Health Care Practices of the Foreign Born Asian Indians in the United States. A Community Based Survey
Health Care Practices of the Foreign Born Asian Indians in the United States. A Community Based Survey
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DOI：
10.1007/s10900-011-9449-4
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发表时间：
2012-04-01
影响因子：
5.9
通讯作者：
Petrova, Anna
中科院分区：
文献类型：
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作者：
Mehrotra, Naveen;Gaur, Sunanda;Petrova, Anna
虽然成功利用医疗和预防保健的非美国出生的社区的成员是一个重要的公共卫生问题，我们的知识，不同的种族亚组的健康实践是有限的。在本研究中，参加在南亚文化和宗教活动期间组织的健康博览会的参与者被要求匿名完成南亚全面健康倡议（SATHI）健康调查问卷，以评估他们的健康相关的做法，自我健康的看法，和医疗服务的满意度。在接受调查的1,250人中，有1,016名外国出生的亚洲印度成年人被纳入分析，他们是美国南亚出生国民中增长最快的亚组。我们发现，大多数人报告了健康的行为（锻炼活动和戒酒或戒烟），高自我健康感知，对医疗保健的满意度，以及对年度例行体检的依从性，这些都与家庭年收入直接相关。大约40%的妇女遵守乳腺癌和宫颈癌筛查，不到20%的男子遵守前列腺癌筛查指南。大约一半的参与者报告的慢性疾病（主要是心血管疾病和/或糖尿病）的存在对他们的自我健康感知产生了负面影响。总之，积极的自我报告的健康观念和遵守定期健康检查的外国出生的亚裔印度人的调查报告沿着慢性病发病率的增加和具体的预防服务的利用不足。观察到的自我健康感知和健康状况之间的差异，强调需要加强利用预防服务之间的非美国出生的亚裔印度社区。
Although successful utilization of medical and preventive care by members of the non-US born communities is an important public health concern, our knowledge regarding health practices of different ethnic subgroups is limited. In the present study, participants of the health fairs organized during South Asian cultural and religions events were asked anonymously to complete the South Asian Total Health Initiative (SATHI) health survey questionnaire to evaluate their health-related practices, self-health perception, and satisfaction with medical care. Among 1,250 surveyed, 1,016 foreign born Asian Indians adults that represented the fastest growing subgroups of the South Asian born nationals in the US were included in the analysis. We found that the majority reported healthy behavior (exercise activities and abstinence from alcohol or tobacco), high self-health perception, satisfaction with medical care, and compliance with annual routine medical examinations that was directly associated with the annual house income. Approximately 40% of women complied with breast and cervical cancer screenings and less than 20% of men complied with prostate cancer screening guidelines. Presence of chronic conditions (mostly cardiovascular pathology and/or diabetes) that were reported by approximately half of the participants negatively impacted their self-health perception. In conclusion, positive self-reported health perception and compliance with routine health examinations of the surveyed foreign born Asian Indians was reported along with an increased rate of chronic morbidity and underutilization of specific preventive services. Observed discrepancy between self-health perception and health status highlights the need to enhance utilization of preventive services among the non-US born Asian Indian community.