Snohomish County Y, Everett, WA 98206, USA.
J Womens Health (Larchmt). 2011 Nov;20(11):1703-11. doi: 10.1089/jwh.2010.2726. Epub 2011 Jul 21.
Asian American women's health has been understudied while the Asian American population is increasing. The purpose of this study was to examine the physical, behavioral, and mental health of Asian American women.
Using a nationally representative sample (n=1097) from the National Latino Asian American Study (NLAAS), the first comprehensive epidemiologic survey in the United States, we examined the annual rates of behavioral, physical, and mental healthcare service use, including general medical, specialty mental health, and any medical services, in three major subgroups of Asian American women.
Health problems varied with three major subgroups of Asian American women. In physical health, Chinese American women reported the highest rates of headache, other pain, hypertension, heart diseases, heart attacks, chronic lung diseases, and asthma. Vietnamese American women reported the highest rates of ulcer, stroke, and diabetes. Filipino American women had the highest rates of cancers and epilepsy. In behavioral health, Filipino women ranked highest on all types of drug use and cigarette smoking, compared with their counterparts. In mental health, Filipino American women reported significantly better mental health self-rating compared with their Chinese and Vietnamese American counterparts. Asian American women from each ethnic group sought health services at distinct rates. However, the help-seeking patterns of health services are similar.
Asian American women encountered various physical, behavioral, and mental health problems, yet they had low rates of seeking healthcare services. Hence, it is critical to further examine factors associated with the underestimation of physical and mental health problems and underuse of health services by Asian American women.
尽管亚裔美国人的数量在增加,但对亚裔美国女性健康的研究却很少。本研究的目的是检查亚裔美国女性的身体、行为和心理健康。
本研究使用了美国首个全面的流行病学调查——全国拉丁裔亚裔美国人研究(NLAAS)中的一个全国代表性样本(n=1097),我们检查了三个主要亚裔美国女性亚组的行为、身体和心理健康保健服务的年度使用率,包括一般医疗、专业心理健康和任何医疗服务。
健康问题因三个主要的亚裔美国女性亚组而异。在身体健康方面,美国华裔女性报告头痛、其他疼痛、高血压、心脏病、心脏病发作、慢性肺部疾病和哮喘的比率最高。越裔美国女性报告溃疡、中风和糖尿病的比率最高。菲律宾裔美国女性癌症和癫痫的比率最高。在行为健康方面,与其他族裔的女性相比,菲律宾裔女性在所有类型的药物使用和吸烟方面的比率最高。在心理健康方面,与中国和越南裔美国女性相比,菲律宾裔美国女性的心理健康自评显著更好。来自每个族裔群体的亚裔美国女性寻求医疗服务的比率各不相同。然而,寻求医疗服务的帮助模式是相似的。
亚裔美国女性遇到了各种身体、行为和心理健康问题,但她们寻求医疗服务的比率较低。因此,进一步研究与亚裔美国女性身体和心理健康问题低估以及医疗服务使用不足相关的因素至关重要。