Are immigrant enclaves healthy places to live? The Multi-ethnic Study of Atherosclerosis.
Are immigrant enclaves healthy places to live? The Multi-ethnic Study of Atherosclerosis.
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DOI：
10.1016/j.socscimed.2009.04.010
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发表时间：
2009-07
影响因子：
5.4
通讯作者：
Kandula, Namratha R.
中科院分区：
文献类型：
--
作者：
Osypuk, Theresa L.;Roux, Ana V. Diez;Hadley, Craig;Kandula, Namratha R.
关键词：
在美国，外国出生人口的规模不断扩大，构成不断变化，这凸显了研究居住在移民比例较高的社区的健康后果的重要性。使用来自美国四个城市的多种族动脉粥样硬化研究的数据，我们研究了西班牙裔和华裔美国人（n = 1902）的社区移民组成是否与健康行为（饮食，体育活动）相关。其次，我们测试了移民比例高的社区是否表现出更好或更差的社区质量，以及社区质量的这些维度是否与健康行为相关。根据2000年的人口普查，社区移民的构成被定义为来自拉丁美洲的外国出生的百分比，以及来自中国的外国出生的百分比。在对年龄、性别、收入、教育、社区贫困和文化适应进行调整后，生活在移民比例较高的地区与西班牙裔和中国人的高脂肪食物消费量较低有关，但与西班牙裔的身体活动较少有关。移民比例较高的社区的居民报告说，健康食品供应更好，但步行能力也更差，娱乐锻炼资源更少，安全性更差，社会凝聚力更低，社区公民参与度更低。邻里移民组成与饮食的协会持续调整后报告的邻里特征，与体育活动的协会减弱。受访者报告的社区健康食品的可用性，步行性，运动设施的可用性和公民参与仍然与移民组成和其他协变量调整后的行为。结果表明，生活在移民飞地是不是单一的好处，可能有不同的协会与不同的健康行为。
The growing size and changing composition of the foreign born population in the USA highlights the importance of examining the health consequences of living in neighborhoods with higher proportions of immigrants. Using data from the Multiethnic Study of Atherosclerosis in four US cities, we examined whether neighborhood immigrant composition was associated with health behaviors (diet, physical activity) among Hispanic and Chinese Americans (n=1902). Secondarily we tested whether neighborhoods with high proportions of immigrants exhibited better or worse neighborhood quality, and whether these dimensions of neighborhood quality were associated with healthy behaviors. Neighborhood immigrant composition was defined based on the Census 2000 tract percent of foreign-born from Latin-America, and separately, percent foreign-born from China. After adjustment for age, gender, income, education, neighborhood poverty, and acculturation, living in a tract with a higher proportion of immigrants was associated with lower consumption of high-fat foods among Hispanics and Chinese, but with being less physically active among Hispanics. Residents in neighborhoods with higher proportions of immigrants reported better healthy food availability, but also worse walkability, fewer recreational exercise resources, worse safety, lower social cohesion, and lower neighborhood-based civic engagement. Associations of neighborhood immigrant composition with diet persisted after adjustment for reported neighborhood characteristics, and associations with physical activity were attenuated. Respondent-reported neighborhood healthy food availability, walkability, availability of exercise facilities and civic participation remained associated with behaviors after adjusting for immigrant composition and other covariates. Results show that living in an immigrant enclave is not monolithically beneficial and may have different associations with different health behaviors.
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影响因子：
3.8
作者：
HACKBARTH, DP;SILVESTRI, B;COSPER, W
通讯作者：
COSPER, W
影响因子：
5.4
作者：
Abraído-Lanza, AF;Chao, MT;Flórez, KR
通讯作者：
Flórez, KR
DOI：
10.1016/s0277-9536(03)00414-3
发表时间：
2004-05-01
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Diez Roux, Ana V
通讯作者：
Diez Roux, Ana V
影响因子：
5
作者：
Dixon, LB;Sundquist, J;Winkleby, M
通讯作者：
Winkleby, M
影响因子：
3.2
作者：
Dubowitz, Tamara;Subramanian, S. V.;Peterson, Karen E.
通讯作者：
Peterson, Karen E.