Abstract P170: Ideal Levels of Cardiovascular Health Metrics across Racial and Ethnic Groups in California

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Mohammed Umer A Waris ◽  
Nathan D Wong
Keyword(s):  
Physical Activity ◽  
Ethnic Groups ◽  
American Indians ◽  
Mexican Americans ◽  
Cardiovascular Health ◽  
California Health Interview Survey ◽  
Alaskan Natives ◽  
Wide Variability ◽  
Racial Ethnic ◽  
Diet Score

Introduction: The American Heart Association (AHA) set a goal to improve the cardiovascular health of the nation by 20% by 2020 and identified cardiovascular disease (CVD) health metrics. We estimated the prevalence of adults at ideal levels for six key CVD health metrics among the racial and ethnic groups in California. Methods: Using data from the California Health Interview Survey (CHIS) 2009 study of adults aged 18 and over, and closely following AHA definitions, we identified prevalence of “poor”, “intermediate”, and “ideal” levels of 6 key CVD health metrics: 1) smoking status, 2) physical activity, 3) BMI, 4) diet score, 5) fasting plasma glucose, and 6) blood pressure among Chinese, Filipino, South Asians, Japanese, Koreans, Vietnamese, Caucasians, Mexican Americans, Other Hispanics, African Americans, and Native Americans/ Alaskan Natives living in California (n=46,693, projected = 26.6 mil). The seventh key AHA metric, cholesterol, was not available in our sample. Results: Among all racial/ ethnic groups, physical activity, BMI, and diet score were the metrics at poorest levels. Wide variability in ideal levels for the six key CVD health metrics is seen across all racial/ ethnic groups (table). The CVD health metrics were most consistently poor among American Indians/ Alaskan Natives but were also at low levels for specific Asian, Hispanic, and African American groups. Less than 1% of all California adults had ideal measures for all six CVD Health metrics. Conclusions: Our study shows wide variability between Asian and other racial/ ethnic groups in key CVD health metrics in California. Larger scale national surveys representing all key US racial and ethnic groups are needed to validate these findings and to document the gaps needed to be addressed for improving CVD health. These findings provide opportunities for targeted health outreach to those racial/ ethnic groups most at risk and addressing metrics at poorest attainment. Table. Proportion (%) at Ideal Levels of CVD Health Metrics, by Race and Ethnicity

Abstract 044: Trends in Race/Ethnic Disparities in Ideal Cardiovascular Health: NHANES 1999-2006

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Norrina B Allen ◽  
Hongyan Ning ◽  
Donald Lloyd-Jones
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Ethnic Groups ◽  
Cardiovascular Health ◽  
Ethnic Disparities ◽  
Percentage Change ◽  
Theil Index ◽  
Health Factors ◽  
Race Ethnicity ◽  
Racial Ethnic

Background: Significant racial/ethnic disparities exist in the cardiovascular health of the nation. Prior studies have identified differences between groups, but have not summarized trends in these disparities across multiple race/ethnic subgroups, which could allow us to assess the extent to which we are achieving disparity-related goals. Methods: We used NHANES Surveys from cycles 1999–2000, 2001–2002, 2003–2004, and 2005–2006 to examine the age-adjusted prevalence of ideal levels of CV health factors by race/ethnicity. Ideal levels of BMI, cholesterol, glucose, blood pressure, diet, physical activity and smoking were defined according to the AHA 2020 strategic goals. Racial/ethnic groups were categorized as Hispanic, Non-Hispanic White, Non-Hispanic Black and other. Both absolute (Between Group Variance- BGV) and relative measures (Theil Index -T) of disparities were calculated, calculations were weighted by population share. The percentage change in disparities relative to 1999–2000 was examined. Results: Age-adjusted rates of ideal CV health components and the percentage change from 1999–2006 varied by race/ethnicity (see Table). Disparities in the prevalence rates of ideal levels of blood pressure, cholesterol and physical activity have increased dramatically between race/ethnic groups in both men and women (see Table). Disparities in smoking and diet have increased in men but decreased in women. Disparities in BMI have changed little in men (BGV= 0.5%, T=−37.8%), but increased dramatically in women (BGV= 894%, T=280%). Findings were generally similar for both absolute and relative measures of disparities. Conclusions: Representative national data on these summary measures of disparities suggest that disparities between race/ethnic groups have increased for many cardiovascular health factors over the past decade. Understanding the issues underlying these increasing disparities and addressing them will be critical to improving the cardiovascular health of all Americans by 2020 and beyond.

