The Health of Arab Americans in the United States: An Updated Comprehensive Literature Review.

The Health of Arab Americans in the United States: An Updated Comprehensive Literature Review.
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DOI:
10.3389/fpubh.2018.00262
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发表时间:
2018
影响因子:
5.2
通讯作者:
Galea S
Galea S
中科院分区:
医学3区
文献类型:
--
作者:
Abuelezam NN;El-Sayed AM;Galea S

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背景:阿拉伯裔美国人是美国历史上被忽视的少数群体,他们的健康需求和风险一直没有得到很好的记录。我们的目标是对有关阿拉伯裔美国人身心健康的文献进行最新的全面回顾,并为这一领域的未来工作提供建议。方法:对2017年前发表的英文医学和公共卫生文献进行全面审查,通过多个数据库搜索来检索描述阿拉伯裔美国人以及健康结果和行为的搜索词。这些文献按健康行为(疫苗接种、烟草使用、药物和酒精使用以及体力活动)、健康结果(糖尿病、精神健康、心血管疾病、癌症、妇女和儿童健康)以及健康结果不良风险增加的人群(青少年和老年人)进行定性总结。结果:自2009年以来,随着对这一人群进行的纵向和干预性研究的数量增加,大多数已确定的探索阿拉伯裔美国人健康的研究已经发表。大多数研究是在居住在族裔飞地的个人中进行的,因为缺乏可能有助于从基于人口的研究中识别阿拉伯裔美国人的族裔或种族识别符。研究强调了基于研究样本的糖尿病和心血管疾病患病率的相互矛盾的证据,对癌症发病率和识别障碍的更多了解,以及对人群中心理健康和性健康需求的更高水平的了解。随着人们对体育活动、酒精和药物使用以及疫苗接种有了更好的了解,有关健康行为的信息也有所增加。结论:鉴于美国目前的社会和政治气候,特别是在文化适应地位和移民一代地位方面,需要对阿拉伯裔美国人的健康进行更多的研究,以确定这一边缘化群体的风险和需求。我们提供了一些建议,这些方法可能有助于提高我们对阿拉伯裔美国人健康的理解。
Background: Arab Americans are a historically understudied minority group in the United States and their health needs and risks have been poorly documented. We aim to provide an updated comprehensive review of the literature on Arab American physical and mental health and provide suggestions for future work in this field. Methods: A comprehensive review of the English language medical and public health literature published prior to 2017 identified through multiple database searches was conducted with search terms describing Arab Americans and health outcomes and behaviors. The literature was qualitatively summarized by health behavior (vaccination, tobacco use, drug and alcohol use, and physical activity), health outcome (diabetes, mental health, cardiovascular disease, cancer, women's, and child health), and populations at increased risk of poor health outcomes (adolescents and the elderly). Results: The majority of studies identified exploring Arab American health have been published since 2009 with an increase in the number of longitudinal and intervention studies done with this population. The majority of research is being undertaken among individuals living in ethnic enclaves due to the lack of an ethnic or racial identifier that may help identify Arab Americans from population-based studies. Studies highlight the conflicting evidence in the prevalence of diabetes and cardiovascular disease based on study sample, an increased understanding of cancer incidence and barriers to identification, and an increased level of knowledge regarding mental health and sexual health needs in the population. Information on health behaviors has also increased, with a better understanding of physical activity, alcohol and drug use, and vaccination. Conclusion: More research on Arab American health is needed to identify risks and needs of this marginalized population given the current social and political climate in the United States, especially with regard to acculturation status and immigrant generation status. We provide recommendations on approaches that may help improve our understanding of Arab American health.
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