scholarly journals PREVALENCE AND RISK FACTORS FOR ADRD AMONG ARAB AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S543-S543
Author(s):  
Florence Dallo

Abstract In the United States (U.S.), Alzheimer’s Disease and Related Dementias (ADRD) afflict over 4.7 million individuals ages 65 or older. Arab Americans are a subgroup of whites in which ADRD is not well understood. This study estimates prevalence and risk factors for ADRD among Arab Americans ages 45 or older. Data for 2000-2017 from the National Health Interview Survey (NHIS) using the region of birth question was used (N=222,219). The age- and sex-adjusted prevalence of ADRD was 10.3% for foreign-born Arab Americans compared to approximately 7.5% for US-born non-Hispanic whites (NHW), blacks and Asians. The prevalence of ADRD was 8.6% for Hispanics (all p-values <.0001). When controlling for age and sex, Arab Americans were 1.4 times (OR=1.02,1.93) more likely to have ADRD compared to US-born NHW. Future studies should capture other generations of Arab Americans to better understand the trend of ADRD among this understudied, often invisible population.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S463-S463
Author(s):  
Florence Dallo ◽  
Tiffany Kindratt

Abstract In the United States (U.S.), Alzheimer’s Disease and Related Dementias (ADRD) afflict over 4.7 million individuals ages 65 or older. Most studies compare the prevalence of ADRD between minorities and whites. Arab Americans are a subgroup of whites, and ADRD is not understood among Arab Americans. The overall goal of this study is to estimate the prevalence of and risk factors for ADRD among Arab Americans ages 45 or older compared to non-Hispanic whites, non-Hispanic blacks, Hispanics and Asian Americans. Data for 2000-2017 from the National Health Interview Survey (NHIS) using the region of birth question was be used (N=222,219). Percents, chi-square and logistic regression will be estimated. Age- and sex-adjusted prevalence of ADRD was 10.3% for foreign-born Arab Americans compared to approximately 7.5% for US-born non-Hispanic whites (NHW), blacks and Asians. The prevalence of ADRD was 8.6% for Hispanics (all p-values <.0001). When controlling for age and sex, Arab Americans were 1.4 times (OR=1.02,1.93) more likely to have ADRD compared to US-born NHW. This is the first study to focus on ADRD among Arab Americans and the findings suggest ADRD is a burden in this population. Future studies should capture other generations of Arab Americans to better understand the trend of ADRD among this understudied, often invisible population.


2020 ◽  
Vol 42 (7-8) ◽  
pp. 199-207 ◽  
Author(s):  
Marc A. Garcia ◽  
Adriana M. Reyes ◽  
Catherine García ◽  
Chi-Tsun Chiu ◽  
Grecia Macias

This study examined racial/ethnic, nativity, and country of origin differences in life expectancy with and without functional limitations among older adults in the United States. We used data from the National Health Interview Survey (1999–2015) to estimate Sullivan-based life tables of life expectancies with functional limitations and without functional limitations by sex for U.S.-born Mexicans, foreign-born Mexicans, U.S.-born Puerto Ricans, island-born Puerto Ricans, foreign-born Cubans, and U.S.-born Whites. We find that Latinos exhibit heterogeneous life expectancies with functional limitations. Among females, U.S.-born Mexicans, foreign-born Mexicans, and foreign-born Cubans spend significantly fewer years without functional limitations, whereas island-born Puerto Ricans spend more years with functional limitations. For men, U.S.-born Puerto Ricans were the only Latino subgroup disadvantaged in the number of years lived with functional limitations. Conversely, foreign-born Cubans spend significantly fewer years without functional limitations. To address disparities in functional limitations, we must consider variation in health among Latino subgroups.


1996 ◽  
Vol 17 (10) ◽  
pp. 342-343

The use of over-the-counter (OTC) medications among children in the United States is extensive. More than 800 OTC medications are available for treatment of the common cold, with almost 2 billion dollars spent annually on cough and cold medications alone. In 1994, Kogan et al determined that more than 50% of 3-year-old children in the United States had been given OTC medications in the 30 days prior to the study survey. Cough and cold preparations and acetaminophen were reported to be the medications used most frequently (66.7%). The use of cough and cold medications has not decreased when compared with findings from a 1981 National Health Interview Survey, despite increasing evidence that these medications are not effective and, in some circumstances, even may be harmful to children.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Fadar Otite ◽  
Smit Patel ◽  
Richa Sharma ◽  
Pushti Khandwala ◽  
Devashish Desai ◽  
...  

