Adia Alexander C, Restar Arjee J, Nazareno Jennifer, Cayanan Jennifer, Magante Kamille A, Operario Don, Ponce Ninez A
Philippine Health Initiative for Research, Service, & Training, Brown University School of Public Health, Providence, RI, USA.
San Jose State University, San Jose, CA, USA.
J Racial Ethn Health Disparities. 2022 Apr;9(2):406-412. doi: 10.1007/s40615-021-00971-3. Epub 2021 Feb 16.
Filipinxs are the second-largest Asian subgroup in the USA. While Filipinxs are most often considered Asian when constructing aggregate ethnic categories, recent research has identified a trend of a small portion of Filipinxs identifying as Latinx or multiracial. However, little research had addressed how identification with different aggregate ethnic categories may have implications for identifying health disparities among Filipinxs and how these compare to non-Hispanic whites.
Bivariate and multivariable regression analyses using 2011-2018 California Health Interview Survey data, comparing Asian Filipinxs, Latinx Filipinxs, and multiracial Filipinxs.
In bivariate analyses, Asian Filipinxs had a higher prevalence of diabetes than Latinx or multiracial Filipinxs. After controlling for sociodemographics, Latinx Filipinxs had significantly lower odds of having diabetes or heart disease than Asian Filipinxs. Compared to non-Latinx Whites, Asian Filipinxs reported higher odds of being in fair/poor health, obese or overweight, high blood pressure, and diabetes, multiracial Filipinxs reported higher odds of being obese or overweight, and Latinx Filipinxs reported lower odds of heart disease.
These findings suggest emerging differences in health linked to identification with different ethnic categories, underscoring the need to investigate nuances among Filipinxs in future research as well as highlighting the utility of emerging sociological insights in health research.
菲律宾裔是美国第二大亚裔群体。在构建总体族裔类别时,菲律宾裔通常被视为亚裔,但最近的研究发现,一小部分菲律宾裔有将自己认定为拉丁裔或多族裔的趋势。然而,很少有研究探讨与不同总体族裔类别认同如何可能影响菲律宾裔健康差异的识别,以及这些差异与非西班牙裔白人相比情况如何。
使用2011 - 2018年加利福尼亚健康访谈调查数据进行双变量和多变量回归分析,比较亚裔菲律宾裔、拉丁裔菲律宾裔和多族裔菲律宾裔。
在双变量分析中,亚裔菲律宾裔糖尿病患病率高于拉丁裔或多族裔菲律宾裔。在控制社会人口统计学因素后,拉丁裔菲律宾裔患糖尿病或心脏病的几率显著低于亚裔菲律宾裔。与非拉丁裔白人相比,亚裔菲律宾裔报告健康状况一般/较差、肥胖或超重、高血压和糖尿病的几率更高,多族裔菲律宾裔报告肥胖或超重的几率更高,而拉丁裔菲律宾裔报告患心脏病的几率更低。
这些发现表明,与不同族裔类别认同相关的健康差异正在显现,强调未来研究需要调查菲律宾裔中的细微差别,同时突出新兴社会学见解在健康研究中的作用。