Expanding Understanding of Racial-Ethnic Differences in ADHD Prevalence Rates among Children to Include Asians and Alaskan Natives/American Indians

2021 ◽  
pp. 108705472110279
Author(s):  
Ashlyn W. W. A. Wong ◽  
Scott D. Landes
Keyword(s):  
Ethnic Groups ◽  
American Indians ◽  
Minority Groups ◽  
Full Range ◽  
Ethnic Disparities ◽  
Future Research ◽  
Prevalence Rates ◽  
White Children ◽  
Alaskan Natives ◽  
Racial Ethnic

Background Prior studies show that ADHD prevalence rates vary by race-ethnicity, but these studies do not include a full range of racial-ethnic minority groups. Objective This study aimed to understand differences in ADHD prevalence among children across a wider range of racial-ethnic groups, overall and stratified by biological sex. Method Data on children aged 5 to 17 from the 2004 to 2018 National Health Interview Survey Sample Child Files were used in analyses ( N = 120,129). Results Compared to Non-Hispanic White children, ADHD prevalence was lower among Hispanic and Non-Hispanic Asian children. This difference was present for both males and females. Across all racial-ethnic groups, males had higher ADHD prevalence than females. Conclusion Results from this study provide further evidence that racial-ethnic disparities in ADHD prevalence rates persist across sex and provide initial evidence of substantially lower ADHD prevalence among Non-Hispanic Asians. Implications, limitations, and future research directions derived from the results are discussed.

Abstract P306: Racial/Ethnic Differences In Self-reported Sedentary Time Are Related To Differential Risk For Prevalent Hypertension: NHANES 2011-2016

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Jennifer L Mattingly ◽  
Megan E Petrov
Keyword(s):  
Physical Activity ◽  
Ethnic Groups ◽  
Ethnic Differences ◽  
Cardiovascular Health ◽  
Sedentary Time ◽  
Lower Odds ◽  
Increased Risk ◽  
History Of ◽  
Race Ethnicity ◽  
Racial Ethnic

Introduction: Evidence suggests there are racial/ethnic differences in lifestyle behaviors that may affect cardiovascular health outcomes such as physical activity engagement, diet, and sleep duration. However, the literature on racial/ethnic differences in sedentary time (ST) and whether these differences may be related differentially to cardiovascular health is limited. The goals of this study are to investigate racial/ethnic differences in self-reported ST, and examine if the modifying effect of ST with race/ethnicity will be associated with hypertension (HTN) prevalence. Methods: Adults (N=15903, age ≥20 yrs) from the National Health and Nutrition Examination Survey (NHANES) 2011-2016 reported their race/ethnicity (Mexican American [MA], Other Hispanic [OH], non-Hispanic White [NHW], non-Hispanic Black [NHB], non-Hispanic Asian, Other or mixed race [OM]), ST on a typical day (median split at 6 hrs: Low vs. High ST), and history of physician diagnosed HTN (yes/no). Weighted logistic regression models were conducted to examine the association between race/ethnic groups and ST, and combined racial/ethnic-ST groups (reference group: NHW with Low ST) on HTN prevalence while controlling for age, sex, education, body mass index, smoking status, moderate-vigorous physical activity min/wk, and history of diabetes, cardiovascular (i.e., heart failure, myocardial infarction, stroke, coronary heart disease) and kidney conditions. Results: There was a significant association between race/ethnic groups and ST (Wald F [5,43]=23.4, p <0.001) such that compared to NHW, MA (OR=.43, 95%CI:.36,.51) OH (OR=.51, 95%CI:.42,.62), and OM (OR=.71, 95%CI:.55,.91) had lower odds for High ST. Weighted percent of the sample with HTN was 32.6%. There was a significant effect of combined race by ST groups on HTN (Wald F [11,37] = 9.8, p <0.001). Compared to NHW with Low ST, MA (OR=.70, 95%CI: .54,.90) and OH (OR=.79, 95%CI: .64,.97) with Low ST had lower odds for HTN, whereas NHB with Low ST (OR=1.58, 95%CI: 1.34,1.87) and High ST (OR=1.76, 95%CI: 1.50,2.07) had increased odds of HTN. Conclusion: In a large national cohort, daily ST differed by race/ethnicity, and ST modified the association between race/ethnicity and odds for HTN such that compared to more active NHW, more active Hispanic groups had decreased odds for HTN, but NHB regardless of ST had increased risk for HTN. ST may be a key modifiable risk factor in addressing race/ethnic disparities in cardiovascular health.

