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2014 年洛杉矶县亚裔人群中的前驱糖尿病、糖尿病和其他心血管疾病相关病症。

Prediabetes, diabetes, and other CVD-related conditions among Asian populations in Los Angeles County, 2014.

机构信息

a Los Angeles County Department of Health Services, Office of Planning and Data Analytics , Los Angeles , CA , USA.

b Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology , Los Angeles , CA , USA.

出版信息

Ethn Health. 2019 Oct;24(7):779-789. doi: 10.1080/13557858.2017.1373076. Epub 2017 Sep 4.

DOI:10.1080/13557858.2017.1373076
PMID:31343279
Abstract

To assess the prevalence of four common health conditions related to cardiovascular disease risk among Asians in Los Angeles County. A survey of Asians in Los Angeles County was conducted utilizing purposive sampling to recruit from the region's Service Planning Areas 3 and 4; these underserved areas contain high density of Asian populations. Descriptive and multivariable regression analyses were performed to explore and describe potential associations between self-reported diagnoses of prediabetes, diabetes, hypertension, and high cholesterol and body mass index (measured with non-Asian versus Asian cut points) by race/ethnicity (Chinese/Filipino/Korean/Taiwanese/Thai/Vietnamese). The survey response rate was nearly 60%. The analysis included 1,377 Asians, self-identified as either Chinese ( = 700), Filipino ( = 69), Korean ( = 339), Taiwanese ( = 48), Thai ( = 115), or Vietnamese ( = 106). Results showed that, in comparison to other Asians, Filipinos had the highest risks for two of the four conditions described. Other results by subgroup affirmed a similar heterogeneous pattern of Asian health locally. These and other results from the survey point to potential gaps in healthcare needs of Asians, and to opportunities where local public health efforts could help increase these populations' access to cardiovascular disease-related health and social services.

摘要

评估洛杉矶县亚裔人群中与心血管疾病风险相关的四种常见健康状况的患病率。通过目的性抽样,从该地区的服务规划区 3 和 4 招募了洛杉矶县的亚裔人群参与调查;这些服务不足的地区有高密度的亚洲人群。通过对自我报告的前驱糖尿病、糖尿病、高血压和高胆固醇的诊断与种族/族裔(中国人/菲律宾人/韩国人/台湾人/泰国人/越南人)之间的关系进行描述性和多变量回归分析(采用非亚裔和亚裔切点来衡量体重指数)。调查的回复率接近 60%。分析包括 1377 名亚裔,他们自我认定为中国人( = 700)、菲律宾人( = 69)、韩国人( = 339)、台湾人( = 48)、泰国人( = 115)或越南人( = 106)。结果表明,与其他亚洲人相比,菲律宾人患上述四种疾病中的两种的风险最高。其他按亚群分组的结果也证实了当地亚裔健康状况存在类似的异质模式。调查中的这些结果和其他结果表明,亚裔人群的医疗保健需求可能存在差距,而当地公共卫生努力可能有机会增加这些人群获得与心血管疾病相关的健康和社会服务的机会。

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