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Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States

Author

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  • Yifan Zhang

    (Department of Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Morgantown, WV 26506, USA)

  • Ranjita Misra

    (Department of Social & Behavioral Sciences, West Virginia University School of Public Health, Morgantown, WV 26506, USA
    Public Health Training Center, West Virginia University School of Public Health, Morgantown, WV 26506, USA)

  • Usha Sambamoorthi

    (Department of Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Morgantown, WV 26506, USA)

Abstract

Asian Americans are the fastest-growing minority group in the United States, yet little is known about their multimorbidity. This study examined the association of Asian Indians, Chinese and non-Hispanic whites (NHWs) to multimorbidity, defined as the concurrent presence of two or more chronic conditions in the same individual. We used a cross-sectional design with data from the National Health Interview Survey (2012–2017) of Asian Indians, Chinese, and NHWs ( N = 132,666). Logistic regressions were used to examine the adjusted association of race/ethnicity to multimorbidity. There were 1.9% Asian Indians, 1.8% Chinese, and 96.3% NHWs. In unadjusted analyses ( p < 0.001), 17.1% Asian Indians, 17.9% Chinese, and 39.0% NHWs had multimorbidity. Among the dyads, high cholesterol and hypertension were the most common combination of chronic conditions among Asian Indians (32.4%), Chinese (41.0%), and NHWs (20.6%). Asian Indians (AOR = 0.73, 95% CI = (0.61, 0.89)) and Chinese (AOR = 0.63, 95% CI = (0.53, 0.75)) were less likely to have multimorbidity compared to NHWs, after controlling for age, sex, and other risk factors. However, Asian Indians and Chinese were more likely to have high cholesterol and hypertension, risk factors for diabetes and heart disease.

Suggested Citation

  • Yifan Zhang & Ranjita Misra & Usha Sambamoorthi, 2020. "Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States," IJERPH, MDPI, vol. 17(9), pages 1-16, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3336-:d:356690
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    References listed on IDEAS

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    1. Ro, M.J. & Yee, A.K., 2010. "Out of the shadows: Asian Americans, Native Hawaiians, and Pacific Islanders," American Journal of Public Health, American Public Health Association, vol. 100(5), pages 776-778.
    2. Ana R. Quiñones & Jersey Liang & Joan M. Bennett & Xiao Xu & Wen Ye, 2011. "How Does the Trajectory of Multimorbidity Vary Across Black, White, and Mexican Americans in Middle and Old Age?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(6), pages 739-749.
    3. Lili Wang & Lei Si & Fiona Cocker & Andrew J. Palmer & Kristy Sanderson, 2018. "A Systematic Review of Cost-of-Illness Studies of Multimorbidity," Applied Health Economics and Health Policy, Springer, vol. 16(1), pages 15-29, February.
    4. Supa Pengpid & Karl Peltzer, 2017. "Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries," IJERPH, MDPI, vol. 14(9), pages 1-9, September.
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    Cited by:

    1. Xuan Zhou & Dan Zhang, 2021. "Multimorbidity in the Elderly: A Systematic Bibliometric Analysis of Research Output," IJERPH, MDPI, vol. 19(1), pages 1-16, December.

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