Sinai Urban Health Institute, Chicago, IL, USA.
J Urban Health. 2010 Sep;87(5):813-26. doi: 10.1007/s11524-010-9469-x.
We describe how local community organizations partnered to conduct a survey in the Chinese, Cambodian, and Vietnamese populations of Chicago to compare health outcomes and assess progress toward Healthy People 2010 goals. Interviews were conducted with 380 randomly selected Chinese adults through door-to-door sampling, and with 250 Cambodian adults and 150 Vietnamese adults through respondent-driven sampling. Data on 14 key health outcomes are described for this analysis. The three surveyed communities were generally poorer, less educated, more often foreign-born, and had less English proficiency than Asians nationally. There were few significant variations among the three populations, but there were notable differences in the burden of tuberculosis, obesity, diabetes, and arthritis. Insurance coverage and cancer-screening utilization were also significantly lower than for US Asians. Health information about Chinese, Cambodian, and Vietnamese populations in Chicago are available for the first time and serve as baseline data for community interventions. Findings highlight important health concerns for these populations and have implications for funders and policy makers in allocating resources, setting health priorities, and addressing health disparities.
我们描述了当地社区组织如何合作,在中国、柬埔寨和越南的芝加哥人群中进行调查,以比较健康结果,并评估实现《2010 年健康人》目标的进展情况。通过挨家挨户的抽样调查,对 380 名随机选择的中国成年人进行了访谈,并通过受访者驱动抽样对 250 名柬埔寨成年人和 150 名越南成年人进行了访谈。本分析描述了 14 项关键健康结果的数据。与全国亚裔相比,这三个被调查社区通常更贫困、教育程度更低、更多是外国出生的,英语水平也更低。这三个群体之间几乎没有显著差异,但结核病、肥胖症、糖尿病和关节炎的负担存在显著差异。保险覆盖范围和癌症筛查利用率也明显低于美国亚裔。芝加哥的华裔、柬埔寨裔和越南裔人群的健康信息是首次提供的,可为社区干预提供基线数据。这些发现突出了这些人群的重要健康问题,对资金提供者和政策制定者在分配资源、确定健康优先事项和解决健康差距方面具有重要意义。