scholarly journals Differences in Subjective Memory Impairment, Depressive Symptoms, Sleep, and Physical Activity in African American and Asian American Elderly

2021 ◽  
Vol 11 (9) ◽  
pp. 1155
Author(s):  
Minsun Lee ◽  
Jin-Hyeok Nam ◽  
Elizabeth Yi ◽  
Aisha Bhimla ◽  
Julie Nelson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Ethnic Groups ◽  
Ethnic Differences ◽  
Asian American ◽  
Memory Impairment ◽  
Subjective Memory ◽  
Subjective Memory Impairment ◽  
Negative Health Outcomes ◽  
Racial Ethnic

Background: Subjective memory impairment (SMI) is associated with negative health outcomes including mild cognitive impairment and Alzheimer’s disease. However, ethnic differences in SMI and disparities in risk factors associated with SMI among minority populations are understudied. The study examined the ethnic differences in SMI, whether SMI was associated with depressive symptoms, sleep, and physical activity (PA), and whether the associations vary across racial/ethnic groups. Methods: Participants included 243 African and Asian Americans (including Chinese, Vietnamese, and Korean Americans) aged 50 or older. Demographic information, SMI, depressive symptoms, daily sleeping hours, and PA levels were assessed. Results: Vietnamese Americans reported the highest SMI score. Depressive symptoms, sleeping hours, and PA levels were significantly associated with SMI. Depressive symptoms were the only significant factor across all ethnic groups. Significant interaction effects were found between ethnicity and health behaviors in predicting SMI. In particular, Vietnamese American participants with greater depressive symptoms and physical inactivity were significantly more likely to experience SMI compared to other ethnic groups Conclusions: Our findings demonstrate ethnic differences in SMI and its association with depressive symptoms, sleep, and PA, which highlight the importance of considering the unique cultural and historical backgrounds across different racial/ethnic groups when examining cognitive functioning in elderly.

Race and Ethnicity in US Media Content and Effects

2017 ◽  
Author(s):  
Dana Mastro
Keyword(s):  
Ethnic Groups ◽  
American Indians ◽  
Race And Ethnicity ◽  
Policy Positions ◽  
Psychological Determinants ◽  
Number Of Factors ◽  
The Media ◽  
Numeric Representation ◽  
Racial Ethnic

