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"Ho-Asjoe, Henrietta"
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BONE HEALTH OF IMMIGRANT CHINESE WOMEN LIVING IN NEW YORK CITY
Osteoporosis is a serious national and global public health problem, but data on bone health are limited for Asian women living in the U.S., the majority of whom are Chinese. For this study, we measured bone mineral density (BMD) by dual energy X-ray densitometry (DXA) at the lumbar spine and hip region in 300 immigrant Chinese women, ages 40-90 y, living in New York City. We also collected demographic and health data, information about knowledge and care for osteoporosis, and anthropométrie measures, and estimated calcium intake from the women. In our sample, 55% had osteoporosis and 38% had low bone mass (osteopenia). Older age, lower body mass index (BMI), and shorter height were associated with lower BMD at all sites. Years lived in the U.S. and number of children were also associated with lower BMD of the lumbar spine. Chinese women who emigrated from Mainland China had lower BMD at the lumbar spine and femoral neck than Chinese women who emigrated from Hong Kong, after adjusting for potential confounders. Both groups of immigrant women had lower BMD at all sites than a national sample of U.S. Caucasian women. Although the women in our study had generally poor knowledge about osteoporosis, most could identify at least one food rich in calcium. The large number of immigrant Chinese women in New York City with osteoporosis calls for major efforts to increase awareness, prevention, diagnosis, and treatment of this condition in this susceptible population.
Journal Article
P-306: Hypertension and its treatment in Chinese residents of New York City and comparison with the general US population
Hypertension and its treatment among Chinese residents of the US is not well known. To compare the awareness, treatment and control of hypertension among Chinese to the general US population, we collected data from participants at health screenings conducted by the NYU Downtown Hospital's Chinese Community Partnership for Health in the New York Metropolitan Chinese community and compared these findings with that of other race/ethnicities from the Third National Health and Nutritional Examination Survey (NHANES III), 1988-1994. There were 911 Chinese who participated the health screenings. Among these, 752 had valid blood pressure (BP) measurements. Questions regarding knowledge of and treatment for hypertension were similar to those used in NHANES III. The comparison of BP level, awareness of hypertension, unknown increased BP (BP>=140/90mm Hg), treatment and control BP among New York City Chinese, and US whites, blacks and Hispanics are in the Table. Although Chinese had a slightly lower percentage of hypertension than whites and blacks, they had the highest BP level. Comparing with US random sample, New York City Chinese had higher undetected hypertension, as well as higher uncontrolled hypertension. Chinese Whites Blacks Hispanics P Systolic BP 129 127 125 122 <0.001 Diastolic BP 80 74 75 72 <0.001 Awareness of hypertension (%) 24 29 30 19 <0.01 Unknown high BP (%) 36 16 12 10 <0.01 Treatment (%) 72 81 77 69 <0.01 Uncontrolled BP (%) 65 53 51 48 <0.01 These data suggested that compared with other race/ethnicities in US, New York City Chinese hypertensive patients are less likely to be identified and are less likely to receive effective treatment.
Journal Article