亚裔美国儿童中喘异质性:加利福尼亚州健康访谈调查
Meng Chen1, Adrian Matias Bacong2, Charles Feng3
1Division of Pulmonary, Allergy & Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California; Stanford Center for Asian Health Research and Education, Stanford, California.
概括
儿童喘患病率在亚裔美国人 (AsA) 族群中显著不同,韩裔美国人患病率最低,菲律宾裔美国人患病率最高. 肥胖并没有改变这些喘患病率差异.
科学领域:
- 儿科过敏和免疫学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 亚裔美国人 (ASA) 的人口多样化和不断增长,但儿童喘负担在各族群中尚不清楚.
- 在ASA儿童中,肥胖和喘之间的关系尚不清楚.
研究的目的:
- 评估七个不同的ASA族群儿童的喘患病率.
- 调查这些ASA人群中肥胖和喘风险之间的关联.
主要方法:
- 分析加利福尼亚州健康访谈调查数据 (2011-2020年) 来自34,146名受访者.
- 计算身体质量指数z-score以确定肥胖状态.
- 多变量逻辑回归模型根据年龄和性别进行调整,以确定喘患病率和风险.
主要成果:
- 在ASA儿童中,整体一生喘患病率为12.5%,与非西班牙裔白人儿童 (12.2%) 相似.
- 在ASA群体中观察到显著的差异:韩裔美国人 (5.1%) 和菲律宾裔美国人 (21.5%).
- 肥胖状况没有改变ASA族群中喘患病率的观察差异.
结论:
- 儿童喘患病率在亚裔美国人族群中差异很大,特别是在韩裔美国人中较低,在菲律宾裔美国人中较高.
- 这些发现强调了针对不同ASD社区量身定制的喘查和预防策略的需要.
- 需要进一步研究这些群体中喘的发病因子.
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