纽约市西班牙裔亚人群体中成人哮喘患病率的差异。
Variation in adult asthma prevalence in Hispanic subpopulations in New York City.
作者信息
Dumanovsky Tamara, Matte Thomas D
机构信息
Division of Health Promotion and Disease Prevention, New York City Department of Health and Mental Hygiene, New York, New York, USA.
出版信息
J Asthma. 2007 May;44(4):297-303. doi: 10.1080/02770900701344140.
BACKGROUND
We compared asthma prevalence among New York City Hispanics-Puerto Rican, Dominican, and other Hispanics-in relation to nativity, socioeconomic status, and asthma risk factors.
METHODS
Weighted logistic regression analyses on telephone survey data for New York City (NYC) adults in 2003/2004.
RESULTS
Asthma prevalence was highest among Puerto Ricans (11.8%) compared with Dominicans and other Hispanics. Non-US-born Dominicans and other Hispanics were significantly less likely to report current asthma than were Puerto Ricans (OR = 0.27, 95% CI 0.18-0.41 and OR = 0.17, 95% CI 0.11-0.26, respectively). In multivariate analyses, US-born Dominicans and other Hispanics had rates comparable to Puerto Ricans.
CONCLUSIONS
Puerto Ricans, both mainland- and native-born, report the highest rates of adult asthma. Non-US-born Hispanics report lower rates. Acculturation and patterns of residential settlement may account for this variation.
背景
我们比较了纽约市西班牙裔（波多黎各人、多米尼加人及其他西班牙裔）的哮喘患病率，涉及出生地、社会经济地位及哮喘风险因素。
方法
对2003/2004年纽约市成年人电话调查数据进行加权逻辑回归分析。
结果
与多米尼加人和其他西班牙裔相比，波多黎各人的哮喘患病率最高（11.8%）。非美国出生的多米尼加人和其他西班牙裔报告当前患有哮喘的可能性显著低于波多黎各人（比值比分别为0.27，95%可信区间0.18 - 0.41；以及0.17，95%可信区间0.11 - 0.26）。在多变量分析中，美国出生的多米尼加人和其他西班牙裔的患病率与波多黎各人相当。
结论
无论出生在本土还是美国大陆，波多黎各人的成人哮喘患病率最高。非美国出生的西班牙裔患病率较低。文化适应和居住模式可能是造成这种差异的原因。
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