Gor Beverly, Nepal Vishnu P, Dongardive Rashmi, Dorai V K, Pande Mala
Houston Health Department, Houston, TX, USA.
University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Health Serv Res Manag Epidemiol. 2019 Mar 13;6:2333392819830371. doi: 10.1177/2333392819830371. eCollection 2019 Jan-Dec.
The South Asian Health Needs Assessment was conducted to collect health status information on the rapidly growing Asian Indian (AI) community in the Houston area. Many were highly educated and reported high income levels, factors usually associated with better health outcomes. This study examined the relationship between socioeconomic advantage and the health behaviors and health outcomes of AIs.
We analyzed cross-sectional survey data from a convenience sample of 1416 AIs. Income was categorized as low, medium, and high. Descriptive statistics were generated by income categories and weighted multinomial regression analyses were conducted to examine the association of income with health behaviors and outcomes, adjusting for age, sex, health insurance, and years in the United States.
Income was positively associated with better self-rated health, higher body mass index, moderate physical activity, having shingles vaccine, and cervical cancer screening. Income was inversely associated with perceived stress and heart disease. However, income was not significantly associated with alternative therapies, cigarette smoking, alcohol consumption, self-reported overweight/obesity, fruit and vegetable consumption, diabetes, high blood pressure, high cholesterol and screening for breast, prostate, and colon cancer.
Socioeconomic advantage was not consistently associated with positive health outcomes or desired health behaviors among AIs. We speculate that other factors, including cultural beliefs and acculturation may also impact health behaviors and health outcomes in this group. Further studies examining the influence of these variables on health behaviors and health outcomes are warranted.
开展南亚健康需求评估，以收集休斯顿地区快速增长的亚裔印度人（AI）社区的健康状况信息。许多人受过高等教育，收入水平较高，这些因素通常与更好的健康结果相关。本研究探讨了社会经济优势与亚裔印度人的健康行为和健康结果之间的关系。
我们分析了来自1416名亚裔印度人便利样本的横断面调查数据。收入分为低、中、高三个类别。按收入类别生成描述性统计数据，并进行加权多项回归分析，以检验收入与健康行为和结果之间的关联，并对年龄、性别、健康保险和在美国居住的年限进行调整。
收入与更好的自我健康评价、更高的体重指数、适度的体育活动、接种带状疱疹疫苗和宫颈癌筛查呈正相关。收入与感知压力和心脏病呈负相关。然而，收入与替代疗法、吸烟、饮酒、自我报告的超重/肥胖、水果和蔬菜消费、糖尿病、高血压、高胆固醇以及乳腺癌、前列腺癌和结肠癌筛查无显著关联。
社会经济优势与亚裔印度人的积极健康结果或理想健康行为并不始终相关。我们推测，其他因素，包括文化信仰和文化适应，也可能影响该群体的健康行为和健康结果。有必要进一步研究这些变量对健康行为和健康结果的影响。
