Immigration and acculturation in relation to health and health-related risk factors among specific Asian subgroups in a health maintenance organization

Immigration and acculturation in relation to health and health-related risk factors among specific Asian subgroups in a health maintenance organization
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DOI:
10.2105/ajph.94.11.1977
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发表时间:
2004-11-01
影响因子:
12.7
通讯作者:
Sidney, S
Sidney, S
中科院分区:
医学2区
文献类型:
--
作者:
Gomez, SL;Kelsey, JL;Sidney, S

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目标。我们试图确定亚洲亚群之间疾病的危险因素有何不同。方法。使用北加州凯撒医疗中心(1996 年至 2001 年)进行的病例对照研究的数据,我们比较了亚洲亚组中选定危险因素的患病率,并评估了这些危险因素与社会人口因素的关联。结果。中国和日本患者的体重指数(kg/m(2))低于其他亚洲人。在所有亚组中,出生在美国都与体重指数大于 25 kg/m(2) 相关。与其他亚洲人相比,更多的日本人和多种族亚洲人吸烟,更多的菲律宾人和多种族亚洲吸烟者在 18 岁或更年轻时开始吸烟。菲律宾人和多种族亚洲人也更有可能报告糖尿病。结论。这些数据支持了在公共卫生实践和研究中区分亚洲亚群体的重要性。
Objectives. We sought to determine how risk factors for disease vary among Asian subgroups.Methods. Using data from a case-control study conducted at Northern California Kaiser Medical Centers (from 1996 to 2001), we compared prevalence of selected risk factors among Asian subgroups and evaluated the associations of these risk factors with sociodemographic factors.Results. Chinese and Japanese patients had a lower body mass index (kg/m(2)) than did other Asians. In all subgroups, being born in the United States was associated with having a body mass index greater than 25 kg/m(2). Compared with other Asians, more Japanese and multiple-race Asians smoked, and more Filipino and multiple-race Asian smokers started smoking at 18 years or younger. Filipinos and multiple-race Asians also were more likely to report diabetes.Conclusions. These data support the importance of efforts to distinguish among Asian subgroups in public health practice and research.