Document Detail


Health risks, chronic diseases, and access to care among US Pacific Islanders.
MedLine Citation:
PMID:  20143177     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Because Pacific Islanders and Asian Americans have often been aggregated in federal health surveys, we assessed whether they differ substantially in important health measures.
DESIGN: Retrospective analyses of the 2005-2007 Behavioral Risk Factor Surveillance System (BRFSS) surveys.
PARTICIPANTS: A total of 2,609 Pacific Islanders, 17,892 Asians, and 894,289 whites over age 18.
MEASUREMENTS: We compared self-reported health risk factors (smoking, BMI > or = 25 kg/m(2), alcohol intake, physical activity, fruit/vegetable intake), chronic diseases (diabetes, hypertension, coronary heart disease, asthma, hypercholesterolemia, arthritis, fair or poor health status), and access to care (insurance status, cost barriers, and regular physician) for Pacific Islanders relative to Asian Americans and whites. Logistic regression was used to adjust for sociodemographic factors.
RESULTS: Pacific Islanders were more likely than Asian Americans to report an elevated body-mass index (adjusted odds ratio 2.26; 95% confidence interval 1.80, 2.84), current smoking (2.15; 1.57, 2.93), and high alcohol intake (3.14; 1.60, 6.18), but also more likely to report adequate physical activity (1.62; 1.23, 2.14). Pacific Islanders reported higher adjusted rates of hypertension (1.50; 1.06, 2.13), diabetes (1.82; 1.25, 2.63), asthma (2.32; 1.65, 3.25), and arthritis (1.68; 1.20, 2.35). Pacific Islanders also more frequently reported having fair or poor health (1.46; 1.05, 2.04). Most differences in self-reported health status and chronic disease outcomes were mediated by higher rates of overweight and obesity, but not higher rates of smoking, among Pacific Islanders. Differences in smoking, hypertension, and diabetes were more pronounced among Pacific Islander women than men. Relative to whites, Pacific Islanders were more likely to report a diagnosis of diabetes (1.56; 1.13, 2.14) and less likely to report arthritis (0.61; 0.46, 0.82). All other outcomes measures were statistically similar for whites and Pacific Islanders.
CONCLUSION: Health surveys and policies should distinguish between Pacific Islanders and Asian Americans given the significantly higher rates of health risks and chronic diseases among Pacific Islanders.
Authors:
Asaf Bitton; Alan M Zaslavsky; John Z Ayanian
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.     Date:  2010-02-09
Journal Detail:
Title:  Journal of general internal medicine     Volume:  25     ISSN:  1525-1497     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-15     Completed Date:  2010-11-30     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  435-40     Citation Subset:  IM    
Affiliation:
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115-5899, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Asian Americans / ethnology
Chronic Disease
Cohort Studies
European Continental Ancestry Group / ethnology
Female
Health Services Accessibility* / statistics & numerical data
Health Status*
Health Surveys
Humans
Male
Middle Aged
Oceanic Ancestry Group / ethnology*
Retrospective Studies
Risk Factors
United States / ethnology
Young Adult
Grant Support
ID/Acronym/Agency:
1 UL1 RR 025758-01/RR/NCRR NIH HHS; T32HP10251//PHS HHS; UL1 RR025758/RR/NCRR NIH HHS; UL1 RR025758-01/RR/NCRR NIH HHS
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