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Risk Assessment and Prevention of Hypertension in Filipino Americans

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Abstract

Despite that Filipino Americans represent an important target group for hypertension, health behaviors associated with hypertension in this population have not been well studied. Two hundred Filipino Americans from eight community-based organizations completed the study. Information was collected to determine whether modifiable behavioral factors, as well as acculturation and demographic characteristics, were associated with hypertension status in Filipino Americans. Approximately 67% of Filipino Americans were hypertensive. Logistic regression analysis showed that adding salt, physical inactivity, and old age were significantly associated with hypertension status after controlling for other covariates. The present study confirmed a high rate of hypertension among Filipino Americans and demonstrates the association of hypertension status with behavioral factors. These findings highlight the need for targeted interventions to prevent and manage hypertension in this high-risk community by facilitating health behaviors, particularly, salt reduction and physical activity.

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References

  1. Institute of Medicine (US) Committee on Public Health Priorities to Reduce and Control Hypertension. (2010). A population-based policy and systems change approach to prevent and control hypertension. Washington, DC: National Academies Press. Available from: http://www.ncbi.nlm.nih.gov/books/NBK220087/.

  2. Palaniappan, L. P., Wong, E. C., Shin, J. J., Moreno, M. R., & Otero-Sabogal, R. (2009). Collecting patient race/ethnicity and primary language data in ambulatory care settings: A case study in methodology. Health Services Research, 44, 1750–1761.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Ye, J., Rust, G., Baltrus, P., & Daniels, E. (2009). Cardiovascular risk factors among Asian Americans: Results from a National Health Survey. Annals of Epidemiology, 19, 718–723.

    Article  PubMed  Google Scholar 

  4. Zhao, B., Jose, P. O., Pu, J., Chung, S., Ancheta, I. B., Fortmann, S. P., et al. (2015). Racial/ethnic differences in hypertension prevalence, treatment, and control for outpatients in northern California 2010–2012. American Journal of Hypertension: Journal of the American Society of Hypertension, 28, 631–639.

    Article  Google Scholar 

  5. Ursua, R. A., Islam, N. S., Aguilar, D. E., Wyatt, L. C., Tandon, S. D., Abesamis-Mendoza, N., et al. (2013). Predictors of hypertension among Filipino immigrants in the Northeast US. Journal of Community Health, 38, 847–855.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Wu, T.-Y., Hsieh, H.-F., Wang, J., Yao, L., & Oakley, D. (2011). Ethnicity and cardiovascular risk factors among Asian Americans residing in Michigan. Journal of Community Health, 36, 811–818.

    Article  PubMed  Google Scholar 

  7. Dela Cruz, F. A., & Galang, C. B. (2008). The illness beliefs, perceptions, and practices of Filipino Americans with hypertension. Journal of the American Academy of Nurse Practitioners, 20, 118–127.

    Article  PubMed  Google Scholar 

  8. Appel, L. J., Brands, M. W., Daniels, S. R., Karanja, N., Elmer, P. J., & Sacks, F. M. (2006). Dietary approaches to prevent and treat hypertension: A scientific statement from the American heart association. Hypertension, 47, 296–308.

    Article  CAS  PubMed  Google Scholar 

  9. Batcagan-Abueg, A. P. M., Lee, J. J. M., Chan, P., Rebello, S. A., & Amarra, M. S. V. (2013). Salt intakes and salt reduction initiatives in Southeast Asia: A review. Asia Pacific Journal of Clinical Nutrition, 22, 490–504.

    PubMed  Google Scholar 

  10. Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., et al. (2003). Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension, 42, 1206–1252.

    Article  CAS  PubMed  Google Scholar 

  11. Klatsky, A. L., & Gunderson, E. (2008). Alcohol and hypertension: A review. Journal of the American Society of Hypertension, 2, 307–317.

    Article  PubMed  Google Scholar 

  12. Diaz, K. M., & Shimbo, D. (2013). Physical activity and the prevention of hypertension. Current Hypertension Reports, 15, 659–668.

