Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States
Asian Americans are the fastest-growing minority group in the United States, yet little is known about their multimorbidity. This study examined the association of Asian Indians, Chinese and non-Hispanic whites (NHWs) to multimorbidity, defined as the concurrent presence of two or more chronic condi...
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doaj-ebfc164389cb4df6988e73a5293c10652020-11-25T02:25:24ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-05-01173336333610.3390/ijerph17093336Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United StatesYifan Zhang0Ranjita Misra1Usha Sambamoorthi2Department of Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Morgantown, WV 26506, USADepartment of Social & Behavioral Sciences, West Virginia University School of Public Health, Morgantown, WV 26506, USADepartment of Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Morgantown, WV 26506, USAAsian Americans are the fastest-growing minority group in the United States, yet little is known about their multimorbidity. This study examined the association of Asian Indians, Chinese and non-Hispanic whites (NHWs) to multimorbidity, defined as the concurrent presence of two or more chronic conditions in the same individual. We used a cross-sectional design with data from the National Health Interview Survey (2012–2017) of Asian Indians, Chinese, and NHWs (<i>N</i> = 132,666). Logistic regressions were used to examine the adjusted association of race/ethnicity to multimorbidity. There were 1.9% Asian Indians, 1.8% Chinese, and 96.3% NHWs. In unadjusted analyses (<i>p</i> < 0.001), 17.1% Asian Indians, 17.9% Chinese, and 39.0% NHWs had multimorbidity. Among the dyads, high cholesterol and hypertension were the most common combination of chronic conditions among Asian Indians (32.4%), Chinese (41.0%), and NHWs (20.6%). Asian Indians (AOR = 0.73, 95% CI = (0.61, 0.89)) and Chinese (AOR = 0.63, 95% CI = (0.53, 0.75)) were less likely to have multimorbidity compared to NHWs, after controlling for age, sex, and other risk factors. However, Asian Indians and Chinese were more likely to have high cholesterol and hypertension, risk factors for diabetes and heart disease.https://www.mdpi.com/1660-4601/17/9/3336multimorbiditymultiple chronic conditionspopulation-basedNational Health Interview Surveyracial disparityAsian Indians |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yifan Zhang Ranjita Misra Usha Sambamoorthi |
spellingShingle |
Yifan Zhang Ranjita Misra Usha Sambamoorthi Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States International Journal of Environmental Research and Public Health multimorbidity multiple chronic conditions population-based National Health Interview Survey racial disparity Asian Indians |
author_facet |
Yifan Zhang Ranjita Misra Usha Sambamoorthi |
author_sort |
Yifan Zhang |
title |
Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States |
title_short |
Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States |
title_full |
Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States |
title_fullStr |
Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States |
title_full_unstemmed |
Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States |
title_sort |
prevalence of multimorbidity among asian indian, chinese, and non-hispanic white adults in the united states |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-05-01 |
description |
Asian Americans are the fastest-growing minority group in the United States, yet little is known about their multimorbidity. This study examined the association of Asian Indians, Chinese and non-Hispanic whites (NHWs) to multimorbidity, defined as the concurrent presence of two or more chronic conditions in the same individual. We used a cross-sectional design with data from the National Health Interview Survey (2012–2017) of Asian Indians, Chinese, and NHWs (<i>N</i> = 132,666). Logistic regressions were used to examine the adjusted association of race/ethnicity to multimorbidity. There were 1.9% Asian Indians, 1.8% Chinese, and 96.3% NHWs. In unadjusted analyses (<i>p</i> < 0.001), 17.1% Asian Indians, 17.9% Chinese, and 39.0% NHWs had multimorbidity. Among the dyads, high cholesterol and hypertension were the most common combination of chronic conditions among Asian Indians (32.4%), Chinese (41.0%), and NHWs (20.6%). Asian Indians (AOR = 0.73, 95% CI = (0.61, 0.89)) and Chinese (AOR = 0.63, 95% CI = (0.53, 0.75)) were less likely to have multimorbidity compared to NHWs, after controlling for age, sex, and other risk factors. However, Asian Indians and Chinese were more likely to have high cholesterol and hypertension, risk factors for diabetes and heart disease. |
topic |
multimorbidity multiple chronic conditions population-based National Health Interview Survey racial disparity Asian Indians |
url |
https://www.mdpi.com/1660-4601/17/9/3336 |
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