Trends in cigarette smoking and the risk of incident cardiovascular disease among Asian American, Pacific Islander, and multiracial populations

被引:0
|
作者
Li, Jiang [1 ]
Daida, Yihe G. [3 ]
Bacong, Adrian Matias [3 ]
Rosales, Ana Gabriela [4 ]
Frankland, Timothy B. [2 ]
Varga, Alexandra [4 ]
Chung, Sukyung [1 ]
Fortmann, Stephen P. [4 ]
Waitzfelder, Beth [2 ]
Palaniappan, Latha [3 ]
机构
[1] Palo Alto Med Fdn Res Inst, Sutter Hlth, Ctr Hlth Syst Res, Palo Alto, CA USA
[2] Kaiser Permanente, Ctr Integrated Hlth Care Res, Honolulu, HI USA
[3] Stanford Univ, Sch Med, Stanford, CA USA
[4] Kaiser Permanente Ctr Hlth Res, Portland, OR USA
来源
AMERICAN JOURNAL OF PREVENTIVE CARDIOLOGY | 2024年 / 19卷
基金
美国国家卫生研究院;
关键词
Cardiovascular disease; Race/ethnic groups; Multi -race groups; Health disparities; Prevalence; Incidence rates; Survival analysis; MEDICAL-RECORDS; POOLED ANALYSIS; MORTALITY; CESSATION; HEALTH; COHORT; INTERVENTION; STRATEGIES; REDUCTION;
D O I
10.1016/j.ajpc.2024.100688
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Cardiovascular disease (CVD) is the leading cause of death in the United States, and rates of CVD incidence vary widely by race and ethnicity. Cigarette smoking is associated with increased risk of CVD. The purpose of the study was: 1) to examine smoking prevalence over time across Asian and Pacific Islander (API) and multi-race API subgroups; 2) to determine whether the CVD risk associated with smoking differed among these subgroups. Methods: We identified patients belonging to 7 single race/ethnicity groups, 4 multi-race/ethnicity groups, and a non-Hispanic White (NHW) comparison group at two large health systems in Hawaii and California. We estimated annual smoking prevalence from 2011 through 2018 by group and gender. We examined incidence of CVD events by smoking status and race/ethnicity, and computed hazard ratios for CVD events by age, gender, race/ ethnicity, census block median household income, census block college degree, and study site using Cox regression. Results: Of the 12 groups studied, the Asian Indian and Chinese American groups had the lowest smoking prevalence, and the Asian + Pacific Islander multiracial group had the highest smoking prevalence. The prevalence of smoking decreased from 2011 to 2018 for all groups. Multi-race/ethnicity groups had higher risk of CVD than the NHW group. There was no significant interaction between race/ethnicity and smoking in models predicting CVD, but the association between race/ethnicity and CVD incidence was attenuated after adjusting for smoking status. Conclusions: There is considerable heterogeneity in smoking prevalence and the risk of CVD among API subgroups.
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页数:9
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