Hospitalization Rates for Acute Myocardial Infarction Among Asian-American Subgroups: Have We Been Underestimating the Problem?

Concerns about the quality of race/ethnicity data collected by hospitals have limited our understanding of healthcare disparities affecting ethnic minorities in the United States. Using data from the New Jersey State Inpatient Databases and the American Community Survey, we calculated age-adjusted A...

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Bibliographic Details
Published in:Journal of immigrant and minority health 2018-02, Vol.20 (1), p.20-25
Main Authors: J. Chakkalakal, Rosette, Fox, Justin P., Green, Jeremy C., Nunez-Smith, Marcella, Nallamothu, Brahmajee K., Hasnain-Wynia, Romana
Format: Article
Language:English
Subjects:
Adult
Aged
Asian Americans
Asian Americans - classification
Comparative Law
Databases, Factual
Ethnic differences
Ethnic factors
Ethnic Groups
Ethnicity
Health disparities
Health problems
Health services
Heart attacks
Hospitalization
Hospitalization - trends
Hospitals
Humans
International & Foreign Law
Medicine
Medicine & Public Health
Middle Aged
Minority & ethnic groups
Minority groups
Myocardial infarction
Myocardial Infarction - ethnology
New Jersey
ORIGINAL PAPER
Philippino
Private International Law
Prone
Public Health
Race
Sociology
Southeast Asian cultural groups
Statistical analysis
Subgroups
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Summary:Concerns about the quality of race/ethnicity data collected by hospitals have limited our understanding of healthcare disparities affecting ethnic minorities in the United States. Using data from the New Jersey State Inpatient Databases and the American Community Survey, we calculated age-adjusted AMI hospitalization rates for Asian-American subgroups before (2005–2006) and after (2008–2009) New Jersey hospitals implemented standardized practices to collect more accurate granular race/ethnicity data from patients. Rates were reported per 100,000 persons for Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese subgroups. AMI hospitalization rates increased for all subgroups except Vietnamese following implementation of the New Jersey program; increases were statistically significant for Asian Indian, Chinese, and Korean subgroups. Rates of hospitalization for AMI increased significantly for multiple Asian-American subgroups following implementation of the New Jersey program. National population health metrics for Asian-American subgroups may be prone to significant underestimation without widespread utilization of similar practices.
ISSN:1557-1912
1557-1920
DOI:10.1007/s10903-016-0517-9