142nd APHA Annual Meeting and Exposition

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Increased Metabolic Risk among Asian vs. Non-Hispanic White Adults in the United States: NHANES 2011-2012

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Hannah Jackson, PhD, MPH , Center for Reducing Health Disparities, University of Nebraska Medical Center, Omaha, NE
Dejun Su, PhD , Department of Health promotion, Social and Behavioral Health, University of Nebraska Medical Center, Omaha, NE
May C. Wang, DrPH , Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA
Terry Huang, Ph.D., MPH, CPH , Department of Health Promotion and Social and Behavioral Health, University of Nebraska Medical Center, Omaha, NE
  
Introduction: The purpose of this study is to compare the metabolic risk profile between Asian and Non-Hispanic white adults in the United States.

Methods: This study used the NHANES 2011-2012 adult data for Asians (n=827) and Non-Hispanic Whites (n=2108). Linear regression was used to calculate mean differences between Asian and Non-Hispanic Whites. Logistic regression models were used to compare the odds of metabolic dysfunction among Asians vs. Non-Hispanic Whites, using standardized cutoffs of risk threshold for blood pressure, lipids and glucose. All models were adjusted for age, gender, race/ethnicity, country of birth, education level, marital status, BMI, waist circumference, and serum cotinine exposure (for smoking).

Results: Compared to Non-Hispanic Whites, Asians have higher mean levels of triglycerides (p=0.04) and systolic blood pressure (p<0.01), after adjusting for covariates.  In addition, Asians are at increased risk for triglycerides ≥ 150 mg/dL (OR=1.51, 95%CI=1.00-2.27); HDL < 40 mg/dL (men) or < 50 mg/dL (women) (OR=1.91, 95% CI=1.10-3.33); and HbA1c ≥ 6.5% (OR=3.60, 95% CI=2.19-5.90), after adjusting for covariates. 

Conclusions:  This is the first analysis of metabolic risk profile between Asian and Non-Hispanic white adults in the U.S. using nationally representative data. Asian adults are at significantly higher risk for hypertriglyceridemia, type 2 diabetes and low HDL.

Learning Areas:

Diversity and culture
Epidemiology

Learning Objectives:
Compare differences in metabolic risk profile between Asian and Non Hispanic White adults in the United States.

Keyword(s): Asian Americans, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Principal investigator on dissertation manuscript addressing Asian/PI health. I was trained in social and behavioral sciences and health behavior.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4079.0: Data disaggregation in Asian and/or Pacific Islander populations