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Lessons Learned from Immigrant Health Cohorts: A Review of the Evidence and Implications for Policy and Practice in Addressing Health Inequities among Asian Americans, Native Hawaiians, and Pacific Islanders
Annual Review of Public Health ( IF 20.8 ) Pub Date : 2023-12-18 , DOI: 10.1146/annurev-publhealth-060922-040413
Alice Guan 1 , AC S. Talingdan 1 , Sora P. Tanjasiri 2 , Alka M. Kanaya 1, 3 , Scarlett L. Gomez 1, 4
Affiliation  

The health of Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPI) is uniquely impacted by structural and social determinants of health (SSDH) shaped by immigration policies and colonization practices, patterns of settlement, and racism. These SSDH also create vast heterogeneity in disease risks across the AANHPI population, with some ethnic groups having high disease burden, often masked with aggregated data. Longitudinal cohort studies are an invaluable tool to identify risk factors of disease, and epidemiologic cohort studies among AANHPI populations have led to seminal discoveries of disease risk factors. This review summarizes the limited but growing literature, with a focus on SSDH factors, from seven longitudinal cohort studies with substantial AANHPI samples. We also discuss key information gaps and recommendations for the next generation of AANHPI cohorts, including oversampling AANHPI ethnic groups; measuring and innovating on measurements of SSDH; emphasizing the involvement of scholars from diverse disciplines; and, most critically, engaging community members to ensure relevancy for public health, policy, and clinical impact.Expected final online publication date for the Annual Review of Public Health, Volume 45 is April 2024. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

中文翻译:

从移民健康群体中汲取的经验教训:对解决亚裔美国人、夏威夷原住民和太平洋岛民健康不平等问题的政策和实践的证据和影响的回顾

亚裔美国人、夏威夷原住民和太平洋岛民 (AANHPI) 的健康受到由移民政策和殖民实践、定居模式和种族主义影响的结构性和社会健康决定因素 (SSDH) 的独特影响。这些 SSDH 还造成了 AANHPI 人群疾病风险的巨大异质性,一些种族群体的疾病负担很高,但往往被汇总数据所掩盖。纵向队列研究是识别疾病危险因素的宝贵工具,AANHPI 人群中的流行病学队列研究导致了疾病危险因素的开创性发现。本综述总结了来自七个具有大量 AANHPI 样本的纵向队列研究的有限但不断增长的文献,重点关注 SSDH 因素。我们还讨论了针对下一代 AANHPI 队列的关键信息差距和建议,包括对 AANHPI 族裔群体进行过采样; SSDH测量和创新;强调不同学科学者的参与;最重要的是,让社区成员参与进来,确保公共卫生、政策和临床影响的相关性。《公共卫生年度回顾》第 45 卷的预计最终在线发布日期为 2024 年 4 月。请参阅 http://www.annualreviews。 org/page/journal/pubdates 了解修订后的估计。
更新日期:2023-12-18
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