Selection, experience, and disadvantage: Examining sources of health inequalities among naturalized US citizens.

Selection, experience, and disadvantage: Examining sources of health inequalities among naturalized US citizens.
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选择,经验和劣势:检查归化美国公民健康不平等的来源。

DOI:
10.1016/j.ssmph.2021.100895
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发表时间:
2021-09
期刊:
SSM - population health
影响因子:
--
通讯作者:
Bacong AM
Bacong AM
中科院分区:
其他
文献类型:
--
作者:
Sohn H;Bacong AM

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我们将移民健康和同化的主要理论整合到一个单一的分析框架中,以量化人口构成、入籍途径和社会经济同化在多大程度上解释了不同地区入籍移民之间的身心健康差异。利用2015-2016年加州健康访谈调查的有限数据,我们使用Karlson, Holm, and Breen (KHB)方法将身心健康差异按原籍地区分解为人口因素,公民身份途径和社会经济特征。不同地区入籍移民身体健康差异的主要原因是社会经济地位的差异。与主要移民健康理论相关的因素——人口构成、入籍途径和社会经济同化——并没有调节心理健康的差异。本文认为,对移民之间健康差异的研究必须同时考虑到人口构成、移民经历和社会经济劣势的差异。研究结果还强调了理论发展的必要性,以更好地解释移民之间的心理健康差异。社会经济劣势是在墨西哥出生的入籍公民身体健康状况较差的原因。心理困扰在中美洲和拉丁美洲的入籍公民中普遍存在。社会经济地位的差异介导了不同地区入籍移民身体健康状况的差异。人口特征、入籍时间和社会经济地位并没有调节心理健康的差异。
We integrated major theories in immigrant health and assimilation into a single analytical framework to quantify the degrees to which demographic composition, pathways to citizenship, and socioeconomic assimilation account for physical and mental health disparities between naturalized immigrants by region of origin. Using the restricted data from the 2015–2016 California Health Interview Survey, we decomposed differences in physical and mental health into demographic factors, path to citizenship, and socioeconomic characteristics by region of origin using the Karlson, Holm, and Breen (KHB) method. Differences in socioeconomic status mediated most of the disparity in physical health between naturalized immigrants from different regions. Factors associated with major immigrant health theories—demographic composition, pathways to citizenship, and socioeconomic assimilation—did not mediate disparities in mental health. This article argues that the study of health disparities among immigrants must simultaneously account for differences in demographic composition, immigration experience, and socioeconomic disadvantage. The findings also underscore the need for theory development that can better explain mental health disparities among immigrants. Socioeconomic disadvantage accounted for poorer physical health among naturalized citizens who were born in Mexico. Psychological distress is pervasive among naturalized citizens from Central and Latin America. Differences in SES mediated the disparity in physical health between naturalized immigrants from different regions. Demographic characteristics, time to citizenship, and SES did not mediate disparities in mental health.
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