原住民夏威夷人和太平洋岛民的呼吸系统疾病的种族差异:分析两个社区样本中的调解过程
Thomas A Wills1, Joseph Keawe'aimoku Kaholokula2, Pallav Pokhrel1
1Cancer Prevention in the Pacific Program, University of Hawaii Cancer Center, Honolulu, Hawaii, United States of America.
PloS one
|August 25, 2023
概括
原住民夏威夷人和太平洋岛民的种族与更高的呼吸道疾病风险有关,原因是暴露于五个关键风险因素的增加. 这些发现突出了导致健康差异的社会生态因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 在夏威夷原住民中观察到喘和慢性阻塞性肺部疾病 (COPD) 患病率升高.
- 这种健康差异的根本原因尚未完全理解.
研究的目的:
- 调查夏威夷原住民,太平洋岛民和菲律宾人的种族和呼吸系统疾病结果之间的关系.
- 确定特定的风险因素如何调解喘和COPD的种族差异.
主要方法:
- 对2016年和2018年夏威夷行为风险因素监测调查 (BRFSS) 数据的分析.
- 利用结构方程建模来评估五种风险因素 (吸烟,电子烟使用,二手烟,肥胖,财务压力) 和它们的调解效应.
- 包括年龄,性别和教育作为共同变量.
主要成果:
- 原住民夏威夷族裔与研究的五个风险因素的较高水平有关.
- 每一个危险因素都与喘和COPD的可能性增加有显著的关系.
- 对夏威夷原住民,太平洋岛民和菲律宾人来说,调解效应是显著的,调查结果在调查年中得到重复.
结论:
- 对五种风险因素的更大暴露部分解释了夏威夷原住民和太平洋岛民呼吸系统疾病的种族差异.
- 这些发现支持一种社会生态模型,以了解这些人群中的健康差异.
- 结果对制定有针对性的预防干预措施有影响.
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