Racial/Ethnic Differences in Early Detection and Screening for Chronic Kidney Disease Among Adults in Hawaii: A 10-Year Population Health Study

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Kataoka-Yahiro, Merle R. ; Davis, James ; Rhee, Connie M. ; Wong, Linda ; Hayashida, Glen
• Description:
  Introduction
  
  Native Hawaiian and Asian American populations are the most understudied racial/ethnic groups in chronic kidney disease (CKD) research. The objective of our study was to describe sociodemographic and comorbidity risk factors of chronic kidney disease among 2,944 community-dwelling Native Hawaiian, Filipino, Chinese, Japanese, and non-Hispanic white participants who attended the National Kidney Foundation of Hawaii Kidney Early Detection Screening program during 2006–2017.
  
  Methods
  
  We used multivariable logistic regression models to examine the association between age, sex, race/ethnicity, and the major risk factors for CKD (diabetes, hypertension, cardiovascular disease, hypercholesterolemia, overweight and obesity, and smoking) with elevated urine albumin to creatinine ratio (ACR) among adults aged 18 or older in 5 racial/ethnic groups in Hawaii: Native Hawaiian, Filipino, Chinese, Japanese, and non-Hispanic white.
  
  Results
  
  In the age- and sex-adjusted model, Native Hawaiian participants were significantly more likely than non-Hispanic white participants to have an ACR of 30.0 mg/g or more (odds ratio [OR] = 1.50; 95% CI, 1.15–1.95; P = .003). In the model that adjusted for CKD risk factors, the difference between Native Hawaiian and non-Hispanic white participants became nonsignificant (OR = 1.27; 95% CI, 0.96–1.69; P = .09]). The higher prevalence of chronic conditions among Native Hawaiians partially explained their higher risk of having an elevated ACR. Filipinos had significantly higher odds than non-Hispanic whites of elevated ACR in the age- and sex-adjusted model (OR = 1.44; 95% CI, 1.14–1.84; P = .003) and after adjustment for CKD risk factors (OR = 1.36; 95% CI, 1.06–1.74; P = .01).
  
  Conclusion
  
  Culturally targeted interventions are needed to improve health outcomes among Native Hawaiians and Asian Americans, particularly Filipinos, with CKD. Such interventions should focus on early kidney disease management so that disease progression can be delayed.
  
  
• Subjects:
  Original Research
• Source:
  Prev Chronic Dis. 2020; 17
• ISSN:
  1545-1151
• Pubmed ID:
  32816667
• Pubmed Central ID:
  PMC7458107
• Document Type:
  Journal Article
• Funding:
  U54 MD007584/MD/NIMHD NIH HHS/United States ; U54 MD007601/MD/NIMHD NIH HHS/United States
• Place as Subject:
  Hawaii
• Location:
  Oceania
• Volume:
  17
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:d10e05e75ad80a453d74a6a0a913c0792ec0ffee8027980c52f142c618396296695bf247567624c971e26c6a2fbe773cae6ffe97cc55de5005e607f1ba8c76c7
• Download URL:
  https://stacks.cdc.gov/view/cdc/93360/cdc_93360_DS1.pdf
• File Type:
  [PDF - 416.52 KB ]