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Disparities in health, obesity and access to care among an insured population of Asian and Pacific Islander Americans in Hawai'i.
Juarez, Deborah Taira; Samoa, Raynald A; Chung, Richard S; Seto, Todd B.
Afiliação
  • Juarez DT; Hawai'i Medical Service Association, Honolulu, USA. dtjuarez@hawaii.edu
Hawaii Med J ; 69(2): 42-6, 2010 Feb.
Article em En | MEDLINE | ID: mdl-20358726
ABSTRACT

OBJECTIVE:

To examine differences in health status, obesity and access among Asian and Pacific Islander Americans in Hawai'i using data from a 2007 health plan survey, including Caucasians, Puerto Ricans, American Indian and Alaska Natives, Chinese, Filipinos, Japanese, Koreans, Native Hawai'ians, Samoans, and Other Pacific Islanders.

METHODS:

Data were collected through a stratified random sample of adult members of a health plan in Hawai'i (n = 119,563) who saw a physician in the past 12 months. Multivariable logistic and ordinary least squares regression analyses were used to examine racial/ethnic differences in health status, access, and obesity and the impact of obesity and access on health status, after controlling for age, gender, and education.

RESULTS:

The highest obesity rates were found among Samoans (50%), Puerto Ricans (37%), Native Hawai'ians (36%), and Other Pacific Islanders (35%). Puerto Ricans and Samoans reported the highestnumber of poor physical health days (5.4). Samoans reported the highest number of poor mental health days (4.4). Obesity had a stronger impact than access on self-reported health status.

CONCLUSION:

Samoans had the highest rate of obesity, low health ratings, and a high number of days of poor health. Targeted interventions may be needed for this group.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Asiático / Havaiano Nativo ou Outro Ilhéu do Pacífico / Disparidades em Assistência à Saúde / Acessibilidade aos Serviços de Saúde / Obesidade Tipo de estudo: Prevalence_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2010 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Asiático / Havaiano Nativo ou Outro Ilhéu do Pacífico / Disparidades em Assistência à Saúde / Acessibilidade aos Serviços de Saúde / Obesidade Tipo de estudo: Prevalence_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2010 Tipo de documento: Article