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多族裔成年人与其单族裔同龄人之间的呼吸状况比较:基于美国印第安人/阿拉斯加原住民和白人成年人的分析。

A comparison of respiratory conditions between multiple race adults and their single race counterparts: an analysis based on American Indian/Alaska Native and white adults.

作者信息

Pleis John R, Barnes Patricia M

机构信息

Centers for Disease Control and Prevention, National Center for Health Statistics, Division of Health Interview Statistics, Hyattsville, MD, USA.

出版信息

Ethn Health. 2008 Nov 1;13(5):399-415. doi: 10.1080/13557850801994839.

DOI:10.1080/13557850801994839
PMID:18850367
Abstract

CONTEXT

Multiple race data collection/reporting are relatively new among United States federal statistical systems. Not surprisingly, very little is known about the multiple race population in the USA. It is well known that some race and ethnic groups experience some respiratory diseases (e.g., asthma) disproportionately. However, not much is known about the experience of multiple race adults. If differences exist in how single/multiple race adults experience respiratory conditions, this information could be useful in public health education.

OBJECTIVE

To explore differences in respiratory conditions between single race white adults, single race American Indian/Alaska Native (AIAN) adults, and adults who are both white and AIAN (largest multiple race group of adults in the USA).

METHODS

Data from the National Health Interview Survey (NHIS), conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics, were analyzed. Hispanic and black populations are oversampled. Multiple logistic regressions were performed to predict if the occurrence of each respiratory condition analyzed differed by single/multiple race reporting.

SAMPLE

A nationally representative sample of 127,596 civilian non-institutionalized adults (> or = 18 years of age) from the 2000--2003 NHIS.

OUTCOME MEASURE

Adults told by a doctor or other health professional that they had asthma, hay fever, sinusitis, and/or chronic obstructive pulmonary disease.

RESULTS

Adults who are both AIAN and white generally had higher rates of respiratory conditions than did their single race counterparts. These differences persisted even after controlling for socio-demographic and health care access measures.

CONCLUSIONS

This paper presents some of the first research of how the health of some multiple race adults differs from their single race counterparts. Contrary to some previous expectations for these estimates, respiratory condition estimates for adults who are both AIAN and white do not appear to be located between those of the component single race groups.

摘要

背景

在美国联邦统计系统中,多种族数据的收集/报告相对较新。不出所料,人们对美国的多种族人口知之甚少。众所周知,一些种族和族裔群体患某些呼吸道疾病(如哮喘)的比例过高。然而,对于多种族成年人的情况了解不多。如果单一种族/多种族成年人在患呼吸道疾病方面存在差异,那么这些信息可能对公共卫生教育有用。

目的

探讨单一种族白人成年人、单一种族美国印第安人/阿拉斯加原住民(AIAN)成年人以及同时为白人和AIAN的成年人(美国最大的多种族成年人群体)在呼吸道疾病方面的差异。

方法

对美国疾病控制与预防中心国家卫生统计中心进行的全国健康访谈调查(NHIS)的数据进行分析。西班牙裔和黑人人口被过度抽样。进行多项逻辑回归分析,以预测所分析的每种呼吸道疾病的发生情况是否因单一种族/多种族报告而有所不同。

样本

来自2000 - 2003年NHIS的127,596名全国代表性的非机构化平民成年人样本(年龄≥18岁)。

结果指标

成年人被医生或其他卫生专业人员告知患有哮喘、花粉热、鼻窦炎和/或慢性阻塞性肺疾病。

结果

同时为AIAN和白人的成年人患呼吸道疾病的比例通常高于单一种族的同龄人。即使在控制了社会人口统计学和医疗保健可及性指标后,这些差异仍然存在。

结论

本文展示了一些关于某些多种族成年人的健康状况与单一种族成年人有何不同的初步研究。与之前对这些估计的一些预期相反,同时为AIAN和白人的成年人的呼吸道疾病估计情况似乎并不处于各单一种族群体的中间位置。

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