西班牙裔族裔亚群体在健康状况和医疗服务利用方面的差异。

Disparities in health status and health-service utilization among Hispanic ethnic subgroups.

作者信息

Sharma Ravi K, McGinnis Kathleen A, Documèt Patricia I

机构信息

Department of Behavioral & Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 228 Parran Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA.

出版信息

Soc Work Public Health. 2007;23(2-3):167-91. doi: 10.1080/19371910802152026.

DOI:10.1080/19371910802152026

PMID:19306593

Abstract

Using nationally representative National Health Interview Survey (NHIS) data from 1999 through 2002, this study examines the health services access and utilization patterns of U.S. Hispanic adolescents under age 18 years classified as: Cubans, Puerto Ricans and Dominicans, Mexicans or Mexican Americans, Central and South Americans, and mixed Hispanic and non-Hispanic White. Consistent with previous studies on ethnic patterns in child and adult health, Hispanic American children do better than non-Hispanic Whites with respect to certain health status measures such as school absence. There is considerable heterogeneity in health status and health care utilization in the Hispanic subgroup, indicating the necessity of separating Hispanic subgroups for analytic purposes.

摘要

本研究利用1999年至2002年具有全国代表性的国家健康访谈调查（NHIS）数据，考察了18岁以下美国西班牙裔青少年的医疗服务可及性和使用模式，这些青少年被分类为：古巴人、波多黎各人、多米尼加人、墨西哥人或墨西哥裔美国人、中美洲和南美洲人，以及西班牙裔与非西班牙裔白人的混血儿。与之前关于儿童和成人健康种族模式的研究一致，在某些健康状况指标（如缺课情况）方面，西班牙裔美国儿童比非西班牙裔白人表现更好。西班牙裔亚组在健康状况和医疗保健利用方面存在相当大的异质性，这表明为了分析目的有必要将西班牙裔亚组分开。