在分类的亚裔美国人亚组中,对门诊皮肤病治疗利用率的特征差异
Kanika Kamal1,2, Priya Manjaly1,3, Sophia Ly1
1Department of Dermatology, Brigham and Women's Hospital, PBB-B 421, 75 Francis Street, Boston, MA, 02115, USA.
Archives of dermatological research
|March 1, 2024
概括
亚裔美国人,尽管皮肤疾病的发病率较高,但皮肤病护理的使用不足. 与非西班牙裔白人相比,美国印第安人一生中全身皮肤检查的患病率最低,这表明存在很大的差异.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 亚裔美国人比白人患者患上亚洲性皮肤炎,牛皮和色素系疾病的比例更高.
- 研究表明,亚裔美国人在门诊皮肤病诊所的代表性不足.
- 在不同的亚裔美国人亚组中,皮肤病护理获取和利用的差异仍然存在.
研究的目的:
- 评估与非西班牙裔白人相比,亚裔美国人主要亚裔美国人 (中国人,菲律宾人,印度人,其他) 亚裔美国人亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚洲亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚洲亚裔亚裔亚裔亚裔亚裔亚洲亚裔亚裔亚裔亚裔亚裔亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲亚洲
- 在这些人口群体中分析全身皮肤检查的终身患病率.
- 确定可能导致皮肤病护理获得的差异的潜在因素.
主要方法:
- 利用了来自国家健康访谈调查 (NHIS) 的数据.
- 对中国人,菲律宾人,印度人和"其他"亚裔美国人的分类分析.
- 采用多变量后勤回归来比较亚裔美国人亚组和非西班牙裔白人之间的门诊皮肤病护理使用情况.
主要成果:
- 全身皮肤检查的终身流行率为菲律宾裔美国人的12.3%,美国印第安人的7%,而非西班牙裔白人为21.4%.
- 与非西班牙裔白人相比,所有分析的亚裔美国人子组显示,与非西班牙裔白人相比,总体皮肤检查的几率明显较低.
- 美国印第安人接受全身皮肤检查的几率最低.
结论:
- 在亚裔美国人亚组,特别是美国印第安人中,门诊皮肤病治疗利用率存在显著差异.
- 诸如文化认知,入境障碍和移民身份等因素可能导致这些差异.
- 使用分类数据进行进一步的研究对于理解和解决这些医疗保健差距至关重要.
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