic diseases were identified from claims data (1999-2009) based on algorithms including di...

Full description

Saved in:
Bibliographic Details
Published in:Journal of health care for the poor and underserved 2012-08, Vol.23 (3), p.1000-1000
Main Authors: Juarez, Deborah T, Davis, James W, Brady, S Kalani, Chung, Richard S
Format: Article
Language:English
Subjects:
Age Factors
Aged
Algorithms
Cardiovascular disease
Cardiovascular diseases
Chronic illnesses
Confidence intervals
Continental Population Groups - statistics & numerical data
Diabetes
Ethnicity
Female
Hawaii - epidemiology
Health care access
Health education
Heart
Heart Diseases - ethnology
Heart Diseases - etiology
Humans
Hypertension
Japanese Americans
Male
Middle Aged
Observational studies
Prevalence
Race
Retrospective Studies
Risk Factors
State employees
White people
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To examine disparities in disease prevalence related to age and race/ethnicity. Study design. Retrospective observational study. Eligible population included enrollees with largest insurer in Hawai'i. Chronic diseases were identified from claims data (1999-2009) based on algorithms including diagnostic codes and pharmaceutical utilization. Relative risk of heart disease and its risk factors were calculated for Native Hawaiians and Asian sub-groups by age. Prevalence of heart disease and its risk factors differed substantially by age and race/ethnicity. Native Hawaiians and Filipinos had higher rates of hypertension and diabetes; Asians had highest rates of hyperlipidemia. Whites had the lowest prevalence of risk factors yet their risk of heart disease equaled other groups. Prevalence curves began diverging at age 30 for risk factors and age 40 for heart disease. This suggests approaches to reduce the burden of disease for vulnerable groups need to begin in early adulthood if not sooner.
ISSN:1049-2089
1548-6869
DOI:10.1353/hpu.2012.0103