洛杉矶未得到医疗服务的亚太裔美国移民的定期就医和肥胖状况。

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Asia-Pacific Journal of Public Health Pub Date : 2024-09-01 Epub Date: 2024-06-16 DOI:10.1177/10105395241260970
Hong-Ho Yang, Suraj A Dhanjani, Won Jong Chwa, Christine R Wells, Jeffrey Do Huynh, Linh N Vo, Heather N Chou, Burton Cowgill
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引用次数: 0

摘要

根据先前的研究,除非病情需要,美国亚太裔移民通常不寻求医疗保健服务。利用在洛杉矶亚太裔移民飞地进行的健康筛查数据,我们假设肥胖状况较差的人定期就医的比例较高。分析涉及 2011 年至 2019 年间收集的客观测量体脂百分比(%BF)和调查回复。我们评估了肥胖状况与定期就医之间的关联,并对保险状况、人口和社会经济因素进行了调整。研究人群(n = 4102)主要由低收入、英语水平低的亚太裔美国人组成。与没有固定医生的参与者相比,有固定医生的参与者更容易肥胖(调整后的几率比 [aOR] = 1.28,95% 置信区间 [CI] = [1.03, 1.58],P = .02)。这种关联可能表明,在这个社区中,人们是被动地寻求医疗服务,而不是主动地寻求医疗服务。强调文化能力和语言服务的干预措施可能会鼓励这一研究不足的社区利用预防性保健。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Regular Physician Access and Obesity Status Among Underserved Asian and Pacific Islander American Immigrants in Los Angeles.

According to prior research, Asian and Pacific Islander American (APIA) immigrants often refrain from seeking health care unless necessitated by medical conditions. Utilizing data from health screenings conducted in APIA immigrant enclaves in Los Angeles, we hypothesize that poorer obesity status would predict higher rates of regular physician access. Analyses involved objectively measured percent body fat (%BF) and survey responses collected between 2011 and 2019. We assessed the association between obesity status and regular physician access, adjusting for insurance status, demographic, and socioeconomic factors. The study population (n = 4102) primarily consisted low-income, low English proficiency APIAs. Participants with a regular physician were significantly more likely to be obese compared to participants without (adjusted odds ratio [aOR] = 1.28). This association may suggest that care was sought reactively rather than proactively within this community. Interventions with emphasis on cultural competency and language services may encourage preventative care utilization among this understudied community.

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来源期刊
Asia-Pacific Journal of Public Health
Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.30
自引率
4.00%
发文量
147
审稿时长
6 months
期刊介绍: Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.
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