Hirano Douglas M
Asian Pacific Community in Action.
Prog Community Health Partnersh. 2012 Spring;6(1):59-64. doi: 10.1353/cpr.2012.0001.
To be most effective, community agencies working to improve the health of Asian Americans require a deep knowledge of their target community and have evidence-based programs and policies at their disposal. Unfortunately, Asian American health research is still emerging. For some health promotion curricula that have proven effective among general populations, there is no evidence that these curricula will be as effective among Asian American populations, particularly those with limited English proficiency. In addition, the effect of acculturation on health-seeking behaviors among Asian Americans is still poorly understood, but has a large bearing on looming health problems such as obesity and diabetes. Last, given that 30% of Asian Americans are of limited English proficiency, how does the cultural competency of the American health care system impact access to care among Asian Americans? These and other questions are key considerations in developing effective community health approaches for Asian Americans.
为了实现最大成效，致力于改善亚裔美国人健康状况的社区机构需要深入了解其目标社区，并拥有基于证据的项目和政策可供使用。不幸的是，亚裔美国人健康研究仍在兴起阶段。对于一些在普通人群中已证明有效的健康促进课程，尚无证据表明这些课程在亚裔美国人中，尤其是英语水平有限的人群中同样有效。此外，文化适应对亚裔美国人寻求医疗行为的影响仍知之甚少，但这对诸如肥胖和糖尿病等迫在眉睫的健康问题有着重大影响。最后，鉴于30%的亚裔美国人英语水平有限，美国医疗保健系统的文化能力如何影响亚裔美国人获得医疗服务的机会？这些问题以及其他问题是为亚裔美国人制定有效社区健康方法时的关键考虑因素。
