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Diabetes-Related Cardiovascular and All-Cause Mortality in Asian American Subgroups

BACKGROUND: Asian Americans experience heterogeneity in cardiovascular risk factors and cardiovascular disease, with a particularly high burden of diabetes in several Asian subgroups. OBJECTIVES: The objectives of this study were to quantify diabetes-related mortality in Asian American subgroups and...

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Autores principales: Shah, Nilay S., Khan, Sadiya S., Carnethon, Mercedes R., Bacong, Adrian M., Palaniappan, Latha P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10261884/
https://www.ncbi.nlm.nih.gov/pubmed/37323867
http://dx.doi.org/10.1016/j.jacasi.2022.12.010
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author Shah, Nilay S.
Khan, Sadiya S.
Carnethon, Mercedes R.
Bacong, Adrian M.
Palaniappan, Latha P.
author_facet Shah, Nilay S.
Khan, Sadiya S.
Carnethon, Mercedes R.
Bacong, Adrian M.
Palaniappan, Latha P.
author_sort Shah, Nilay S.
collection PubMed
description BACKGROUND: Asian Americans experience heterogeneity in cardiovascular risk factors and cardiovascular disease, with a particularly high burden of diabetes in several Asian subgroups. OBJECTIVES: The objectives of this study were to quantify diabetes-related mortality in Asian American subgroups and compare this with Hispanic, non-Hispanic Black, and non-Hispanic White individuals. METHODS: Using national-level vital statistics data and concurrent population estimates, age-standardized mortality rates and proportional mortality from diabetes-related mortality were calculated for non-Hispanic Asian (and subgroups: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese), Hispanic, non-Hispanic Black, and non-Hispanic White populations in the United States, 2018-2021. RESULTS: Diabetes-related deaths numbered 45,249 in non-Hispanic Asian, 159,279 in Hispanic, 209,281 in non-Hispanic Black, and 904,067 in non-Hispanic White individuals. Among Asian Americans, age-standardized mortality rates of diabetes-related mortality with cardiovascular disease as underlying cause ranged from 10.8 (95% CI: 9.9-11.6) per 100,000 in Japanese females to 19.9 (95% CI: 18.9-20.9) per 100,000 in Filipina females, and from 15.3 (95% CI: 13.9-16.8) per 100,000 in Korean males to 37.8 (95% CI: 36.1-39.5) per 100,000 in Filipino males. The proportion of all deaths related to diabetes was higher in all Asian subgroups (9.7%-16.4% for females; 11.8%-19.2% for males) compared with non-Hispanic Whites (8.5% for females; 10.7% for males). The highest proportion of diabetes-related deaths occurred in Filipino adults. CONCLUSIONS: There was an approximately 2-fold variation in diabetes-related mortality among Asian American subgroups, with Filipino adults experiencing the greatest burden. All Asian subgroups experienced higher proportional mortality for diabetes-related mortality compared with non-Hispanic White individuals.
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spelling pubmed-102618842023-06-15 Diabetes-Related Cardiovascular and All-Cause Mortality in Asian American Subgroups Shah, Nilay S. Khan, Sadiya S. Carnethon, Mercedes R. Bacong, Adrian M. Palaniappan, Latha P. JACC Asia Original Research BACKGROUND: Asian Americans experience heterogeneity in cardiovascular risk factors and cardiovascular disease, with a particularly high burden of diabetes in several Asian subgroups. OBJECTIVES: The objectives of this study were to quantify diabetes-related mortality in Asian American subgroups and compare this with Hispanic, non-Hispanic Black, and non-Hispanic White individuals. METHODS: Using national-level vital statistics data and concurrent population estimates, age-standardized mortality rates and proportional mortality from diabetes-related mortality were calculated for non-Hispanic Asian (and subgroups: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese), Hispanic, non-Hispanic Black, and non-Hispanic White populations in the United States, 2018-2021. RESULTS: Diabetes-related deaths numbered 45,249 in non-Hispanic Asian, 159,279 in Hispanic, 209,281 in non-Hispanic Black, and 904,067 in non-Hispanic White individuals. Among Asian Americans, age-standardized mortality rates of diabetes-related mortality with cardiovascular disease as underlying cause ranged from 10.8 (95% CI: 9.9-11.6) per 100,000 in Japanese females to 19.9 (95% CI: 18.9-20.9) per 100,000 in Filipina females, and from 15.3 (95% CI: 13.9-16.8) per 100,000 in Korean males to 37.8 (95% CI: 36.1-39.5) per 100,000 in Filipino males. The proportion of all deaths related to diabetes was higher in all Asian subgroups (9.7%-16.4% for females; 11.8%-19.2% for males) compared with non-Hispanic Whites (8.5% for females; 10.7% for males). The highest proportion of diabetes-related deaths occurred in Filipino adults. CONCLUSIONS: There was an approximately 2-fold variation in diabetes-related mortality among Asian American subgroups, with Filipino adults experiencing the greatest burden. All Asian subgroups experienced higher proportional mortality for diabetes-related mortality compared with non-Hispanic White individuals. Elsevier 2023-03-28 /pmc/articles/PMC10261884/ /pubmed/37323867 http://dx.doi.org/10.1016/j.jacasi.2022.12.010 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
Shah, Nilay S.
Khan, Sadiya S.
Carnethon, Mercedes R.
Bacong, Adrian M.
Palaniappan, Latha P.
Diabetes-Related Cardiovascular and All-Cause Mortality in Asian American Subgroups
title Diabetes-Related Cardiovascular and All-Cause Mortality in Asian American Subgroups
title_full Diabetes-Related Cardiovascular and All-Cause Mortality in Asian American Subgroups
title_fullStr Diabetes-Related Cardiovascular and All-Cause Mortality in Asian American Subgroups
title_full_unstemmed Diabetes-Related Cardiovascular and All-Cause Mortality in Asian American Subgroups
title_short Diabetes-Related Cardiovascular and All-Cause Mortality in Asian American Subgroups
title_sort diabetes-related cardiovascular and all-cause mortality in asian american subgroups
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10261884/
https://www.ncbi.nlm.nih.gov/pubmed/37323867
http://dx.doi.org/10.1016/j.jacasi.2022.12.010
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