Perceived and actual diabetes risk in the Chinese and Hispanic/Latino communities in Portland, OR, USA.
Perceived and actual diabetes risk in the Chinese and Hispanic/Latino communities in Portland, OR, USA.
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美国俄勒冈州波特兰市华人和西班牙裔/拉丁裔社区的感知和实际糖尿病风险。
DOI：
10.1111/j.1464-5491.2010.03193.x
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Tippens,KM
中科院分区：
文献类型：
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作者：
Maty,SC;Tippens,KM
迪亚贝特。地中海医院。28,658-667(2011)摘要目的糖尿病对美国和全世界许多地方的种族和少数民族人口造成相当大的负担，往往对移民社区造成不成比例的影响。本文报告了一项基于社区的参与性研究的结果，该研究描述了糖尿病的风险和知晓率，评估了感知和实际风险(高、两个或两个以上的糖尿病风险因素；低、少于两个风险因素)之间的关系，并确定了与疾病风险相关的因素。方法横断面、自报数据来自324名中国人(n= 159)和西班牙裔/拉美裔(n= 165)成年人，年龄18-86 岁[平均(SD)年龄，45.2(17.9) 岁；50.7%女性]。分析描述了变量分布的差异。Logistic回归估计合并样本和特定种族样本的优势比和95%的可信区间。结果大约43%的参与者无论种族或年龄，都是糖尿病的高危人群。在那些没有意识到自己的风险或认为自己没有风险的人中，25%-53%的人有两个或更多的风险因素(高风险)；这些模式因种族而异。报告两个或两个以上风险因素并不知道自己的风险状况(31.8%西班牙裔/拉丁裔；17%中国人)或自认为没有风险(12.5%西班牙裔/拉美裔；13.0%中国人)的参与者比例很高。与糖尿病风险相关的因素也因种族而异。结论本研究评估了当地西班牙裔/拉丁裔和华裔社区糖尿病风险和知晓率的程度和决定因素，并确定了不同群体之间的显著差异。这一结果很重要，因为它们突显了那些错误估计或不了解自己的风险状况的人中存在巨大的糖尿病风险，而不考虑种族，而且在美国，中国移民人口通常不被认为是 2型糖尿病的高危群体。
Diabet. Med. 28, 658–667 (2011)AbstractAimsThe burden of diabetes is considerable for racial and ethnic minority populations in many places in the USA and worldwide, often disproportionately affecting immigrant communities. This paper reports findings from a community‐based participatory research study that described diabetes risk and awareness, assessed the association between perceived and actual risk (high, two or more diabetes risk factors; low, fewer than two risk factors) and identified factors associated with disease risk among Chinese and Hispanic/Latino immigrant populations in Portland, OR, USA.MethodsCross‐sectional, self‐reported data were collected from a purposive sample of 324 Chinese (n= 159) and Hispanic/Latino (n= 165) adults, aged 18–86 years [mean (SD) age, 45.2(17.9) years; 50.7% women). Analyses described differences in variable distributions. Logistic regression estimated odds ratios and 95% confidence intervals in pooled and ethnic group‐specific samples.ResultsApproximately 43% of participants were at high risk for diabetes, regardless of ethnicity or age. Of those unaware of their risk, or who perceived themselves not to be at risk, 25–53% had two or more risk factors (high risk); these patterns varied by ethnicity. The proportion of participants who reported two or more risk factors and were unaware of their risk status (31.8% Hispanic/Latino; 17% Chinese) or self‐identified as not at risk (12.5% Hispanic/Latino; 13.0% Chinese) was substantial. Factors associated with diabetes risk also varied by ethnicity.ConclusionsThis study assessed the degree and determinants of diabetes risk and awareness among local Hispanic/Latino and Chinese communities and identified significant variation between groups. The results are important because they highlight substantial diabetes risk among persons who misestimate or are unaware of their risk status, regardless of ethnicity, and, in the USA, the Chinese immigrant population commonly is not considered a high‐risk group for Type 2 diabetes.