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洛杉矶服务不足的亚裔和太平洋岛裔美国移民的常规医生就诊机会与肥胖状况。

Regular Physician Access and Obesity Status Among Underserved Asian and Pacific Islander American Immigrants in Los Angeles.

机构信息

Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.

Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Asia Pac J Public Health. 2024 Sep;36(6-7):610-618. doi: 10.1177/10105395241260970. Epub 2024 Jun 16.

Abstract

According to prior research, Asian and Pacific Islander American (APIA) immigrants often refrain from seeking health care unless necessitated by medical conditions. Utilizing data from health screenings conducted in APIA immigrant enclaves in Los Angeles, we hypothesize that poorer obesity status would predict higher rates of regular physician access. Analyses involved objectively measured percent body fat (%BF) and survey responses collected between 2011 and 2019. We assessed the association between obesity status and regular physician access, adjusting for insurance status, demographic, and socioeconomic factors. The study population (n = 4102) primarily consisted low-income, low English proficiency APIAs. Participants with a regular physician were significantly more likely to be obese compared to participants without (adjusted odds ratio [aOR] = 1.28). This association may suggest that care was sought reactively rather than proactively within this community. Interventions with emphasis on cultural competency and language services may encourage preventative care utilization among this understudied community.

摘要

根据先前的研究,亚裔和太平洋岛裔美国(APIA)移民通常避免寻求医疗保健,除非是必要的医疗条件。我们利用在洛杉矶的 APIA 移民飞地进行的健康筛查数据,假设较差的肥胖状况将预测更高的定期医生就诊率。分析涉及客观测量的体脂肪百分比(%BF)和 2011 年至 2019 年期间收集的调查回复。我们评估了肥胖状况与定期医生就诊之间的关联,同时调整了保险状况、人口统计学和社会经济因素。研究人群(n = 4102)主要由低收入、低英语水平的 APIA 组成。与没有定期就诊的参与者相比,有定期就诊的参与者更有可能肥胖(调整后的优势比[aOR] = 1.28)。这种关联可能表明,在这个社区中,护理是被动寻求的,而不是主动寻求的。强调文化能力和语言服务的干预措施可能会鼓励这个研究不足的社区利用预防性护理。

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