Department of Family Medicine, North Bronx Health Network, Bronx, NY, USA.
J Immigr Minor Health. 2012 Oct;14(5):767-73. doi: 10.1007/s10903-011-9555-5.
South Asians, particularly Bangladeshis, are one of the fastest growing immigrant groups in the U.S. Limited data exist regarding the health needs of Bangladeshis in the U.S. More data are needed to guide health intervention efforts for this community. To help address this gap, we conducted a community-based health needs assessment survey among women in a Bangladeshi population living in Bronx, NY. Community health promoters conducted a door-to-door household survey and collected data from 167 women, an approach that yielded a participation rate over 90%. Over half reported fair or poor health and 36.5% screened positive for risk of depression. Only 35% had engaged in physical activity over the past month. 60% reported never having received a pap smear. Using WHO guidelines for BMI, 74% were either overweight or obese. Age-standardized prevalence of type 2 diabetes and hypertension were 15.4 and 36.5% respectively. In a multivariable logistic regression model, age and percent lifetime in the U.S. were independently associated with having diabetes. Poor health behaviors and high prevalence of cardiovascular risk factors observed in this group suggest the need for early health promotion and prevention interventions.
南亚人，特别是孟加拉人，是美国增长最快的移民群体之一。关于美国孟加拉人健康需求的数据有限。需要更多的数据来指导针对该社区的健康干预措施。为了帮助解决这一差距，我们对居住在纽约布朗克斯的孟加拉人社区的女性进行了基于社区的健康需求评估调查。社区健康促进者挨家挨户进行了家访调查，从 167 名女性那里收集了数据，这种方法的参与率超过 90%。超过一半的人报告健康状况一般或较差，36.5%的人有抑郁风险。只有 35%的人在过去一个月进行过体育活动。60%的人从未接受过巴氏涂片检查。根据世界卫生组织的 BMI 指南，74%的人超重或肥胖。按年龄标准化的 2 型糖尿病和高血压患病率分别为 15.4%和 36.5%。在多变量逻辑回归模型中，年龄和在美国的终身百分比与糖尿病有关。该群体观察到的不良健康行为和心血管危险因素的高患病率表明需要早期进行健康促进和预防干预。
