Disparities in health, obesity and access to care among an insured population of Asian and Pacific Islander Americans in Hawai'i.
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Asiático
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Havaiano Nativo ou Outro Ilhéu do Pacífico
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Disparidades em Assistência à Saúde
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Acessibilidade aos Serviços de Saúde
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Obesidade
Tipo de estudo:
Prevalence_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article