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美东北菲移民高血压的预测因素。

Predictors of hypertension among Filipino immigrants in the Northeast US.

机构信息

Center for the Study of Asian American Health, Department of Population Health, New York University School of Medicine, 550 First Avenue, VZN Suite 842, New York, NY 10016, USA.

出版信息

J Community Health. 2013 Oct;38(5):847-55. doi: 10.1007/s10900-013-9689-6.

Abstract

Hypertension remains disproportionately high among Filipinos compared to other racial and ethnic minority populations, and little research on cardiovascular disease risk factors has been conducted among Filipino immigrants in the Northeastern part of the United States. To determine hypertension prevalence and risk factors among Filipino Americans in the New York City area, blood pressure and other clinical measurements were taken from a sample of Filipino Americans during 119 community health screenings conducted between 2006 and 2010. Additional socio-demographic and health-related characteristics were also collected via a cross-sectional survey. A total of 1,028 Filipino immigrants completed the survey and had clinical readings collected. Bivariate analyses and logistic regression were performed in order to predict and assess risk factors for hypertension among our sample. Fifty-three percent of individuals were hypertensive, and half of hypertensive individuals were uninsured. Logistic regression indicated that older age, male gender, living in the United States for over 5 years, a BMI greater than 23.0 kg/m(2), an elevated glucose reading, a family history of hypertension, and fair or poor self-reported health status were predictors of hypertension. There is a great need to develop more effective community-based interventions in the Filipino community to address cardiovascular health disparities.

摘要

高血压在菲律宾人当中的发病率与其他少数族裔相比仍然过高,而在美国东北部的菲律宾移民中,针对心血管疾病危险因素的研究则很少。为了确定纽约市地区的菲律宾裔美国人的高血压患病率和危险因素,在 2006 年至 2010 年间进行的 119 次社区健康筛查中,对菲律宾裔美国人的血压和其他临床测量值进行了采样。还通过横断面调查收集了其他社会人口统计学和与健康相关的特征。共有 1028 名菲律宾移民完成了调查并进行了临床读数采集。进行了双变量分析和逻辑回归,以便预测和评估我们样本中高血压的危险因素。53%的人患有高血压,而一半的高血压患者没有保险。逻辑回归表明,年龄较大、男性、在美国居住超过 5 年、BMI 大于 23.0kg/m(2)、血糖升高、有高血压家族史以及自我报告健康状况不佳或较差是高血压的预测因素。非常有必要在菲律宾社区开展更有效的基于社区的干预措施,以解决心血管健康差距问题。

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