Marks G, Garcia M, Solis J M
Department of Preventive Medicine, University of Southern California, Los Angeles, USA.
Am J Public Health. 1990 Dec;80 Suppl(Suppl):20-6. doi: 10.2105/ajph.80.suppl.20.
With data from the Hispanic Health and Nutrition Examination Survey (HHANES), we examined several health risk behaviors (cigarette smoking, alcohol use, dietary practices, and recency of health screening) of Mexican American, Cuban American, and Puerto Rican adults (ages 20-74). For each sample, a greater percentage of men than women smoked cigarettes and used alcohol. Heavy smoking (20+ cigarettes per day) was most prevalent for Cuban American males, and heavy drinking (1.00+ oz ethanol per day) was most prevalent for Mexican American and Puerto Rican men. Acculturation correlated positively with alcohol use (particularly for females) and negatively with dietary balance (for Mexican American men and women). The Puerto Ricans' diet was less balanced than that of the other two groups. For each sample, more men than women had not had a routine physical or dental examination within the past five years; the recency of screening was lowest for Mexican American men. Screening (including Pap smear for the women) was lower for those who smoked cigarettes and for those with poor dietary practices, indicating that many Hispanics at special risk of disease underutilize preventive health services, increasing the likelihood of diagnosis at a later stage of illness.
利用西班牙裔健康与营养检查调查(HHANES)的数据,我们研究了墨西哥裔美国人、古巴裔美国人和波多黎各裔成年人(年龄在20 - 74岁之间)的几种健康风险行为(吸烟、饮酒、饮食习惯以及最近一次健康筛查情况)。对于每个样本,吸烟和饮酒的男性比例均高于女性。重度吸烟(每天20支及以上香烟)在古巴裔美国男性中最为普遍,而重度饮酒(每天1.00盎司及以上乙醇)在墨西哥裔美国人和波多黎各裔男性中最为普遍。文化适应与饮酒呈正相关(尤其是对女性而言),与饮食平衡呈负相关(对墨西哥裔美国男性和女性而言)。波多黎各人的饮食比其他两组的饮食更不均衡。对于每个样本,在过去五年内未进行常规身体或牙科检查的男性多于女性;墨西哥裔美国男性的筛查最近一次时间最晚。吸烟人群和饮食习惯不良人群的筛查(包括女性的巴氏涂片检查)率较低,这表明许多处于疾病特殊风险中的西班牙裔人群未充分利用预防性健康服务,从而增加了疾病在后期被诊断出来的可能性。