Diabetes and cardiovascular disease among asian indians in the united states
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CONTEXT: Studies, mostly from outside the United States, have found high prevalence of diabetes, coronary heart disease (CHD), and hypertension among Asian Indians, despite low rates of associated risk factors.
OBJECTIVE: To analyze the prevalence of obesity, diabetes, CHD, hypertension, and other associated risk factors among Asian Indians in the United States compared to non-Hispanic whites.
DESIGN, SETTING, AND SUBJECTS: Cross-sectional study using data from the National Health Interview Survey (NHIS) for 1997, 1998, 1999, and 2000. We analyzed 87,846 non-Hispanic whites and 555 Asian Indians.
MAIN OUTCOME MEASURES: Whether a subject reported having diabetes, CHD, or hypertension.
RESULTS: Asian Indians had lower average body mass indices (BMIs) than non-Hispanic whites and lower rates of tobacco use, but were less physically active. In multivariate analysis controlling for age and BMI, Asian Indians had significantly higher odds of borderline or overt diabetes (adjusted OR [AOR], 2.70; 95% confidence interval [CI], 1.72 to 4.23). Multivariate analysis also showed that Asian Indians had nonsignificantly lower odds ratios for CHD (AOR, 0.58; 95% CI, 0.25 to 1.35) and significantly lower odds of reporting hypertension (AOR, 0.58; 95% CI, 0.42 to 0.82) compared to non-Hispanic whites.
CONCLUSION: Asian Indians in the United States have higher odds of being diabetic despite lower rates of obesity. Unlike studies on Asian Indians in India and the United Kingdom, we found no evidence of an elevated risk of CHD or hypertension. We need more reliable national data on Asian Indians to understand their particular health behaviors and cardiovascular risks. Research and preventive efforts should focus on reducing diabetes among Asian Indians.
Key wordsAsian Indian diabetes coronary heart disease hypertension obesity
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- 12.The South Asian Public Health Association. A Brown Paper: The Health of South Asians in the United States, Executive Summary. Berkeley, CA: South Asian Public Health Association; 2002.Google Scholar
- 13.Grieco EM, Cassidy RC. Census 2000 Brief: Overview of Race and Hispanic Origin. Washington, DC: U.S. Census Bureau; 2001.Google Scholar
- 16.SUDAAN User’s Manual, Release 8.0. Research Triangle Park, NC: Research Triangle Institute; 2001.Google Scholar
- 17.National Institute of Dabetes and Digestive and Kidney Diseases. National Diabetes Statistics Fact Sheet: General Information and National Estimates on Diabetes in the United States, 2000. Bethesda, MD: U.S. Dept. of Health and Human Services, NIH; 2000.Google Scholar
- 18.American Heart Association. Biostatistical Fact Sheet—Populations: Whites and Cardiovascular Disease, 1999. Available at: http://www.americanheart.org. Accessed October, 2002.Google Scholar
- 19.The Asian Population: 2000; Census 2000 Brief. U.S. Census Bureau, February 2002. Available at: http://www.census.gov/prod/2002pubs/c2kbr01-16.pdf. Accessed March 2003.Google Scholar
- 21.Prevalence of cigarette use among 14 racial/ethnic populations—United States, 1999–2001. MMWR Morb Mortal Wkly Rep. 2004;53:49–52.Google Scholar
- 33.Barnes J, Bennett C. U.S. Census Bureau. The Asian Population: 2000: United States Census 2000. Washington, DC; February 2002.Google Scholar
- 36.Centers for Disease Control and Prevention (CDC). Chronic Disease in Minority Populations. Atlanta, GA: U.S. Dept. of Health and Human Services (CDC); 1994.Google Scholar