Awareness, Treatment and Control of Hypertension Among Filipino Immigrants

Ursua, Rhodora; Aguilar, David; Wyatt, Laura; Tandon, S. Darius; Escondo, Kirklyn; Rey, Mariano; Trinh‐Shevrin, Chau

doi:10.1007/s11606-013-2629-4

Cited by 34 publications

(32 citation statements)

References 29 publications

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“…The prevalence of HTN and DM varies greatly among Asians subgroups making it necessary to study Asian ethnic groups separately for development of successful prevention, screening and treatment strategies (Holland et al, 2011). Filipino-Americans, the second largest growing Asian-American subgroup, suffer disproportionately from metabolic and cardiovascular disorders with high rates of HTN (Zhao et al, 2015, Ursua et al, 2014), DM (Wang et al, 2011, Nguyen et al, 2015, Huang and Zheng, 2015) and metabolic syndrome (Palaniappan et al, 2011, Ancheta et al, 2012). For example, in a cross-sectional study of 208,985 patients, Filipino-Americans had higher rates of HTN and difficulty attaining adequate HTN control compared to others (Zhao et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Comparison of body mass index, waist circumference, and waist to height ratio in the prediction of hypertension and diabetes mellitus: Filipino-American women cardiovascular study

Battie

Borja‐Hart

Ancheta

et al. 2016

Preventive Medicine Reports

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The relative ability of three obesity indices to predict hypertension (HTN) and diabetes (DM) and the validity of using Asian-specific thresholds of these indices were examined in Filipino-American women (FAW). Filipino-American women (n = 382), 40–65 years of age were screened for hypertension (HTN) and diabetes (DM) in four major US cities. Body mass index (BMI), waist circumference (WC) and waist circumference to height ratio (WHtR) were measured. ROC analyses determined that the three obesity measurements were similar in predicting HTN and DM (AUC: 0.6–0.7). The universal WC threshold of ≥ 35 in. missed 13% of the hypertensive patients and 12% of the diabetic patients. The Asian WC threshold of ≥ 31.5 in. increased detection of HTN and DM but with a high rate of false positives. The traditional BMI ≥ 25 kg/m2 threshold missed 35% of those with hypertension and 24% of those with diabetes. The Asian BMI threshold improved detection but resulted in a high rate of false positives. The suggested WHtR cut-off of ≥ 0.5 missed only 1% of those with HTN and 0% of those with DM. The three obesity measurements had similar but modest ability to predict HTN and DM in FAW. Using Asian-specific thresholds increased accuracy but with a high rate of false positives. Whether FAW, especially at older ages, should be encouraged to reach these lower thresholds needs further investigation because of the high false positive rates.

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Section: Introductionmentioning

confidence: 99%

Comparison of body mass index, waist circumference, and waist to height ratio in the prediction of hypertension and diabetes mellitus: Filipino-American women cardiovascular study

Battie

Borja‐Hart

Ancheta

et al. 2016

Preventive Medicine Reports

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“…9 In addition to cardiovascular disorders, Filipino Americans also have higher rates of obesity than other AAPI subgroups. 10 The prevalence of many of these chronic conditions rises with age and time since immigration, increasing the susceptibility of older Filipino adults to chronic diseases 11 as they age in the US.…”

mentioning

confidence: 99%

Diabetes among non-obese Filipino Americans: Findings from a large population-based study

Fuller‐Thomson

Roy

Chan

et al. 2017

Can J Public Health

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OBJECTIVES: Filipino Americans form the second-largest Asian American and Pacific Islanders subgroup. Growing evidence suggests that Filipino Americans have higher rates of diabetes than non-Hispanic whites. The key objectives of this study are 1) to determine the prevalence of diabetes in non-obese Filipino Americans compared to non-obese non-Hispanic whites, and 2) to identify risk factors for diabetes in non-obese Filipino men and women.METHODS: Secondary analysis of population-based data from combined waves (2007, 2009 and 2011) of the adult California Health Interview Survey (CHIS). The study sample was restricted to non-obese Filipino Americans (n = 1629) and non-Hispanic whites (n = 72 072).RESULTS: Non-obese Filipino Americans had more than twice the odds of diabetes compared to non-Hispanic whites, even after correcting for several known risk factors (OR = 2.80, p < 0.001). For non-obese Filipino men, older age, poverty, cigarette smoking, and being overweight are associated with increased odds for diabetes, while older age was the only factor associated with diabetes among Filipina women.DISCUSSION: Diabetes prevention approaches need to be targeted towards non-obese Filipino Americans, due to their high risk of diabetes.KEY WORDS: Diabetes; Filipino Americans; non-obese; prevalence; risk factors; sex La traduction du résumé se trouve à la fin de l'article.

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“…The Lowell Community Health Center (LCHC) developed a long-term "whole and only 21.7% had controlled BP (Ursua et al, 2008 Asian Americans to report an elevated body-mass index, current smoking, high alcohol intake, and adequate physical activity. In addition, these subjects also reported higher adjusted rates of HTN, diabetes, asthma, and arthritis.…”

Section: Hypertension Management In Asian Americansmentioning

confidence: 99%

Hypertension Management among Cambodian-Americans in Rhode Island

Long

2014

Preprint

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Hypertension is a major risk factor for heart disease and stroke and the focus of much study in the US. However, there is limited transfer of this knowledge in terms of hypertension management in certain recent immigrant groups such as the Cambodian--Americans. Cambodian--Americans are often included among the Asian/Pacific Islanders and are one of the fasting growing populations in the US.The purpose of this study was to explore how Cambodians in Rhode Island manage hypertension. This study used a survey design with a convenience sample of 30 participants who could read, write, and understand English. It was conducted at a Cambodian temple, after IRB approval, and the student researcher used an IRB approved script and informational letter to recruit participants during a Buddhist ceremony being held at the temple. Results demonstrated that the majority of the participants understood the importance of maintaining a healthy lifestyle such as eating more fruits, cutting down on salt in the diet, regular exercise, taking antihypertensive medicines regularly as prescribed by healthcare providers, and avoiding smoking and drinking. An alarming result, however, was that approximately one quarter (26%) of those interviewed responded that they would stop taking the antihypertensive medications as soon as their blood pressure returned to normal. The results of this pilot study indicated the need for further education and primary care for Cambodian Americans with high blood pressure to better understand how cultural beliefs impact hypertension management.Recommendations for APRNs are identified and discussed.

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Awareness, Treatment and Control of Hypertension Among Filipino Immigrants

Cited by 34 publications

References 29 publications

Comparison of body mass index, waist circumference, and waist to height ratio in the prediction of hypertension and diabetes mellitus: Filipino-American women cardiovascular study

Comparison of body mass index, waist circumference, and waist to height ratio in the prediction of hypertension and diabetes mellitus: Filipino-American women cardiovascular study

Diabetes among non-obese Filipino Americans: Findings from a large population-based study

Hypertension Management among Cambodian-Americans in Rhode Island

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