Advancing Health Disparities Research: The Need to Include Asian American Subgroup Populations.
Advancing Health Disparities Research: The Need to Include Asian American Subgroup Populations.
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DOI：
10.1007/s40615-021-01164-8
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发表时间：
2022-12
影响因子：
3.9
通讯作者：
Lor M
中科院分区：
文献类型：
--
作者：
Yom S;Lor M
尽管认识到亚裔美国人亚组的健康结果是异质性的，但研究主要集中在六个最大的亚组。对较小的亚组及其健康结果的了解有限。该范围审查确定了健康结局的趋势，揭示了研究不足的趋势，并提供了关于24个亚裔美国人亚组数据收集的建议。我们在6个数据库（Embase、PubMed、Web of Sciences、CINAHL、PsychINFO、Academic Search Complete）和Google Scholar中对1991年至2018年期间发表的经同行评审的英语主要来源文章进行了文献检索，得到了3844篇文章。删除重复研究后，我们独立筛选了3413项研究，以确定它们是否符合纳入标准。76项研究被确定纳入本综述。提取研究特征、内容和结果的数据。76项研究符合纳入标准。最具代表性的亚组为中国人（n = 74）、日本人（n = 60）和菲律宾人（n = 60），而印度尼西亚人（n = 1）、马来西亚人（n = 1）和缅甸人（n = 1）仅纳入了1项或2项研究。2010年美国人口普查中列出的几个亚裔美国人亚组在任何研究中都没有代表。总体而言，研究最多的健康状况是癌症（n = 29），糖尿病（n = 13），母婴健康（n = 10）和心血管疾病（n = 9）。研究表明，不同分组的健康结果差异很大。需要开展更多的研究，重点关注规模较小的亚组人口，以获得准确的结果，并解决所有群体的健康差异。
Despite recognition that the health outcomes of Asian American subgroups are heterogeneous, research has mainly focused on the six largest subgroups. There is limited knowledge of smaller subgroups and their health outcomes. This scoping review identifies trends in the health outcomes, reveals those which are under-researched, and provide recommendations on data collection with 24 Asian American subgroups. Our literature search of peer-reviewed English language primary source articles published between 1991 and 2018 was conducted across six databases (Embase, PubMed, Web of Sciences, CINAHL, PsychINFO, Academic Search Complete) and Google Scholar, yielding 3844 articles. After duplicate removal, we independently screened 3413 studies to determine whether they met inclusion criteria. Seventy-six studies were identified for inclusion in this review. Data were extracted on study characteristics, content, and findings. Seventy-six studies met the inclusion criteria. The most represented subgroups were Chinese (n = 74), Japanese (n = 60), and Filipino (n = 60), while Indonesian (n = 1), Malaysian (n = 1), and Burmese (n = 1) were included in only one or two studies. Several Asian American subgroups listed in the 2010 U.S. Census were not represented in any of the studies. Overall, the most studied health conditions were cancer (n = 29), diabetes (n = 13), maternal and infant health (n = 10), and cardiovascular disease (n = 9). Studies showed that health outcomes varied greatly across subgroups. More research is required to focus on smaller-sized subgroup populations to obtain accurate results and address health disparities for all groups.
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