Immigration and the health of Asian and Pacific Islander adults in the United States
Immigration and the health of Asian and Pacific Islander adults in the United States
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DOI：
10.1093/aje/153.4.372
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发表时间：
2001-02-15
影响因子：
5
通讯作者：
Hummer, RA
中科院分区：
文献类型：
--
作者：
Frisbie, WP;Cho, YT;Hummer, RA
作者使用1992-1995年全国健康访谈调查，通过构建模型来检验移民身份（在美国的出生和居住时间）对亚洲和太平洋岛民成年人健康的影响，其中国籍也被指定。在调整了年龄、婚姻状况、生活安排、家庭规模和几个社会经济指标的逻辑回归模型中，发现移民比美国出生的同龄人健康状况更好，但他们的健康优势随着居住时间的延长而持续下降。例如，对于居住时间少于5年、5-9年和10年或更长时间的亚洲和太平洋岛民移民，活动限制的比值比分别为0.45（95%置信区间（CI）： 0.33, 0.62）、0.65 （95% CI: 0.46, 0.93）和0.73 （95% CI: 0.60, 0.90）。受访者报告的健康状况和因病卧床天数也出现了类似的发现。这些结果支持迁移选择性和文化适应假说的有效性和互补性。然而，并非所有的情况都是积极的。某些亚洲和太平洋岛民群体，特别是太平洋岛民和越南人的健康状况低于平均水平。最后，在对健康状况进行调整后，移民获得正规医疗保健的机会似乎较少。
The authors used the 1992-1995 National Health Interview Survey to examine the effect of immigrant status (both nativity and duration of residence in the United States) on the health of Asian and Pacific Islander adults by constructing models in which national origin was also specified. In logistic regression models adjusted for age, marital status, living arrangement, family size, and several socioeconomic indicators, immigrants were found to be in better health than their US-born counterparts, but their health advantages consistently decreased with duration of residence. For example, for Asian and Pacific Islander immigrants whose duration of residence was less than 5 years, 5-9 years, and 10 years or more, the odds ratios for activity limitations were 0.45 (95% confidence interval (CI): 0.33, 0.62), 0.65 (95% CI: 0.46, 0.93), and 0.73 (95% CI: 0.60, 0.90), respectively. Similar findings emerged for respondent-reported health and bed days due to illness. These results support the validity and complementarity of the migration selectivity and acculturation hypotheses. However, the picture was not uniformly positive. The health of certain Asian and Pacific Islander groups, notably Pacific Islanders and Vietnamese, was found to be less favorable than average. Finally, after adjustment for health status, immigrants seemed to have less adequate access to formal medical care.