PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: There is considerable heterogeneity in smoking prevalence and the risk of CVD among API subgroups.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: There is considerable heterogeneity in smoking prevalence and the risk of CVD among API subgroups.
摘要：
■心血管疾病（CVD）是美国的主要死亡原因，心血管疾病的发病率因种族和民族而异。吸烟与CVD风险增加有关。该研究的目的是：1）检查亚洲和太平洋岛民（API）和多种族API亚组随时间的吸烟率；2）确定这些亚组之间与吸烟相关的CVD风险是否不同。
■我们确定了属于7个单一种族/种族组的患者，4个多种族/族裔群体，以及夏威夷和加利福尼亚两个大型卫生系统的非西班牙裔白人（NHW）比较组。我们按群体和性别估计了2011年至2018年的年度吸烟率。我们通过吸烟状况和种族/民族检查了CVD事件的发生率，并按年龄计算CVD事件的危险比，性别,种族/民族,人口普查区家庭收入中位数，人口普查区大学学位，并使用Cox回归进行研究。
■在研究的12个小组中，亚裔印第安人和华裔美国人的吸烟率最低，亚太岛民多种族群体的吸烟率最高。从2011年到2018年，所有人群的吸烟率都有所下降。多种族/种族组的CVD风险高于NHW组。在预测CVD的模型中，种族/民族和吸烟之间没有显著的相互作用，但在调整吸烟状况后,种族/民族与CVD发病率之间的关联减弱.
■在API亚组中，吸烟率和CVD风险存在相当大的异质性。
■我们确定了属于7个单一种族/种族组的患者，4个多种族/族裔群体，以及夏威夷和加利福尼亚两个大型卫生系统的非西班牙裔白人（NHW）比较组。我们按群体和性别估计了2011年至2018年的年度吸烟率。我们通过吸烟状况和种族/民族检查了CVD事件的发生率，并按年龄计算CVD事件的危险比，性别,种族/民族,人口普查区家庭收入中位数，人口普查区大学学位，并使用Cox回归进行研究。
■在研究的12个小组中，亚裔印第安人和华裔美国人的吸烟率最低，亚太岛民多种族群体的吸烟率最高。从2011年到2018年，所有人群的吸烟率都有所下降。多种族/种族组的CVD风险高于NHW组。在预测CVD的模型中，种族/民族和吸烟之间没有显著的相互作用，但在调整吸烟状况后,种族/民族与CVD发病率之间的关联减弱.
■在API亚组中，吸烟率和CVD风险存在相当大的异质性。