Background: The primary aim of this study is to describe current trends in racial-, age- and sex-specific incidence, clinical characteristics and burden of cerebral venous thrombosis (CVT) in the United States (US). Methods: Validated International Classification of Disease codes were used to identify all adult new cases of CVT (n=5,567) in the State Inpatients Database of New York and Florida (2006-2016) and all cases of CVT in the entire US from the National Inpatient Sample 2005-2016 (weighted n=57,315). Incident CVT counts were combined with annual US Census data to compute age and sex-specific incidence of CVT. Joinpoint regression was used to evaluate trends in incidence over time. Results: From 2005-2016, 0.47%-0.80% of all strokes in the US were CVTs but this proportion increased by 70.4% over time. Of all CVTs over this period, 66.7% were in females but this proportion declined over time (p<0.001). Pregnancy/puerperium (27.4%) and cancer (11.8%) were the most common risk factors in women, while cancer (19.5%) and central nervous trauma (11.3) were the most common in men. Whereas the prevalence of pregnancy/puerperium declined significantly over time in women, that of cancer, inflammatory conditions and trauma increased over time in both sexes. Annual age and sex-standardized incidence of CVT in cases/million population ranged from 13.9-20.2, but incidence varied significantly by sex (women: 20.3-26.9; men 6.8-16.8) and by age/sex (women 18-44yo: 24.0-32.6%; men: 18-44yo: 5.3-12.8). Age and sex-standardized incidence also differed by race (Blacks:18.6-27.2; whites: 14.3-18.5; Asians: 5.1-13.8). On joinpoint regression, incidence increased across 2006-2016 but most of this increase was driven by increase in all age groups of men (combined annualized percentage change (APC) 9.2%, p-value <0.001), women 45-64 yo (APC 7.8%, p-value <0.001) and women ≥65 yo (APC 7.4%, p-value <0.001). Incidence in women 18-44 yo remained unchanged over time . Conclusion: The epidemiological characteristics of CVT patients in the US is changing. Incidence increased significantly over the last decade. Further studies are needed to determine whether this increase represents a true increase from changing risk factors or artefactual increase from improved detection.


Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Jing Fang ◽  
Keming Yuan ◽  
Carma Ayala ◽  
Renee Gindi ◽  
Brian Ward

Introduction: The proportion of US adults who are foreign-born has almost tripled since 1970. While foreign-born adults have lower cardiovascular disease mortality and risk factors (e.g., hypertension) than US-born adults, less is known about the morbidity of stroke in this population. Objective: To compare the prevalence of stroke among US adults by birthplace. Methods: We used data on 223,842 non-institutionalized adults from the 2006-2013 National Health Interview Survey. Birthplace was categorized as US- and foreign-born, and foreign-born was then grouped into 7 regions. Data on years of living in the US was included. Self-reported stroke was defined as ever being told by doctor or other health professional that s/he had a stroke. Select descriptive (age, sex, race/ethnicity, education, health insurance, language of interview, use of interpreter) and health characteristics (hypertension, diabetes, body mass index, alcohol use, smoking status) were used in analysis. Age-standardized prevalence of stroke was compared between US- and foreign-born and then by birthplace regions among foreign-born. Adjusted odd ratios (AORs) were used to assess stroke risk between US- and foreign-born after adjusting for demographic and health characteristics. Results: Sixteen percent of US adults were classified as foreign-born. Age-standardized prevalence of stroke was higher among US- than foreign-born adults overall (2.7% vs 2.0%, p<0.0001) and by race/ethnicity: non-Hispanic blacks (4.1% (US) vs 2.2% (foreign-born), p<0.0001), Hispanics (2.8% vs 2.2%, p=0.03) and non-Hispanic whites (2.5% vs 1.7%, p<0.0001). Compared to US-born men, AORs of stroke for foreign-born men by region of birth, ranged from 0.24 (95% confidence interval 0.08-0.69) for Africa to 1.05 (0.74-1.51) for Europe. Among foreign-born women, AORs ranged from 0.07 (0.01-0.43) for the Middle East to 1.13 (0.54-2.34) for Africa, after adjustment for selected characteristics. Among foreign-born adults, there was no association between age-standardized stroke prevalence and the number of years living in the US. Conclusion: Overall, foreign-born US adults had a lower prevalence of stroke than US-born adults. However, considerable heterogeneity of stroke risk was noted by region of birth.


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