School of Community Health, Portland State University, P.O. Box 751, Portland, OR 97207-0751, USA.
J Immigr Minor Health. 2011 Jun;13(3):555-67. doi: 10.1007/s10903-010-9349-1.
Little is known about the determinants of self-reported general health status among different Asian ethnic subgroups. Using a community-based participatory research approach, we designed, administered, and analyzed a cross-sectional survey of 705 Asians (292 Chinese, 226 Korean, 187 Vietnamese) in the Portland, Oregon region to describe associations between general health status and several sociodemographic and health-related factors in pooled and ethnic-group-stratified samples. Ethnic variation existed in all covariate distributions, except employment, public-service use, language use, health status, visiting healthcare providers, sleep habits, and use of prayer, meditation, yoga or acupuncture. Acculturation measures were strong predictors of poor/fair health in logistic regression models regardless of ethnicity. Ethnic variation in outcome status existed for all remaining covariates. Most health-related research overlooks the heterogeneity within the Asian population. These findings highlight substantial variability in the associations between self-reported general health status and sociodemographic and health-related measures between Asian ethnic groups.
关于不同亚洲族裔亚群中自我报告的总体健康状况的决定因素知之甚少。我们采用基于社区的参与式研究方法，对俄勒冈州波特兰地区的 705 名亚洲人（292 名中国人、226 名韩国人、187 名越南人）进行了横断面调查的设计、管理和分析，以描述总体健康状况与几个社会人口统计学和健康相关因素之间的关联在 pooled 和 ethnic-group-stratified 样本中。除了就业、公共服务使用、语言使用、健康状况、看医生、睡眠习惯以及使用祈祷、冥想、瑜伽或针灸外，所有协变量的分布都存在种族差异。无论族裔如何，文化适应措施都是不良/一般健康状况的强预测因素。在逻辑回归模型中，除了健康状况外，所有其他剩余的协变量的状态都存在种族差异。大多数健康相关的研究都忽略了亚洲人群内部的异质性。这些发现突出了自我报告的总体健康状况与社会人口统计学和健康相关措施之间的关联在亚洲族裔群体之间存在显著的可变性。
