Temporal Trends in Cardiovascular Disease Prevalence Among Asian American Subgroups

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Abstract
Background: Asian and multiracial individuals represent the 2 fastest growing racial and ethnic groups in the United States, yet most prior studies report Asian American and Native Hawaiian or Other Pacific Islander as a single racial group, with limited data on cardiovascular disease (CVD) prevalence among subgroups. We sought to evaluate temporal trends in CVD burden among disaggregated Asian subgroups. Methods and Results: Patients with CVD based on International Classification of Diseases, Ninth Revision and Tenth Revision ( ICD‐9 and ICD‐10 ) coding who received care from a mixed‐payer health care organization in California between 2008 and 2018 were classified into self‐identified racial and ethnic subgroups (non‐Hispanic White [NHW], Asian Indian, Chinese, Filipino, Japanese, Korean, Native Hawaiian or Other Pacific Islander, and multiracial groups). Adjusted trends in CVD prevalence over time by subgroup were compared using logistic regression. Among 3 494 071 patient‐years, prevalence of CVD increased faster among all subgroups except Japanese and Native Hawaiian or Other Pacific Islander patients ( P P P P P <0.05 for each, reference: NHW). Conclusions: The increasing prevalence of CVD among disaggregated Asian, Native Hawaiian or Other Pacific Islander, and multiracial subgroups over time highlights the importance of tailored approaches to addressing CVD in these diverse subpopulations.

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