| 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 |
Related Documents
:
|
18179687 - The burden of multiple sclerosis: a community health survey. 19723897 - What factors influence the health status of patients with rheumatoid arthritis measured... 16881947 - Impact of health literacy on socioeconomic and racial differences in health in an elder... 18467067 - Social support as a predictor of perceived health status in patients with multiple scle... 9357577 - Capturing clinical reports in a large academic medical center: feeding a central patien... 10311097 - Co-ordinating prevention. |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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 |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Defensive medicine, cost containment, and reform.
Next Document: Outcomes, satiety, and adverse upper gastrointestinal symptoms following laparoscopic adjustable gas...