    Article  PubMed  PubMed Central  Google Scholar 

  13. James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., et al. (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA, 311, 507.

    Article  CAS  PubMed  Google Scholar 

  14. Barnes, P. M., Adams, P. F., Powell-Griner, E. (2008) Health characteristics of the Asian adult population: United States, 2004–2006 (pp. 1–22). Hyattsville: U.S. Dept. of Health & Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.

  15. AHA. The American Heart Association’s Diet and Lifestyle Recommendations. (2015). http://www.heart.org/HEARTORG/HealthyLiving/HealthyEating/Nutrition/The-American-Heart-Associations-Diet-and-Lifestyle-Recommendations_UCM_305855_Article.jsp#.VtiGv30rK70.

  16. US Department of Health and Human Services. (2015) 2015–2020 Dietary Guidelines for Americans (8th ed.). https://health.gov/dietaryguidelines/2015/guidelines/.

  17. Centers for Disease Control and Prevention (CDC). (2008) US Department of Health and Human Services Physical Activity Guidelines for Americans 2008. Washington, DC: CDC

  18. Centers for Disease Control and Prevention (CDC) (2011). Vital signs: Prevalence, treatment, and control of hypertension–united states, 1999–2002 and 2005–2008. MMWR Morbidity and Mortality Weekly Report, 60, 103–108.

    Google Scholar 

  19. The New York City Department of Health and Mental Hygiene. (2010). EpiQuery: NYC interactive health data. Retrieved August 9, 2016 from https://a816-healthpsi.nyc.gov/epiquery/.

  20. Pavey, T. G., Peeters, G., Bauman, A. E., & Brown, W. J. (2013). Does vigorous physical activity provide additional benefits beyond those of moderate? Med Sci Sports Exerc, 45, 1948–1955.

    Article  PubMed  Google Scholar 

  21. Mozaffarian, D., Afshin, A., Benowitz, N. L., Bittner, V., Daniels, S. R., Franch, H. A., et al. (2012). Population approaches to improve diet, physical activity, and smoking habits. Circulation, 126, 1514–1563.

    Article  PubMed  Google Scholar 

  22. Mimran, A., Ribstein, J., & Jover, B. (1992). Aging and sodium homeostasis. Kidney International Supplement, 37, S107–S113.

    CAS  PubMed  Google Scholar 

  23. Logan, A. G. (2011). Hypertension in aging patients. Expert Review of Cardiovascular Therapy, 9(1), 113–120.

    Article  PubMed  Google Scholar 

  24. Teppala, S., Shankar, A., & Ducatman, A. (2010). The association between acculturation and hypertension in a multiethnic sample of US adults. Journal of the American Society of Hypertension, 4, 236–243.

    Article  PubMed  Google Scholar 

  25. Taylor, V. M., Yasui, Y., Tu, S.-P., Neuhouser, M. L., Li, L., Woodall, E., et al. (2007). Heart disease prevention among chinese immigrants. Journal of Community Health, 32, 299–310.

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors wish to thank the partners, volunteers, community coordinators of Asian Community Health Coalition and Filipino community organizations and research team at the Center for Asian Health, Temple University, who facilitated and supported the data collection of the study.

Funding

This research was supported by faculty research funds (PI: Dr. Grace Ma) and NIH funded U54 CA152512 Asian Community Cancer Health Disparities Center (PI: Dr. Grace Ma), CDC funded U58 REACH (Racial and Ethnic Approaches to Community Health) (PI: Dr. Grace Ma).

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Correspondence to Grace X. Ma.

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The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Institutional Review Board

The Institutional Review Board at Temple University approved this study. All study procedures followed were in accordance with the ethical standards of the IRB and the Helsinki Declaration of 1975, as revised in 2000.

Informed Consent

Written informed consent was obtained for all study participants.

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Ma, G.X., Lee, M., Bhimla, A. et al. Risk Assessment and Prevention of Hypertension in Filipino Americans. J Community Health 42, 797–805 (2017). https://doi.org/10.1007/s10900-017-0320-0

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