Use of Preventive Cardiovascular Health Care Among Asian American Individuals: A National Health Interview Survey Study

Sina Kianoush, Mahmoud Al-Rifai, Ankur Kalra, Anupama BK, Anurag Mehta, Murrium I. Sadaf, Arunima Misra, Umair Khalid, Carl J. Lavie, Waleed T. Kayani, Salim S. Virani

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

The risk of atherosclerotic cardiovascular disease (ASCVD) varies across Asian Americans. Heterogeneity in preventive health care use may have a role in health disparity across Asian American populations. We included 318,069 White, Chinese, Asian Indian, Filipino, and ‘other Asian’ (Japanese, Korean, and Vietnamese) participants with and without a self-reported history of ASCVD or ASCVD risk factors (including hypertension, hypercholesterolemia, and diabetes) from 2006 to 2018 National Health Interview Survey (NHIS). We used multivariable logistic regression models adjusted for age, sex, US birth, education, insurance coverage, and a comorbidity score to assess the association between Asian American race/ethnicity and annual health care use. Adjusted odds ratios (aOR) with 95% confidence intervals were reported. Of the total, 187,093 participants did not report ASCVD or ASCVD risk factors (mean age, 40.2±0.1 years; 52% women), and 130,976 participants reported ASCVD or ASCVD risk factors (mean age, 58.3±0.9 years; 49.5% women). Compared with White individuals, among the group without ASCVD or ASCVD risk factors (N=187,093), ‘other Asian’ adults were less likely to visit a general practitioner (aOR=0.80, 0.72-0.89), or check blood pressure (aOR=0.77, 0.66-0.89), blood cholesterol (aOR=0.80, 0.70-0.92), and fasting blood sugar (aOR=0.73, 0.63-0.84). Among participants with ASCVD or ASCVD risk factors (N=130,976), Asian Indian adults were more likely to visit a general practitioner (aOR=1.29, 1.01-1.66), or check blood pressure (aOR=1.27, 0.83-1.96), blood cholesterol (aOR=1.46, 1.00-2.15), and fasting blood sugar (aOR=1.49, 1.11-1.99). Annual preventive health care use is heterogeneous across the Asian American populations.

Original languageEnglish (US)
Article number101241
JournalCurrent Problems in Cardiology
Volume48
Issue number8
DOIs
StatePublished - Aug 2023

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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