Early Life and Environmental Risk Factors Modify the Effect of Acculturation on Hispanic Children's Asthma.

Early Life and Environmental Risk Factors Modify the Effect of Acculturation on Hispanic Children's Asthma.
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DOI:
10.1891/1540-4153.13.3.119
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发表时间:
2015-01-01
期刊:
Hispanic health care international : the official journal of the National Association of Hispanic Nurses
影响因子:
--
通讯作者:
Collins, Timothy W
Collins, Timothy W
中科院分区:
其他
文献类型:
--
作者:
Chavez-Payan, Paola;Grineski, Sara E;Collins, Timothy W

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文化适应往往会削弱西班牙裔移民最初的健康优势。使用更微妙的概念化的文化适应比以前的研究,我们探讨文化适应和西班牙裔儿童的哮喘之间的关联。数据来自对德克萨斯州埃尔帕索西班牙裔学龄儿童看护者的观察性邮件调查(N = 1,513)。广义线性模型(GzLMs)的结果表明,文化适应是一个显着的积极预测哮喘。添加交互作用的条款显示,产前吸烟,低出生体重,母乳喂养,和害虫暴露显着修改涵化对哮喘的影响。结果表明,虽然较高水平的文化适应是有害的整体,影响是不一样的破坏所有西班牙裔儿童。研究结果有助于理解文化适应对西班牙裔儿童哮喘的影响是如何通过不同的个人水平的风险因素加强或减弱的。
Acculturation tends to erode Hispanic immigrants' initial health advantage. Using a more nuanced conceptualization of acculturation than previous studies, we explore the associations between acculturation and Hispanic children's asthma. Data came from an observational mail survey of caretakers of Hispanic schoolchildren in El Paso, Texas (N = 1,513). Results from generalized linear models (GzLMs) demonstrate that acculturation was a significant positive predictor of asthma. The addition of interaction terms revealed that prenatal smoking, low birth weight, breastfeeding, and pest exposure significantly modified the effect of acculturation on asthma. Results suggest that although higher levels of acculturation were detrimental overall, the effects were not equally damaging for all Hispanic children. Findings foster an understanding of how the effect of acculturation on Hispanic children's asthma is intensified or attenuated by distinct individual-level risk factors.