Division of Health Systems Management and Policy, School of Public Health, The University of Memphis , Memphis, TN , USA ; Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M Health Science Center , College Station, TX , USA.
Department of Health Promotion and Behavior, College of Public Health, The University of Georgia , Athens, GA , USA.
Front Public Health. 2015 Apr 27;2:257. doi: 10.3389/fpubh.2014.00257. eCollection 2014.
Asian-Americans are a small but fast-growing population in the United States who are increasingly experiencing multiple chronic diseases. While the evidence-based Chronic Disease Self-Management Program (CDSMP) has been disseminated among various racial and ethnic populations, few studies specifically investigate participants with an Asian background. The study aims to identify characteristics of middle-aged and older Asian-American CDSMP participants (older than 50 years) and investigate factors related to successful workshop completion (i.e., attending 4+ of the 6 sessions) among this population. Data were analyzed from 2,716 middle-aged and older Asian-Americans collected during a 2-year national dissemination of CDSMP. Multilevel logistic regression analyses were conducted to identify individual- and workshop-level covariates related to successful workshop completion. The majority of participants were female, living with others, and living in metro areas. The average age was 71.3 years old (±9.2), and the average number of chronic conditions was 2.0 (±1.5). Successful completion of CDSMP workshops among participants was associated with their number of chronic conditions (OR = 1.10, P = 0.011), living in non-metro areas (OR = 1.77, P = 0.009), attending workshops from area agencies on aging (OR = 1.56, P = 0.018), and attending a workshop with higher completion rates (OR = 1.03, P < 0.001). This study is the first large-scale examination of Asian-American participants enrolled in CDSMP and highlights characteristics related to intervention attendance among this under-studied minority population. Knowing such characteristics is important for serving the growing number of Asian-Americans with chronic conditions.
亚裔美国人是美国人口中较小但增长迅速的群体，他们越来越多地患有多种慢性病。虽然基于证据的慢性病自我管理计划（CDSMP）已经在不同的种族和族裔群体中传播，但很少有研究专门针对具有亚裔背景的参与者。本研究旨在确定中年和老年亚裔美国人 CDSMP 参与者（50 岁以上）的特征，并调查该人群中与成功完成研讨会相关的因素（即参加 6 次研讨会中的 4 次以上）。数据来自 2716 名中年和老年亚裔美国人，这些数据是在为期两年的 CDSMP 全国推广期间收集的。采用多水平逻辑回归分析方法，确定与成功完成研讨会相关的个体和研讨会水平的协变量。大多数参与者为女性，与他人同住，居住在大都市区。平均年龄为 71.3 岁（±9.2），平均患有 2.0 种（±1.5）慢性病。参与者成功完成 CDSMP 研讨会与他们患慢性病的数量有关（OR=1.10，P=0.011），与居住在非大都市区（OR=1.77，P=0.009）、参加地区老龄化机构举办的研讨会（OR=1.56，P=0.018）和参加完成率较高的研讨会（OR=1.03，P<0.001）有关。本研究是首次对参加 CDSMP 的亚裔美国参与者进行的大规模检查，并强调了与这一研究不足的少数族裔人群干预参与相关的特征。了解这些特征对于为越来越多的患有慢性病的亚裔美国人提供服务非常重要。
