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在洛杉矶的亚洲和太平洋岛屿美国移民中,定期访问医生和肥胖状况
Hong-Ho Yang1, Suraj A Dhanjani2, Won Jong Chwa3
1Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Asia-Pacific journal of public health
|June 17, 2024
概括
肥胖的亚洲和太平洋岛屿美国人 (APIA) 移民更有可能定期去看医生,这表明他们寻求的是反应性的,而不是主动性的医疗保健. 需要具有文化能力的干预措施来鼓励预防性护理.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 移民健康 移民健康
背景情况:
- 亚洲和太平洋岛屿美国人 (APIA) 移民往往会推迟医疗保健,直到医疗需要.
- 了解APIA社区的医疗保健获取模式对于有针对性的干预至关重要.
研究的目的:
- 调查APIA移民中肥胖状况和定期医生接入之间的关联.
- 确定健康状况较差是否预测该人口中寻求定期医疗护理的比例较高.
主要方法:
- 利用了洛杉矶APIA移民飞地卫生查 (2011-2019) 的数据.
- 包括客观测量的身体脂肪百分比 (%BF) 和来自4102名参与者的调查答案.
- 进行了考虑到保险,人口统计和社会经济因素的调整分析.
主要成果:
- 与常规医生的参与者显著更有可能肥胖 (调整后的几率比率[aOR]=1.28).
- 研究人口包括低收入的APIA移民,英语水平有限.
结论:
- 肥胖可能与APIA移民社区的反应性而不是主动性医疗保健利用有关.
- 建议采取文化上有能力和语言上适当的干预措施,以促进预防性护理的获得.
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