Chakkalakal Rosette J, Fox Justin P, Green Jeremy C, Nunez-Smith Marcella, Nallamothu Brahmajee K, Hasnain-Wynia Romana
Robert Wood Johnson Foundation Clinical Scholars Program, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Division of General Internal Medicine and Public Health, Department of Internal Medicine, Vanderbilt University Medical Center, 1215 21st Ave South, 6000 Medical Center East, NT, Nashville, TN, 37232-8300, USA.
J Immigr Minor Health. 2018 Feb;20(1):20-25. doi: 10.1007/s10903-016-0517-9.
Concerns about the quality of race/ethnicity data collected by hospitals have limited our understanding of healthcare disparities affecting ethnic minorities in the United States. Using data from the New Jersey State Inpatient Databases and the American Community Survey, we calculated age-adjusted AMI hospitalization rates for Asian-American subgroups before (2005-2006) and after (2008-2009) New Jersey hospitals implemented standardized practices to collect more accurate granular race/ethnicity data from patients. Rates were reported per 100,000 persons for Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese subgroups. AMI hospitalization rates increased for all subgroups except Vietnamese following implementation of the New Jersey program; increases were statistically significant for Asian Indian, Chinese, and Korean subgroups. Rates of hospitalization for AMI increased significantly for multiple Asian-American subgroups following implementation of the New Jersey program. National population health metrics for Asian-American subgroups may be prone to significant underestimation without widespread utilization of similar practices.
对医院收集的种族/族裔数据质量的担忧，限制了我们对影响美国少数族裔医疗保健差异的理解。利用新泽西州住院病人数据库和美国社区调查的数据，我们计算了新泽西州医院实施标准化做法以从患者那里收集更准确的详细种族/族裔数据之前（2005 - 2006年）和之后（2008 - 2009年）亚裔美国人亚组的年龄调整后急性心肌梗死住院率。印度裔、华裔、菲律宾裔、日裔、韩裔和越南裔亚组的住院率按每10万人报告。新泽西州项目实施后，除越南裔外的所有亚组急性心肌梗死住院率均有所上升；印度裔、华裔和韩裔亚组的上升具有统计学意义。新泽西州项目实施后，多个亚裔美国人亚组的急性心肌梗死住院率显著上升。如果不广泛采用类似做法，亚裔美国人亚组的全国人口健康指标可能容易被严重低估。