Research empirically investigating the influence of media exposure on issues of race and ethnicity has long documented that media use meaningfully impacts the cognitions, emotions, and behaviors of audience members. Certainly, media are only one among a number of factors that contribute to perceptions regarding (and actions toward) one’s own and other racial/ethnic groups. However, theory and empirical evidence consistently demonstrate that the manner in which racial/ethnic groups are characterized in the media can harm or benefit different groups, depending on the nature of these depictions (alongside other social and psychological determinants). Consequently, it is both practically and theoretically important to both identify how and how often different groups are portrayed across the media landscape as well as to assess the ways in which exposure to this content influences media audiences. What quantitative content analytic studies have revealed is that there is variation in depictions of race/ethnicity in US media depending on the group, the medium, and the genre. Thus, whereas Blacks have achieved a degree of parity when it comes to the quantity of depictions on primetime U.S. television, there is variation in the quality depending on the genre. Further, the same advances have not been seen for Blacks in news, in film, and across other media forms and platforms. For Latinos, little has changed across decades when it comes to numeric representation in the media. When it comes to the quality of these portrayals, although some of the more egregious media stereotypes have faded, other long-standing media definitions of Latinos remain persistent. For other racial/ethnic groups, few images are presented. Within these infrequent images, a constrained set of characterizations often predominates, such as spiritual American Indians, tech-savvy Asian Americans, and terrorist Muslims. Exposure to these representations has consequences. Consuming the images and messages associated with racial/ethnic groups in the media contributes to the formation, activation, and application of racial/ethnic cognitions. For racial/ethnic majority group members (i.e., whites), unfavorable media depictions can mean the perpetuation of harmful stereotypes: this can lead to outcomes ranging from unsympathetic policy positions to active or passive harming behaviors. When media characterizations are favorable, more auspicious outcomes emerge. For the racial and ethnic groups being depicted, the effects of exposure again depend on the quantity and quality of portrayals. Negative characterizations prompt shame, anger, and other undesirable emotions and lead to esteem problems. On the other hand, some research indicates that favorable characterizations can serve as a source of group pride, which boosts esteem.

Racial/ethnic variation in incidence rates for anal cancer in New Mexico.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 601-601
Author(s):  
Diaa Osman ◽  
Bridget N. Fahy ◽  
Jessica Belmonte ◽  
Angela W. Meisner ◽  
Charles Wiggins
Keyword(s):  
New Mexico ◽  
Ethnic Groups ◽  
American Indians ◽  
Anal Cancer ◽  
Cancer Incidence ◽  
Incidence Rates ◽  
Core Areas ◽  
Race Ethnicity ◽  
Racial Ethnic ◽  
Cancer Incidence Rates

601 Background: Anal cancer comprises only 2.5% of all digestive system malignancies in the United States; only 8200 new cases are diagnosed annually, nevertheless, an increasing incidence rate has been noted. The goal of this study is to describe the incidence rates of anal cancer in New Mexico. New Mexico is a unique, mainly rural state, with unique demographics consisting of a large mix of patients being primarily Non-Hispanic White, Hispanics or Native Americans. Methods: All incident cases of anal cancer diagnosed among New Mexico residents during the twenty-year period 1995-2014 were identified from the population-based New Mexico Tumor Registry. Average annual age-adjusted incidence rates (US 2000 standard) were calculated by the direct method for non-Hispanic whites, Hispanics and American Indians. Incidence rates for non-Hispanic whites in nine core areas of the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) Program served as the comparison. Results: A total of 556 anal cancers were diagnosed among New Mexico residents during the study period, an average of approximate 28 cancers annually. Anal cancer incidence rates per 100,000 were highest for non-Hispanic whites (1.80, 95% Confidence Interval (CI) 1.62-1.98) in New Mexico, which were similar to rates for non-Hispanic whites (1.70, 95% CI 1.66-1.74) in nine core areas of the SEER Program. Statistically significant lower rates were observed in New Mexico Hispanics (0.92, 95% CI 0.76-1.11) and American Indians (0.75, 95% CI 0.45-1.16). Females had higher rates than males in each of these three racial/ethnic groups. Incidence rates increased from 1995-2004 to 2005-2014 for all race/ethnic groups, with the largest increase observed in Hispanic females. Conclusions: Anal cancer incidence rates vary by race/ethnicity and sex in New Mexico. Further research is needed to characterize time trends in incidence and to identify factors that may account for observed differences in incidence rates by race/ethnicity and sex in New Mexico.

