美国亚洲人群心血管疾病亚型的死亡率

IF 3.3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology Pub Date : 2025-05-08 DOI:10.1016/j.annepidem.2025.05.001

Nilay S. Shah MD, MPH , Xin Tong MPH , Fleetwood Loustalot PhD , Rebecca C. Woodruff PhD, MPH

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引用次数: 0

摘要

目的研究美国亚洲人群中心血管疾病（CVD）亚型的死亡率特征。方法采用年龄≥ 18岁（整体和个别种族）的非西班牙裔亚裔死者的生命统计数据，计算缺血性心脏病、脑血管疾病、心力衰竭、心律失常、高血压心脏病、瓣膜性心脏病和肺心病的年龄标准化死亡率（ASMR），并计算亚洲个体组中ASMR亚型的发生率与亚洲整体组的比率。结果2018-2022年期间，亚洲成年人共发生123,566例心血管疾病死亡(15% %亚洲印度人；24 %中国;20 %菲律宾;12 %日本;8 %韩国;10 %越南)。在所有CVD亚型中，菲律宾成年人的ASMR总体上高于亚洲成年人。除瓣膜性心脏病和脑血管疾病外，所有CVD亚型的亚洲印度成年人ASMR均高于亚洲成年人。日本成年人在心力衰竭和瓣膜性心脏病方面的ASMR总体上高于亚洲成年人。越南成年人的脑血管疾病ASMR总体上高于亚洲成年人。在所有CVD亚型中，中国成年人和韩国成年人的asmr与亚洲成年人相似或低于亚洲成年人。结论：亚洲成年人的scvd asmr总体上模糊了亚洲个体群体之间的重要变异性。

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Mortality from cardiovascular disease subtypes among Asian groups in the United States

Purpose

To characterize contemporary mortality for detailed cardiovascular disease (CVD) subtypes in individual Asian populations in the US.

Methods

With vital statistics for non-Hispanic Asian decedents aged ≥ 18 years (overall and individual ethnic groups), age-standardized mortality rates (ASMR) were calculated for ischemic heart disease, cerebrovascular disease, heart failure, arrhythmia, hypertensive heart disease, valvular heart disease, and pulmonary heart disease, with rate ratios for subtype ASMR in individual Asian groups relative to the Asian group overall.

Results

During 2018–2022, 123,566 CVD deaths occurred in Asian adults overall (15 % Asian Indian; 24 % Chinese; 20 % Filipino; 12 % Japanese; 8 % Korean; 10 % Vietnamese). Filipino adults had higher ASMR than Asian adults overall for all CVD subtypes. Asian Indian adults had higher ASMR than Asian adults overall for all CVD subtypes except valvular heart disease and cerebrovascular disease. Japanese adults had higher ASMR than Asian adults overall for heart failure and valvular heart disease. Vietnamese adults had a higher cerebrovascular disease ASMR than Asian adults overall. Chinese adults and Korean adults had ASMRs that were similar to or lower than Asian adults overall for all CVD subtypes.

Conclusions

CVD ASMRs for Asian adults in aggregate obscures important variability across individual Asian groups.

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来源期刊

Annals of Epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.40

自引率

1.80%

发文量

207

审稿时长

59 days

期刊介绍： The journal emphasizes the application of epidemiologic methods to issues that affect the distribution and determinants of human illness in diverse contexts. Its primary focus is on chronic and acute conditions of diverse etiologies and of major importance to clinical medicine, public health, and health care delivery.