根据加拿大人的民族种族身份,慢性疾病患病率的差异:对具有全国代表性的自我报告数据的分析
1Department of Epidemiology and Biostatistics, Western University, London, Canada.
Ethnicity & health
|June 5, 2025
概括
与白人男性相比,加拿大的明显少数民族男性患高胆固醇,II型糖尿病和高血压的几率增加,但患关节炎和癌症的几率降低. 原住民报告说,总体上慢性疾病的患病率更高.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生社会学 卫生社会学
背景情况:
- 慢性疾病是加拿大安大略省的主要死亡原因.
- 有限的研究存在于加拿大的可见少数群体中慢性疾病的患病率.
- 民族种族身份在健康差异中发挥着作用.
研究的目的:
- 检查加拿大明显少数群体地位与慢性疾病患病率之间的关系.
- 分析与慢性疾病相关的自我认同的民族种族身份.
- 为了确定不同民族种族群体内特定的慢性疾病风险.
主要方法:
- 利用了2017/18年加拿大社区健康调查的数据 (n=113,290).
- 分析了自我报告的慢性疾病,以及因身高和体重而导致的肥胖.
- 采用后勤回归来计算几率比率 (OR) 和95%置信区间 (CI),按性别分层.
主要成果:
- 与白人男性相比,可见少数民族男性患高胆固醇,II型糖尿病和高血压的几率更高,但关节炎和癌症的几率较低.
- 菲律宾男性患高血压的几率最高 (OR:2.36),南亚男性患癌症的几率最低 (OR:0.09).
- 原住民男性和女性始终报告大多数慢性疾病的几率更高.
结论:
- 特定的民族种族群体表现出某些慢性疾病的几率有所增加.
- 医疗保健提供者,公共卫生官员和政策制定者必须在慢性疾病管理中考虑种族认同.
- 具有文化能力的护理和有针对性的干预措施对于解决这些健康复杂性至关重要.
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