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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Neighborhood social cohesion and disease prevention in Asian immigrant populations
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Neighborhood social cohesion and disease prevention in Asian immigrant populations

机译：亚洲移民人群的邻里社会凝聚力和疾病预防

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In the United States (US), chronic disease risk factors are highly prevalent among Asian immigrant communities, who also exhibit low health screening rates. Perceived neighborhood social cohesion (NSC) has been associated with preventive healthcare use in the general US population, although it remains unexplored among Asian Americans (AAs). The aim of this study is to evaluate the association between NSC and preventive screening for hypertension, high cholesterol, diabetes, and depression among East, South and Southeast Asian American (EAA, SAA, SEAA) communities in New York City (NYC) using cross-sectional, locally collected data from 2013 to 2016. NSC was assessed using a 4-question scale to create an additive score between 4 and 16 and was analyzed both as a continuous and categorial variable (High, Medium, and Low tertiles). Recent screening was defined as a checkup within the last year for each of the included health conditions. A one-unit increase in NSC score was associated with increased odds of recent screening for high cholesterol in EAAs (AOR = 1.09, 95%CI:1.00-1.20); for high cholesterol, diabetes, and depression in SAAs (AOR = 1.08, 95%CI:1.00-1.20; AOR = 1.07, 95% CI:1.00-1.15; AOR = 1.15, 95%CI:1.06-1.25); and with high cholesterol among SEAAs (AOR = 1.12, 95% CI:1.00-1.25). Overall, NSC was an important facilitator for preventive screening behaviors for specific conditions in different groups, though was consistently associated with screening for high cholesterol in our sample. Enhancing NSC through family and community-based programming may be one strategy to encourage screening for preventive behaviors, though more research is needed to elucidate a precise mechanism.
机译：在美国，慢性病风险因素在亚洲移民社区中非常普遍，他们的健康筛查率也很低。感知邻里社会凝聚力（NSC）与美国普通人群的预防性医疗保健使用有关，尽管它在亚裔美国人（AAs）中尚未被探索。本研究的目的是利用2013年至2016年在纽约市（NYC）东亚、南亚和东南亚裔美国人（EAA、SAA、SEAA）社区的横断面、当地收集的数据，评估NSC与高血压、高胆固醇、糖尿病和抑郁症预防筛查之间的关联。NSC采用4个问题的量表进行评估，得出4到16之间的加性分数，并作为连续变量和分类变量（高、中、低三分位数）进行分析。最近的筛查被定义为在过去一年内对所包括的每种健康状况进行检查。NSC评分增加一个单位与EAAs中近期筛查高胆固醇的几率增加有关（AOR=1.09，95%可信区间：1.00-1.20）；SAAs中的高胆固醇、糖尿病和抑郁症（AOR=1.08，95%可信区间：1.00-1.20；AOR=1.07，95%可信区间：1.00-1.15；AOR=1.15，95%可信区间：1.06-1.25）；SEAA中胆固醇含量高（AOR=1.12，95%可信区间：1.00-1.25）。总的来说，NSC是不同人群中针对特定情况的预防性筛查行为的重要促进者，尽管在我们的样本中NSC始终与高胆固醇筛查相关。通过基于家庭和社区的规划来增强NSC可能是鼓励筛查预防行为的一种策略，尽管还需要更多的研究来阐明确切的机制。

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