Chen Moon S.
Asian American and Pacific Islander Health Promotion, Inc., 5525 Corey Swirl Dr., Dublin, OH 43017, USA.
Asian Am Pac Isl J Health. 1993 Summer;1(1):37-55.
The purpose of this paper is to offer a current assessment of the health status of Asian Pacific Islander Americans (APIAs) with respect to relevant Healthy People 2000 objectives and an assessment of Federal resource allocations targeted at APIAs. SUMMARY OF METHODS UTILIZED: The author reviewed documents from the relevant progress reports made to the Assistant Secretary on Health on Healthy People 2000 objectives, other Federal documents, and a review of the literature. PRINCIPAL FINDINGS: Adequate progress has been made on only one of the eight objectives targeted at APIAs; progress on the remaining objectives is either "not on target," require more data to evaluate, or inappropriate for APIAs at this time. Examples of APIA health problems not included in Healthy People 2000 objectives were documented. Illustrations of inadequate allocations of Federal health resources were cited. CONCLUSIONS: APIAs have been among the most neglected minority group with regards to health status surveillance, health services, and have been the most overlooked in Federal resource allocations. However, as greater awareness of data deficits and health status is presented, policy makers have the opportunity to improve the situation. A policy to improve the health status of APIAs must be multifaceted and minimally include the facets of data needs, intervention approaches, a research agenda, and advocacy. RELEVANCE TO ASIAN PACIFIC ISLANDER AMERICAN POPULATIONS: A 1993 review of the health status of APIAs with regards to the eight Healthy People 2000 and areas not covered by Healthy People 2000 were reviewed. KEY WORDS: Asian Americans, health status, health policy, health planning, tobacco, diet, diseases
本文旨在根据《健康人民2000》的相关目标,对亚太裔美国人(APIAs)的健康状况进行当前评估,并对针对亚太裔美国人的联邦资源分配情况进行评估。
作者查阅了向负责《健康人民2000》目标的助理卫生部长提交的相关进展报告、其他联邦文件以及文献综述。
针对亚太裔美国人的八项目标中,仅在一项上取得了足够进展;其余目标的进展要么“未达目标”,需要更多数据进行评估,要么目前不适用于亚太裔美国人。记录了未被《健康人民2000》目标涵盖的亚太裔美国人健康问题实例。列举了联邦卫生资源分配不足的例证。
在健康状况监测、卫生服务方面,亚太裔美国人一直是最被忽视的少数群体,在联邦资源分配中也最被忽视。然而,随着对数据不足和健康状况的认识不断提高,政策制定者有机会改善这种状况。改善亚太裔美国人健康状况的政策必须是多方面的,至少应包括数据需求、干预方法研究议程和宣传等方面。
回顾了1993年对亚太裔美国人在《健康人民2000》八项相关目标以及《健康人民2000》未涵盖领域的健康状况的评估。
亚裔美国人、健康状况、卫生政策、卫生规划、烟草、饮食、疾病