Leading Causes of Death among Asian American Subgroups (2003–2011)

Our current understanding of Asian American mortality patterns has been distorted by the historical aggregation of diverse Asian subgroups on death certificates, masking important differences in the leading causes of death across subgroups. In this analysis, we aim to fill an important knowledge gap...

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Veröffentlicht in:PloS one Jg. 10; H. 4; S. e0124341
Hauptverfasser: Hastings, Katherine G., Jose, Powell O., Kapphahn, Kristopher I., Frank, Ariel T. H., Goldstein, Benjamin A., Thompson, Caroline A., Eggleston, Karen, Cullen, Mark R., Palaniappan, Latha P.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Public Library of Science 27.04.2015
Public Library of Science (PLoS)
Schlagworte:
Analysis
Asian - ethnology
Cancer
Cardiovascular diseases
Cause of Death - trends
Cerebrovascular Disorders - mortality
Coronary artery disease
Death
Diabetes mellitus
Diabetes Mellitus - mortality
Female
Heart diseases
Heart Diseases - mortality
Heterogeneity
Humans
Male
Males
Masking
Men
Mental health
Minority & ethnic groups
Mortality
Mortality patterns
Neoplasms - mortality
Sex Factors
Subgroups
Suicide
Suicide - statistics & numerical data
Trends
ISSN:1932-6203, 1932-6203
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Zusammenfassung:Our current understanding of Asian American mortality patterns has been distorted by the historical aggregation of diverse Asian subgroups on death certificates, masking important differences in the leading causes of death across subgroups. In this analysis, we aim to fill an important knowledge gap in Asian American health by reporting leading causes of mortality by disaggregated Asian American subgroups. We examined national mortality records for the six largest Asian subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese) and non-Hispanic Whites (NHWs) from 2003-2011, and ranked the leading causes of death. We calculated all-cause and cause-specific age-adjusted rates, temporal trends with annual percent changes, and rate ratios by race/ethnicity and sex. Rankings revealed that as an aggregated group, cancer was the leading cause of death for Asian Americans. When disaggregated, there was notable heterogeneity. Among women, cancer was the leading cause of death for every group except Asian Indians. In men, cancer was the leading cause of death among Chinese, Korean, and Vietnamese men, while heart disease was the leading cause of death among Asian Indians, Filipino and Japanese men. The proportion of death due to heart disease for Asian Indian males was nearly double that of cancer (31% vs. 18%). Temporal trends showed increased mortality of cancer and diabetes in Asian Indians and Vietnamese; increased stroke mortality in Asian Indians; increased suicide mortality in Koreans; and increased mortality from Alzheimer's disease for all racial/ethnic groups from 2003-2011. All-cause rate ratios revealed that overall mortality is lower in Asian Americans compared to NHWs. Our findings show heterogeneity in the leading causes of death among Asian American subgroups. Additional research should focus on culturally competent and cost-effective approaches to prevent and treat specific diseases among these growing diverse populations.
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SourceType-Scholarly Journals-1
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Competing Interests: The authors have declared that no competing interests exist.
Conceived and designed the experiments: KGH POJ KIK ATHF. Analyzed the data: KIK BAG. Contributed reagents/materials/analysis tools: KIK BAG CAT. Wrote the paper: KGH POJ KIK ATHF BAG CAT KE MRC LPP. Designed the figures: KGH, KIK. Designed and populated tables: KGH. Designed and performed sensitivity analyses: KIK CAT. Provided critical edits after first draft and subsequent drafts: KE MRC LPP.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0124341