Lim Sungwoo, Yi Stella S, Lundy De La Cruz Nneka, Trinh-Shevrin Chau
New York City Department of Health and Mental Hygiene, New York, NY, USA.
Bureau of Epidemiology Services, Division of Epidemiology, New York City Department of Health and Mental Hygiene, Gotham Center, CN-6, 42-09 28th Street, Queens, NY, 11101-4132, USA.
J Immigr Minor Health. 2017 Feb;19(1):138-146. doi: 10.1007/s10903-015-0334-6.
Evidence on ethnic enclave-health associations for Asian Americans is limited due to an inconsistent definition of ethnic enclave. The authors aimed to establish a robust criterion for defining Asian enclaves in New York City (NYC) and assessed the association between enclave residence and health outcomes among Asian American adults. Data came from 2009-2012 NYC Community Health Surveys and 2008-2012 American Community Survey. Asian enclave was defined as an area with high dissimilarity and isolation scores as well as high concentration of Asians. Five of 55 NYC community districts were identified as Asian enclaves. After controlling for confounding, enclave residence was associated with positive perception of general health with borderline significance (prevalence ratio = 1.06, 95 % CI 0.98, 1.15), but not with current smoking, hypertension, and diabetes. Ethnic enclave residence in urban areas may not produce a substantial impact on chronic health outcomes for Asian Americans beyond individual-level factors.
由于对种族聚居区的定义不一致，关于亚裔美国人种族聚居区与健康关系的证据有限。作者旨在建立一个强有力的标准来定义纽约市（NYC）的亚裔聚居区，并评估聚居区居住情况与亚裔美国成年人健康结果之间的关联。数据来自2009 - 2012年纽约市社区健康调查和2008 - 2012年美国社区调查。亚裔聚居区被定义为具有高差异度、高隔离度得分以及高亚裔人口集中度的区域。纽约市55个社区区中有5个被确定为亚裔聚居区。在控制混杂因素后，聚居区居住情况与对总体健康的积极认知存在临界显著关联（患病率比 = 1.06，95%置信区间0.98，1.15），但与当前吸烟、高血压和糖尿病无关。城市地区的种族聚居区居住情况对亚裔美国人慢性健康结果的影响可能不会超出个体层面因素。
