Awareness of Sickle Cell among People of Reproductive Age: Dominicans and African Americans in Northern Manhattan
Awareness of Sickle Cell among People of Reproductive Age: Dominicans and African Americans in Northern Manhattan
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DOI：
10.1007/s11524-011-9618-x
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发表时间：
2012-02-01
影响因子：
6.6
通讯作者：
Green, Nancy S.
中科院分区：
文献类型：
--
作者：
Siddiqui, Saira;Schunk, Kelly;Green, Nancy S.
镰状细胞病是一种慢性疾病，其特征是严重贫血、疼痛危象和器官功能障碍。在美国，镰状细胞病是一种通常与非裔美国人相关的健康负担。多米尼加人构成了纽约市最大的拉丁裔群体，并且具有第二高的镰状特征患病率-每20个新生儿中有一个，相比之下，每12个非洲裔美国人中有一个。我们旨在记录北方曼哈顿（华盛顿高地、Inwood、哈莱姆）主要是多米尼加人和非洲裔美国人社区内镰刀病的流行情况，评估和比较非洲裔美国人和多米尼加人之间关于育龄年轻人镰刀病和携带者状况的知识，并得出首选的健康信息来源。按邮政编码分析了北方曼哈顿的纽约州新生儿筛查数据。一个简短的口头调查管理208幼儿的父母-150多米尼加人和58非洲裔美国人。在对镰状细胞病的了解方面存在显着差异-接受调查的多米尼加父母中有27%正确地将镰状细胞病定义为遗传性血液疾病，而非洲裔美国人的这一比例为76%（p < 0.001）。只有7%的非裔美国人不知道自己的特质状况，而多米尼加人的这一比例为43%（p < 0.001）。如果父母或家庭成员受到镰状病的影响，他们可以更好地了解情况。两组参与者都更喜欢从医生和网上获得信息。另一组168名年龄在14至24岁之间的多米尼加青年，他们的知识水平与多米尼加父母相似。这些结果表明，在纽约市社区受镰刀条件影响的许多育龄妇女往往缺乏基本的相关信息，多米尼加人之间的信息差距更大。有必要扩大努力，向不同受影响社区的年轻人提供信息。
Sickle cell disease is a chronic condition that is characterized by severe anemia, painful crises, and organ dysfunction. In the USA, sickle cell is a health burden typically associated with African Americans. Dominicans constitute the largest Latino group in New York City (NYC) and have the second overall highest prevalence of sickle trait-one in 20 births, compared to one in 12 African American births. We aimed to document the prevalence of sickle within the largely Dominican and African American community of Northern Manhattan (Washington Heights, Inwood, Harlem), assess and compare knowledge about sickle disease and carrier status in young adults of reproductive age between African Americans and Dominicans, and elicit preferred sources of health information. NY State Newborn Screening data in Northern Manhattan were analyzed by zip code. A brief oral survey was administered to 208 parents of young children-150 Dominicans and 58 African Americans. Significant differences were seen in knowledge about sickle-27% of Dominican parents surveyed correctly defined sickle cell disease as an inherited blood disorder, compared to 76% of African Americans (p < 0.001). Only 7% of African Americans did not know their own trait status, compared to 43% of Dominicans (p < 0.001). Parents were better informed if they or family members were affected by sickle conditions. Participants from both groups prefer receiving information from doctors and online. A separate group of 168 predominantly Dominican youth, ages 14-24, demonstrated knowledge levels similar to that of Dominican parents. These results suggest that many of reproductive age in a NYC community affected by sickle conditions frequently lack basic relevant information, with larger information gaps among Dominicans. Expanded efforts are warranted to inform young adults of diverse affected communities.