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Problems With the Collection and Interpretation of Asian-American Health Data: Omission, Aggregation, and Extrapolation

机译:亚裔美国人健康数据收集和解释的问题:遗漏,汇总和外推

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Asian-American citizens are the fastest growing racial/ethnic group in the United States. Nevertheless, data on Asian American health are scarce, and many health disparities for this population remain unknown. Much of our knowledge of Asian American health has been determined by studies in which investigators have either grouped Asian-American subjects together or examined one subgroup alone (e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese). National health surveys that collect information on Asian-American race/ethnicity frequently omit this population in research reports. When national health data are reported for Asian-American subjects, it is often reported for the aggregated group. This aggregation may mask differences between Asian-American subgroups. When health data are reported by Asian American subgroup, it is generally reported for one subgroup alone. In the Ni-Hon-San study, investigators examined cardiovascular disease in Japanese men living in Japan (Nippon; Ni), Honolulu, Hawaii (Hon), and San Francisco, CA (San). The findings from this study are often incorrectly extrapolated to other Asian-American subgroups. Recommendations to correct the errors associated with omission, aggregation, and extrapolation include: oversampling of Asian Americans, collection and reporting of race/ethnicity data by Asian-American subgroup, and acknowledgement of significant heterogeneity among Asian American subgroups when interpreting data.
机译:亚裔美国人是美国增长最快的种族/族裔群体。尽管如此,关于亚裔美国人健康的数据却很少,而且该人群的许多健康差异仍然未知。我们对亚裔美国人健康的大部分了解是由研究人员决定的,研究人员将亚裔美国人的受试者分组在一起或单独检查了一个亚组(例如,亚裔印度人,中国人,菲律宾人,日本人,韩国人,越南人)。收集有关亚裔美国人种族/族裔信息的国家健康调查经常在研究报告中忽略该人群。当报告亚裔美国人的国家健康数据时,通常会报告汇总人群。这种聚集可能掩盖了亚裔美国人亚组之间的差异。当亚裔美国人亚组报告健康数据时,通常仅报告一个亚组的健康数据。在“ Ni-Hon-San”研究中,研究人员检查了居住在日本(日本;镍),夏威夷檀香山(夏威夷)(美国)和加利福尼亚州旧金山(日本)的日本男性的心血管疾病。这项研究的发现通常被错误地推断为其他亚裔美国人亚组。纠正与遗漏,汇总和外推相关的错误的建议包括:对亚裔美国人进行过度抽样,由亚裔美国人亚组收集和报告种族/族裔数据,以及在解释数据时承认亚裔美国人亚组之间的显着异质性。

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