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加利福尼亚州菲律宾裔、越南裔、华裔、日裔和韩裔成年人的健康状况、结局和服务可及性,2011-2017 年。

Health Conditions, Outcomes, and Service Access Among Filipino, Vietnamese, Chinese, Japanese, and Korean Adults in California, 2011-2017.

机构信息

Alexander C. Adia, Jennifer Nazareno, and Don Operario are with the Philippine Health Initiative for Research, Service, and Training, Brown University School of Public Health, Providence, RI. Ninez A. Ponce is with the University of California, Los Angeles Fielding School of Public Health and the University of California, Los Angeles Center for Health Policy Research.

出版信息

Am J Public Health. 2020 Apr;110(4):520-526. doi: 10.2105/AJPH.2019.305523. Epub 2020 Feb 20.

Abstract

To determine the impact of data disaggregation on the ability to identify health disparities and needs for future research for Filipino, Vietnamese, Chinese, Japanese, and Korean adults in California. Using available data from the 2011-2017 California Health Interview Survey, we conducted bivariate and multivariable analyses to assess disparities in health conditions, outcomes, and service access compared with non-Hispanic Whites for Asians as an overall group and for each individual subgroup. As an aggregate category, Asians appeared healthier than did non-Hispanic Whites on most indicators. However, every Asian subgroup had at least 1 disparity disguised by aggregation. Filipinos had the most disparities, with higher prevalence of fair or poor health, being obese or overweight, and having high blood pressure, diabetes, or asthma compared with non-Hispanic Whites ( < .05) in multivariable analyses. Failure to disaggregate health data for individual Asian subgroups disguises disparities and leads to inaccurate conclusions about needs for interventions and research.

摘要

为了确定数据细分对识别菲律宾人、越南人、中国人、日本人、韩国人在加利福尼亚成年人的健康差距和未来研究需求的能力的影响。利用 2011-2017 年加利福尼亚健康访谈调查的现有数据,我们进行了双变量和多变量分析,以评估与非西班牙裔白人相比,亚洲人作为一个整体以及每个单独的亚群在健康状况、结果和服务获取方面的差异。作为一个综合类别,亚洲人在大多数指标上比非西班牙裔白人更健康。然而,每个亚洲亚群都有至少 1 个被聚合掩盖的差距。在多变量分析中,菲律宾人比非西班牙裔白人的健康状况更差,有更多的人报告健康状况一般或较差、肥胖或超重,以及患有高血压、糖尿病或哮喘(<0.05)。未能细分亚洲人各个亚群的健康数据会掩盖差距,并导致对干预和研究需求的不准确结论。

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