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Disparities among Asians and native Hawaiians and Pacific Islanders with ischemic stroke

TitleDisparities among Asians and native Hawaiians and Pacific Islanders with ischemic stroke
Publication TypeJournal Article
Year of Publication2013
AuthorsNakagawa, K, Koenig, MA, Asai, SM, Chang, CW, Seto, TB
Date PublishedFeb 26
ISBN Number1526-632X (Electronic)<br/>0028-3878 (Linking)
Accession Number23365055
KeywordsAged, Asian Continental Ancestry Group/ethnology, Brain Ischemia/ epidemiology/ethnology, Cardiovascular Diseases/epidemiology/ethnology, European Continental Ancestry Group/ethnology, Female, Hawaii/ethnology, Humans, Male, Middle Aged, Oceanic Ancestry Group/ethnology, Prevalence, Registries, Retrospective Studies, Risk Factors, Stroke/ epidemiology/ethnology
AbstractOBJECTIVES: To evaluate disparities in cardiovascular risk factors among Asians and Native Hawaiians and other Pacific Islanders (NHPI) in Hawaii who are hospitalized with ischemic stroke. METHODS: We performed a retrospective study on consecutive patients hospitalized for ischemic stroke at a single tertiary center in Honolulu between 2004 and 2010. The prevalence of cardiovascular risk factors was compared for NHPI, Asians, and whites who were hospitalized for ischemic stroke. RESULTS: A total of 1,921 patients hospitalized for ischemic stroke were studied. NHPI were less likely to be older (odds ratio [OR] 0.95, 95% confidence interval [CI] 0.94-0.96), more likely to be female (OR 1.55, 95% CI 1.07-2.24), and more likely to have diabetes (OR 2.74, 95% CI 1.87-4.00), hypertension (OR 1.98, 95% CI 1.27-3.10), and obesity (OR 1.82, 95% CI 1.25-2.65) than whites. NHPI had higher low-density lipoprotein levels (114 +/- 50 mg/dL vs 103 +/- 45 mg/dL, p = 0.001) and lower high-density lipoprotein levels (38 +/- 11 mg/dL vs 45 +/- 15 mg/dL, p