Racial/Ethnic Variations in Social Determinants of Mental Health Among Medicare Advantage Beneficiaries

2021 ◽  
pp. 073346482110393
Author(s):  
Taehyun Kim ◽  
Kellee White ◽  
Eva DuGoff
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Ethnic Groups ◽  
American Indians ◽  
Social Determinants ◽  
Poor Mental Health ◽  
Native Hawaiians ◽  
Race Ethnicity ◽  
Ethnic Variations ◽  
Racial Ethnic

Objectives: We examine associations between social determinants and mental health and assess how the associations vary by race/ethnicity using a large, diverse sample of older adults. Method: A retrospective study of 444,057 older adults responding to the Medicare Health Outcomes Survey in 2015–2017 was conducted. Using a multilevel linear regression, we examined the associations between the self-reported number of unhealthy days due to mental health and social determinants, stratified by race/ethnicity. Results: Health factors were most strongly associated with unhealthy days across all racial/ethnic groups. Strength of other factors varied by race/ethnicity. Social/economic factors had stronger associations among Whites, Asians, and multiracial individuals, while such factors were not significant for American Indians/Alaska Natives and Native Hawaiians/Other Pacific Islanders. Discussion: We found varying degrees of associations between social determinants and poor mental health by racial/ethnic groups. These results suggest that homogeneous interventions may not meet the mental health needs of all.

scholarly journals MEASUREMENT EQUIVALENCE OF THE KESSLER 6 PSYCHOLOGICAL DISTRESS SCALE FOR OLDER ASIAN IMMIGRANT SUBGROUPS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S713-S713
Author(s):  
En-Jung Shon
Keyword(s):  
Psychological Distress ◽  
Ethnic Groups ◽  
Measurement Equivalence ◽  
Group Analysis ◽  
Korean Immigrants ◽  
California Health Interview Survey ◽  
Asian Immigrant ◽  
Psychological Distress Scale ◽  
Distress Scale ◽  
Racial Ethnic

Abstract The Kessler 6 (K6) Psychological Distress Scale is a well-known screening instrument to screen for psychological distress of general population. While some studies (e.g., Mitchell & Beals, 2011) concluded that the K6 was appropriate for capturing psychological distress of diverse racial/ethnic groups, other studies (e.g., Andersen et al., 2011) reported that it was less successful in screening for psychological distress of diverse racial/ethnic groups. Few studies conducted measurement equivalence test across older Asian immigrant subgroups. Using Multiple Group Analysis, this study examined whether parameters of the single factor model (items: nervous, hopeless, restless or fidgety, so depressed, everything was an effort, and worthless) is equivalent across the two Asian immigrants (≥65 years; Chinese [n=175] and Korean [n=300] immigrants). Data were generated from the California Health Interview Survey. The configural model showed good fit (X2=41.70 [df=16, p&lt;.001], X 2/df=2.61, CFI=.98, GFI=.97, RMSEA=.06 [90% CI=.04-.08], and SRMR=.04). When all factor loadings were constrained, it indicated measurement non-invariance status between Chinese and Koran (ΔX 2=17.86, Δdf=5, p=.003, CFI=.972, ΔCFI=.009). Given findings of non-invariance on the full constrained model, the invariance test of each factor loading was performed additionally. It was focused on evaluating which items were similar or different across the two groups. The three items, ‘hopeless,’ ‘restless,’ and ‘depress,’ were significantly nonequivalent between the two groups. Clinicians/researchers should aware of the potential risk for misclassification when they try to screen for psychological distress in older Chinese or Korean immigrants. Professionals should pay attention to cross-cultural comparability when interpreting results from the K6.

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