不同拉丁裔血统的在校青少年在常规体格检查方面的差异。

Disparities in routine physical examinations among in-school adolescents of differing Latino origins.

作者信息

Sarmiento Olga L, Miller William C, Ford Carol A, Schoenbach Victor J, Viadro Claire I, Adimora Adaora A, Suchindran Chirayath M

机构信息

Department of Epidemiology (O.L.S., W.C.M., V.J.S., A.A.A.), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

出版信息

J Adolesc Health. 2004 Oct;35(4):310-20. doi: 10.1016/j.jadohealth.2003.09.020.

DOI:10.1016/j.jadohealth.2003.09.020

PMID:15450545

Abstract

PURPOSE

To estimate the prevalence of routine physical examination among in-school adolescents of differing national Latino origins and to assess associations with gender, age, immigrant generational status, language spoken at home, parental education, poverty level, family structure, and insurance status.

METHODS

Cross-sectional analysis of Wave I of the National Longitudinal Study of Adolescent Health conducted during 1995. Our sample was limited to adolescents in grades 7 through 12 of Mexican (n = 1657), Cuban (n = 490), Puerto Rican (n = 555), and Central/South American or Dominican (C/S American or DR) (n = 427) origins. We used multivariate logistic regression for survey data to conduct the data analyses.

RESULTS

Mexican-origin adolescents were less likely to report a routine physical examination in the previous year, compared with other Latino populations [prevalence (95% confidence interval)]: Mexicans, 47.7 % (42.0% -53.6%], Cubans 67.6% (57.4%-76.4%), Puerto Ricans 65.2% (58.4%-71.4%), and C/S American or DR (57.0% [47.3-66.2]). Among Mexican-origin adolescents, having a college-educated parent or insurance was associated with receiving care (adjusted prevalence odds ratio [95% confidence interval]), 2.12 (1.37-3.30) and 1.80 (1.31-2.47), respectively. For Cuban-origin adolescents, first-generation immigrants were less likely to receive care (0.31 [0.14-0.70]), and those living in a single-parent home were more likely to receive care (2.83 [1.52-5.25]). Having a routine physical examination among adolescents of C/S American or DR origins was associated with incomes above the poverty level (2.29 [1.10-4.77] and insurance (2.33 [1.10-4.91]).

CONCLUSIONS

Reflecting the heterogeneity of Latino adolescents, the prevalence of routine physical examination and factors associated with it varied by national origin subgroup. These differences should be considered when developing strategies to better address the health needs of Latino youth.

摘要

目的

评估不同拉丁裔国籍的在校青少年进行常规体检的比例，并评估其与性别、年龄、移民代际状况、在家中使用的语言、父母教育程度、贫困水平、家庭结构和保险状况之间的关联。

方法

对1995年进行的全国青少年健康纵向研究第一波数据进行横断面分析。我们的样本仅限于7至12年级的青少年，他们分别来自墨西哥（n = 1657）、古巴（n = 490）、波多黎各（n = 555）以及中美洲/南美洲或多米尼加（中美洲/南美洲或多米尼加共和国）（n = 427）。我们使用多变量逻辑回归对调查数据进行分析。

结果

与其他拉丁裔人群相比，墨西哥裔青少年在前一年进行常规体检的可能性较小[患病率（95%置信区间）]：墨西哥裔为47.7%（42.0% - 53.6%），古巴裔为67.6%（57.4% - 76.4%），波多黎各裔为65.2%（58.4% - 71.4%），中美洲/南美洲或多米尼加共和国裔为57.0%（47.3% - 66.2%）。在墨西哥裔青少年中，父母受过大学教育或拥有保险与接受体检相关（调整后的患病率比值比[95%置信区间]），分别为2.12（1.37 - 3.30）和1.80（1.31 - 2.47）。对于古巴裔青少年，第一代移民接受体检的可能性较小（0.31[0.14 - 0.70]），而生活在单亲家庭中的青少年接受体检的可能性较大（2.83[1.52 - 5.25]）。中美洲/南美洲或多米尼加共和国裔青少年进行常规体检与高于贫困水平的收入（2.29[1.10 - 4.77]）和保险（2.33[1.10 - 4.91]）相关。