title: Potentially Preventable Hospitalizations for Congestive Heart Failure Among Asian Americans and Pacific Islanders in Hawai'i.
abstract: Many congestive heart failure (CHF) hospitalizations are considered potentially preventable with access to high-quality primary care. Some Asian American and Pacific Islander groups have poor access to health care compared to Whites, yet CHF preventable hospitalizations are understudied in these groups. Hawai'i hospitalizations from December 2006 to December 2010 for Chinese, Japanese, Native Hawaiian, Filipino, and Whites aged 18+ years were considered (N = 245,435). CHF preventable hospitalizations were compared in multivariable models by age group (<65 vs. 65+) and gender. Native Hawaiians and Filipinos with CHF preventable hospitalizations were significantly (p < 0.001) younger than other racial/ethnic groups. In adjusted models, Native Hawaiians and Filipinos of all age and gender combinations had significantly higher CHF hospitalization rates than Whites as did Chinese women 65+. High preventable CHF hospitalization rates are seen in some Asian and Pacific Islander groups, especially Native Hawaiians and Filipinos, who have these hospitalizations at younger ages than other studied groups.
authors.affiliation: Office of Public Health Studies, University of Hawai'i at Manoa, 1960 East-West Road, Biomed T102, Honolulu, HI, 96822, USA, tsentell@hawaii.edu.
authors.forename: Tetine
authors.initials: T
authors.lastname: Sentell
authors.forename: Jill
authors.initials: J
authors.lastname: Miyamura
authors.forename: Hyeong Jun
authors.initials: HJ
authors.lastname: Ahn
authors.forename: John J
authors.initials: JJ
authors.lastname: Chen
authors.forename: Todd
authors.initials: T
authors.lastname: Seto
authors.forename: Deborah
authors.initials: D
authors.lastname: Juarez
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian / Q000706:statistics & numerical data*; D015897:Comorbidity; D005260:Female; D006254:Hawaii / Q000453:epidemiology; D006297:Health Services Accessibility; D006333:Heart Failure / Q000208:ethnology*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander / Q000706:statistics & numerical data*; D012737:Sex Factors; D044465:White People / Q000706:statistics & numerical data