Understanding differences within ethnic group designation: comparing risk factors and health indicators between Iranian and Arab Americans in Northern California

被引:5
作者
Abuelezam, Nadia N. [1 ]
El-Sayed, Abdulrahman [2 ,3 ]
Galea, Sandro [4 ]
Gordon, Nancy P. [5 ]
机构
[1] Boston Coll, William F Connell Sch Nursing, 140 Commonwealth Ave, Chestnut Hill, MA 02467 USA
[2] Univ Michigan, Coll Literature Sci & Arts, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Dept Internal Med, Ann Arbor, MI 48109 USA
[4] Boston Univ, Sch Publ Hlth, Boston, MA USA
[5] Kaiser Permanente Div Res, Oakland, CA USA
关键词
Health disparities; Epidemiology; Electronic health records; Ethnicity; Iranian Americans; Arab Americans; COUNTRY-OF-ORIGIN; UNITED-STATES; IMMIGRANTS; SUBGROUPS; NATIVITY; PARADOX;
D O I
10.1186/s12889-021-11121-z
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundThe Middle Eastern and North African (MENA) ethnic group is a diverse group composed of two primary subsets in the United States: Iranian and Arab Americans. We aimed to compare health risk factors, chronic health conditions, and mental health conditions of Iranian and Arab American adults in Northern California.MethodsWe used cross-sectional electronic health record (EHR) data from a 2016 Northern California health plan study cohort to compare adults classified as Iranian or Arab American based on ethnicity, language, or surname. We produced age-standardized prevalence estimates of obesity, smoking, hyperlipidemia, prediabetes, diabetes, hypertension, depression, and anxiety for Iranian and Arab American men and women by age group (35-44, 45-64, and 65-84) and overall (35-84). We used generalized linear models to calculate prevalence ratios (PR) to compare Iranian and Arab American adults ages 35-84 on all health indicators.ResultsCompared to Arab Americans, Iranian Americans had a lower prevalence of obesity (PR: 0.77, 95% confidence interval, CI: 0.73, 0.82), current smoking (PR: 0.80, 95% CI: 0.73, 0.89), and ever smoking (PR: 0.95, 95% CI: 0.91, 0.99), but a higher prevalence of hyperlipidemia (PR: 1.09, 95% CI: 1.06, 1.12), prediabetes (PR: 1.12, 95% CI: 1.09, 1.16), depression (PR; 1.41, 95% CI: 1.30, 1.52), and anxiety (PR: 1.52, 95% CI: 1.42, 1.63). Similar patterns were observed for men and women.ConclusionThis work supports the need to collect granular data on race and ethnicity within the MENA ethnic group to improve identification in clinical care settings and population health reporting to better address the physical and mental health needs of different MENA subgroups.
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页数:8
相关论文
共 28 条
[1]   HEALTH RISKS AND CHRONIC HEALTH CONDITIONS AMONG ARAB AMERICAN AND WHITE ADULTS IN NORTHERN CALIFORNIA [J].
Abuelezam, Nadia N. ;
El-Sayed, Abdulrahman M. ;
Galea, Sandro ;
Gordon, Nancy P. .
ETHNICITY & DISEASE, 2021, 31 (02) :235-242
[2]   Relevance of the "Immigrant Health Paradox" for the Health of Arab Americans in California [J].
Abuelezam, Nadia N. ;
El-Sayed, Abdulrahman M. ;
Galea, Sandro .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2019, 109 (12) :1733-1738
[3]   Differences in health behaviors and health outcomes among non-Hispanic Whites and Arab Americans in a population-based survey in California [J].
Abuelezam, Nadia N. ;
El-Sayed, Abdulrahman M. ;
Galea, Sandro .
BMC PUBLIC HEALTH, 2019, 19 (1)
[4]   Culturally sensitive social work practice with Arab clients in mental health settings [J].
Al-Krenawi, A ;
Graham, JR .
HEALTH & SOCIAL WORK, 2000, 25 (01) :9-22
[5]  
Arab American Institute Foundation, 2014, AR AM DEM
[6]  
Centers for Disease Control and Prevention, SAMPL COD GEN AG ADJ
[7]   Awareness of High Blood Pressure by Nativity Among Black Men: Implications for Interpreting the Immigrant Health Paradox [J].
Cole, Helen V. S. ;
Reed, Holly E. ;
Tannis, Candace ;
Trinh-Shevrin, Chau ;
Ravenell, Joseph E. .
PREVENTING CHRONIC DISEASE, 2018, 15
[8]   A Health Profile of Arab Americans in Michigan: A Novel Approach to Using a Hospital Administrative Database [J].
Dallo, Florence J. ;
Ruterbusch, Julie J. ;
Kirma, Joseph David ;
Schwartz, Kendra ;
Fakhouri, Monty .
JOURNAL OF IMMIGRANT AND MINORITY HEALTH, 2016, 18 (06) :1449-1454
[9]  
Fenelon A, 2017, SSM-POPUL HLTH, V3, P245, DOI 10.1016/j.ssmph.2017.01.011
[10]  
Foad HS., 2013, 2383505 SOC SCI RES