Kang Yejin, Kang SuJin, Gibson Derrick, Rodriguez Ana M, Prochaska John, Kaul Sapna
School of Public and Population Health, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555, USA.
Institute of Health and Environment, Graduate School of Public Health, Seoul National University, Building 221, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Republic of Korea.
Prev Med. 2023 Oct;175:107670. doi: 10.1016/j.ypmed.2023.107670. Epub 2023 Aug 14.
Despite the favorable health impacts of preventive services use, young adults remain at a higher risk of not using these services compared with older adults. This study seeks to identify barriers to receiving recommended preventive services among Asian young adults compared to other racial/ethnic young adults. Using 2016-2018 National Health Interview Survey data, this study examined barriers to recommended preventive services among non-Hispanic (NH) Asian young adults aged 18-39 years compared with other racial/ethnic groups in the United States (Total = 25,430; NH Asians = 6.3%). General prevention included fasting blood sugar, cholesterol, blood pressure, and Human Immunodeficiency Virus checkups. We documented information on vaccinations for influenza, pneumonia, tetanus, hepatitis A/B, and female-specific preventive care measures. NH Asian young adults reported blood pressure checkups less often than NH Whites (72.88% vs. 79.92%, p < 0.001). NH Asian young adults were also less likely to report HIV testing than all other racial/ethnic groups (p < 0.001). After controlling for covariates, NH Whites (odds ratio [OR] = 2.00, 95% confidence interval [CI] = 1.60, 2.50), NH Blacks (OR = 1.55, 95% CI = 1.18, 2.02), and other races (OR = 2.40, 95% CI = 1.60, 3.58) were more likely to receive any preventive services than NH Asians. Among those receiving any preventive services, there were no differences between NH Asians and all other racial/ethnic groups in whether they reported receiving relatively more preventive services. Our findings demonstrate that the rates of certain recommended preventive services use were lower among NH Asian young adults. Targeted public health strategies are needed to increase the use of preventive healthcare for racial/ethnic minority young adults.
尽管使用预防性服务对健康有积极影响，但与老年人相比，年轻人不使用这些服务的风险仍然更高。本研究旨在确定与其他种族/族裔的年轻人相比，亚洲年轻人接受推荐预防性服务的障碍。利用2016 - 2018年全国健康访谈调查数据，本研究调查了18 - 39岁非西班牙裔（NH）亚洲年轻人与美国其他种族/族裔群体相比接受推荐预防性服务的障碍（总数 = 25430；NH亚洲人 = 6.3%）。一般预防包括空腹血糖、胆固醇、血压和人类免疫缺陷病毒检查。我们记录了流感、肺炎、破伤风、甲型/乙型肝炎疫苗接种以及女性特定预防保健措施的信息。NH亚洲年轻人报告进行血压检查的频率低于NH白人（72.88%对79.92%，p < 0.001）。NH亚洲年轻人报告进行艾滋病毒检测的可能性也低于所有其他种族/族裔群体（p < 0.001）。在控制协变量后，NH白人（优势比[OR] = 2.00，95%置信区间[CI] = 1.60，2.50）、NH黑人（OR = 1.55，95% CI = 1.18，2.02）和其他种族（OR = 2.40，95% CI = 1.60，3.58）比NH亚洲人更有可能接受任何预防性服务。在接受任何预防性服务的人群中，NH亚洲人与所有其他种族/族裔群体在是否报告接受了相对更多的预防性服务方面没有差异。我们的研究结果表明，NH亚洲年轻人中某些推荐预防性服务的使用率较低。需要有针对性的公共卫生策略来增加种族/族裔少数群体年轻人对预防性医疗保健的使用。
