Tamez Martha, Ríos-Bedoya Carlos F, Rodríguez-Orengo José F, Tucker Katherine L, Mattei Josiemer
Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Bldg. 2, Boston, MA, 02115, USA.
Fundación de Investigación de Puerto Rico, San Juan, PR, USA.
J Immigr Minor Health. 2018 Oct;20(5):1085-1093. doi: 10.1007/s10903-017-0637-x.
Dominicans are the largest migrant community in Puerto Rico, yet understudied. We compared risk factors and health conditions of Dominicans versus Puerto Ricans (PRs). Cross-sectional survey of Dominicans (n = 55) and PRs (n = 310) aged 30-75 years, assessed with validated questionnaires and standardized anthropometric measurements. Significantly, more Dominicans than PRs had attained <8th grade education (37.7 vs. 8.0%), reported household income ≤$10,000 (76.1 vs. 56.9%), lacked health insurance (19.6 vs. 5.5%), and reported food insecurity (24.5 vs. 12.1%). They spent fewer hours/day watching television (2.9 vs. 3.8), and were less likely to smoke (7.6 vs. 19.6%). Medically-diagnosed depression was lower among Dominicans than PRs (9.6 vs. 23.0%); questionnaire-based high depressive symptomatology was similar (47.9 vs. 52.8%). Dominicans living in Puerto Rico had more socioeconomic risk factors but healthier lifestyle behaviors and lower prevalence of medically-diagnosed depression than PRs. Tailored approaches are needed to ameliorate disparities in each ethnic group.
多米尼加人是波多黎各最大的移民群体,但对其研究不足。我们比较了多米尼加人与波多黎各人(PRs)的风险因素和健康状况。对年龄在30至75岁的多米尼加人(n = 55)和波多黎各人(n = 310)进行横断面调查,通过经过验证的问卷和标准化人体测量进行评估。值得注意的是,受教育程度低于八年级的多米尼加人比波多黎各人更多(37.7%对8.0%),报告家庭收入≤10,000美元的比例更高(76.1%对56.9%),缺乏医疗保险的比例更高(19.6%对5.5%),报告粮食不安全的比例更高(24.5%对12.1%)。他们每天看电视的时间更少(2.9小时对3.8小时),吸烟的可能性也更小(7.6%对19.6%)。经医学诊断的抑郁症在多米尼加人中低于波多黎各人(9.6%对23.0%);基于问卷的高抑郁症状发生率相似(47.9%对52.8%)。生活在波多黎各的多米尼加人有更多的社会经济风险因素,但生活方式行为更健康,经医学诊断的抑郁症患病率低于波多黎各人。需要采取针对性方法来改善每个族裔群体的差异。