The Impact of Nativity on Chronic Diseases, Self-Rated Health and Comorbidity Status of Asian and Hispanic Immigrants
The Impact of Nativity on Chronic Diseases, Self-Rated Health and Comorbidity Status of Asian and Hispanic Immigrants
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DOI：
10.1007/s10903-007-9065-7
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发表时间：
2008-04-01
影响因子：
1.9
通讯作者：
Dooley, C. David
中科院分区：
文献类型：
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作者：
Huh, Jimi;Prause, Jo Ann;Dooley, C. David
本研究考察了移民的身体健康状况，特别考虑了亚洲和西班牙裔人口，并探讨了可能的机制，通过这些机制可以解释感兴趣的健康结果。对2000年和2001年全国健康访谈调查（NHIS）的分析显示，与美国出生的白人相比，外国出生的人报告的慢性病（高血压、心脏病、哮喘、癌症和糖尿病）较少，各种慢性病的患病率较低，控制了可能的混杂因素和中介因素。然而，在美国出生的少数群体并没有表现出在外国出生的移民中所看到的健康优势，这反映了出生地差异在研究移民健康方面的重要性。尽管患慢性病的人数较少，但与在美国出生的亚洲人以及在美国出生的白人相比，在外国出生的亚洲人更有可能对自己的健康状况给出负面评价。此外，我们的研究结果提供的证据表明，不考虑合并症状态可能会减弱对某些慢性疾病的先天效应。
This study examines the physical health status of immigrants with specific considerations of Asian and Hispanic populations and explores possible mechanisms through which health outcomes of interest can be explained. Analyses of the National Health Interview Surveys (NHIS) of 2000 and 2001 revealed that foreign-born individuals reported fewer chronic diseases (hypertension, heart disease, asthma, cancer and diabetes) and had lower prevalences of various chronic diseases compared with U.S.-born whites, controlling for possible confounders and mediators. However, U.S-born minority groups did not show the health advantage seen in foreign-born immigrants, reflecting the importance of nativity distinctions in studying immigrant health. Despite having fewer chronic diseases, foreign-born Asians were more likely to rate their health negatively relative to their U.S.-born counterparts and to U.S.-born whites. In addition, our findings provide evidence that failure to consider comorbid status may attenuate the nativity effect on certain chronic diseases.