OBJECTIVES:The study objectives were to estimate the prevalence of chronic diseases and other health indicators for Hispanics in Missouri, and to compare their prevalence estimates with other racial/ethnic groups. DESIGN / SETTING / PARTICIPANTS: This study, conducted in public health and academic settings, used combined data from the 2002 and 2003 Missouri Behavioral Risk Factor Surveillance System and the 2003 Missouri County-Level Study. Data were post-stratified with Hispanic ethnicity as a separate group. MAIN OUTCOME MEASURES:Twenty health indicators were compared. Logistic regression was used to control for sociodemographic characteristics. RESULTS:Overall, 21.7% (95% confidence interval [CI] 13.4-30.0) of Hispanics, 19.8% (95% CI 14.4-25.2%) of non-Hispanic Blacks, and 12.2% (95% CI 11.2-13.1%) of non-Hispanic Whites had no insurance coverage. Hispanics were significantly less likely to report poor or fair health (12.1%, 95% CI 7.5-16.7%) than non-Hispanic Blacks (21.6%, 95% CI 17.2-26.0%), and less likely to report activity limitation (12.9%, 95% CI 8.0-17.9%) than non-Hispanic Whites (20.2%, 95% CI 19.1-21.2%). Controlling for sociodemographic characteristics, Hispanics had greater physician-diagnosed diabetes (OR = 2.0, 95% CI 1.0-3.3%) and Hispanics aged > or = 50 were less likely to have no sigmoidoscopy or colonoscopy in the past five years (OR = 0.5, 95% CI 0.2-1.0%) compared to non-Hispanic Whites. CONCLUSIONS:Other than lower healthcare coverage and diabetes status, the health indicators for English-speaking Hispanics were similar to, or better than, non-Hispanic Blacks and Whites. However, these data may not represent all Hispanics in Missouri since health status between English-speaking and non-English speaking Hispanics may differ significantly.

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目的:本研究的目的是估计密苏里州西班牙裔人的慢性病和其他健康指标的患病率,并将其与其他种族/族裔人群的患病率进行比较。设计/地点/参与者:本研究在公共卫生和学术环境中进行,使用了2002年和2003年密苏里州行为危险因素监视系统以及2003年密苏里州县级研究的组合数据。将数据与西班牙裔种族作为一个单独的组进行了分层。
主要观察指标:比较二十项健康指标。 Logistic回归用于控制社会人口统计学特征。
结果:总体而言,西班牙裔占21.7%(95%置信区间[CI] 13.4-30.0),非西班牙裔黑人占19.8%(95%CI 14.4-25.2%),以及12.2%(95%CI 11.2-13.1%)的非西班牙裔白人没有保险。与非西班牙裔黑人(21.6%,95%CI 17.2-26.0%)相比,西班牙裔人报告健康状况差或基本健康的可能性(12.1%,95%CI 7.5-16.7%)显着更少,并且报告活动受限的可能性也较小(12.9 %,95%CI为8.0-17.9%)比非西班牙裔白人(20.2%,95%CI为19.1-21.2%)。控制社会人口统计学特征,西班牙裔患者经医生诊断为糖尿病(OR = 2.0,95%CI 1.0-3.3%),并且过去五年内≥50岁的西班牙裔患者更不可能接受乙状结肠镜或结肠镜检查(OR = 0.5) (95%CI 0.2-1.0%),而非西班牙裔白人。
结论:除了降低医疗保健覆盖率和糖尿病状况外,讲英语的西班牙裔美国人的健康指标与非西班牙裔黑人和白人相似或更好。但是,这些数据可能并不代表密苏里州的所有西班牙裔,因为讲英语和不讲英语的西班牙裔之间的健康状况可能存在很大差异。

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