Socioeconomic gradients in health for white and Mexican-Origin populations

Socioeconomic gradients in health for white and Mexican-Origin populations
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DOI:
10.2105/ajph.2005.062752
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发表时间:
2006-12-01
影响因子:
12.7
通讯作者:
Pebley, Anne R.
Pebley, Anne R.
中科院分区:
医学2区
文献类型:
--
作者:
Goldman, Noreen;Kimbro, Rachel T.;Pebley, Anne R.

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目标.我们评估了迄今为止的少数研究结果是否表明西班牙裔美国人的教育和健康相关变量之间的关系较弱,表明一个更广泛的模式。我们使用逻辑回归模型来检查教育差异(即,教育梯度)的健康行为和结果之间的白色和墨西哥裔成人,青少年和婴儿。我们从3个数据集收集信息:洛杉矶家庭和邻里调查,脆弱家庭和儿童福利研究,以及国家健康访谈调查。与白人的模式相反,在美国墨西哥裔人口中,教育与许多健康相关变量之间的关联性较弱或不相关。在成年人中,墨西哥移民特别可能有较弱的教育梯度比whites.Conclusions。在墨西哥裔个体中观察到的教育与健康之间的弱关系可能是几个复杂机制的结果:墨西哥健康的社会梯度与美国不同,根据健康和社会经济地位选择性移民,以及墨西哥移民融入美国社会的特定模式。
Objectives. We assessed whether the few findings to date suggesting weak relationships between education and health-related variables among Hispanics are indicative of a more widespread pattern.Methods. We used logistic regression models to examine education differentials (i.e., education gradients) in health behaviors and outcomes among White and Mexican-origin adults, adolescents, and infants. We gathered information from 3 data sets: the Los Angeles Family and Neighborhood Survey, the Fragile Families and Child Wellbeing Study, and the National Health Interview Survey.Results. In contrast with patterns for Whites, education was weakly associated or not associated with numerous health-related variables among the US Mexican-origin population. Among adults, Mexican immigrants were especially likely to have weaker education gradients than Whites.Conclusions. The weak relationships between education and health observed among individuals of Mexican origin may have been the result of several complex mechanisms: social gradients in health in Mexico that differ from those in the United States, selective immigration according to health and socioeconomic status, and particular patterns of integration of Mexican immigrants into US society.