School of Nursing, Columbia University , Mailbox 6, 630 W 168th Street, New York City, New York, 10032, USA.
J Racial Ethn Health Disparities. 2018 Jun;5(3):638-661. doi: 10.1007/s40615-017-0410-9. Epub 2017 Aug 9.
Although disparities in the burden of disease and illness experienced across major racial and ethnic groups in the USA is well known, little is known about subgroups, including the Hmong population. This review sought to determine the current state of health disparities related to health promotion and disease prevention among Hmong adults from 1975 to 2015. Seventy-one descriptive (qualitative, mixed methods, and quantitative) studies were reviewed. Most focused on two areas: (1) health status (mainly breast and cervical cancers) and (2) health-related behaviors. This literature review confirms the existence of health disparities related to health promotion and disease prevention in the Hmong adult population. Effective intervention relies on identifying these disparities. A possible explanation for these disparities is the lack of health data collected on subgroup populations, which include the Hmong adult population. More research and more comprehensive health policies at the organizational level are needed to allow data to be collected on subgroup populations in order to better understand the social determinants that place the Hmong people at risk.
尽管美国主要种族和族裔群体之间的疾病负担和患病情况存在差异已经广为人知，但对于包括苗族在内的亚群体知之甚少。本综述旨在确定 1975 年至 2015 年间与苗族成年人健康促进和疾病预防相关的健康差异的现状。共审查了 71 项描述性（定性、混合方法和定量）研究。大多数研究集中在两个领域：（1）健康状况（主要是乳腺癌和宫颈癌）和（2）与健康相关的行为。本文献综述证实了苗族成年人群体中存在与健康促进和疾病预防相关的健康差异。有效的干预措施依赖于识别这些差异。造成这些差异的一个可能原因是缺乏针对包括苗族成年人在内的亚群体人群收集的健康数据。需要更多的研究和组织层面更全面的健康政策，以便能够收集亚群体人群的数据，从而更好地了解使苗族人民面临风险的社会决定因素。
