Neighborhood Ethnic Composition and Self-rated Health Among Chinese and Vietnamese American Immigrants.

Neighborhood Ethnic Composition and Self-rated Health Among Chinese and Vietnamese American Immigrants.
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华裔和越南裔美国移民的社区族群构成与自评健康。

DOI:
10.1007/s10903-020-01041-2
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发表时间:
2021-06
影响因子:
1.9
通讯作者:
Tsoh JY
Tsoh JY
中科院分区:
医学4区
文献类型:
--
作者:
Guan A;Kim-Mozeleski JE;Vyas P;Stewart SL;Gildengorin G;Burke NJ;Ma K;Pham AT;Tan J;Lu Q;McPhee SJ;Tsoh JY

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移民往往生活在具有较高的共同种族密度的地区,社区种族组成的影响可能对健康特别突出。本研究探讨了亚洲移民的社区种族组成和自测健康之间的关联。我们分析了670名参加生活方式干预试验的中国和越南移民的基线数据。根据人口普查数据,对居住地址进行了地理编码,并将其与社区社会人口概况相结合。我们使用广义线性混合模型来研究社区的种族组成和自测健康。独立于个人层面的因素,生活在白人人口更密集的社区与健康状况差/公平的自我评价相关。邻里家庭收入和参与者自己的种族群体的密度与差/公平的自我评价健康无关。有必要进行更多的研究,以解开为什么生活在白人集中的社区的亚洲移民报告自我评估健康状况较差的原因,包括调查歧视,相对剥夺和社会资源的可用性的影响。
Immigrants tend to live in areas with higher co-ethnic density, and the effect of neighborhood ethnic composition could be particularly salient for health. This study explored associations between neighborhood ethnic composition and self-rated health among Asian immigrants. We analyzed data collected at baseline from 670 Chinese and Vietnamese immigrants enrolled in a lifestyle intervention trial. Residential addresses were geocoded and combined with neighborhood socio-demographic profiles based on census data. We used generalized linear mixed models to examine neighborhood ethnic composition and self-rated health. Independent of individual-level factors, living in neighborhoods more densely populated by whites was associated with poor/fair self-rated health. Neighborhood household income and density of participants’ own ethnic group were not associated with poor/fair self-rated health. More research is warranted to disentangle reasons why Asian immigrants living in white-concentrated neighborhoods reported poorer self-rated health, including investigating effects of discrimination, relative deprivation, and availability of social resources.
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