Do post-migration perceptions of social mobility matter for Latino immigrant health?
Do post-migration perceptions of social mobility matter for Latino immigrant health?
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DOI：
10.1016/j.socscimed.2013.11.024
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发表时间：
2014-01-01
影响因子：
5.4
通讯作者：
Alegria, Margarita
中科院分区：
文献类型：
--
作者：
Alcantara, Carmela;Chen, Chih-Nan;Alegria, Margarita
随着在美国停留时间的延长，拉丁裔移民的健康状况出现下降，部分原因是移民后社会地位下降或社会流动性下降。然而，尽管大量研究表明经济和社会进步是自愿移民的关键驱动力，但对感知社会流动性的分布以及与拉丁裔健康的模式关联的研究却很少。我们调查了拉丁裔移民亚族裔群体在感知社会流动性分布上的差异，定义为受访者感知的原籍社会地位（如果他们留在原籍国）与他们目前在美国的社会地位之间的差异。我们还研究了感知社会流动性与过去一年的重性抑郁发作（MDE）和自评身体健康状况良好/较差之间的关联，以及拉丁裔亚族裔是否调节了这些关联。我们使用国家拉丁裔和亚裔美国人研究的拉丁裔移民子样本 (N = 1561) 计算加权逻辑回归分析。与墨西哥和古巴移民相比，波多黎各移民更有可能认为社会流动性向下，而墨西哥和古巴移民更有可能认为社会流动性向上。感知到的社会流动性下降与身体健康状况一般/较差和 MDE 的几率增加相关。拉丁裔亚种族是统计上显着的调节因素，因此，仅在波多黎各人和其他拉丁裔移民中，感知到的社会流动性下降与 MDE 的较高几率相关。相比之下，感知到的向上社会流动性与自我评价良好/较差的身体健康状况无关。我们的研究结果表明，感知到的社会流动性下降可能与拉丁裔移民的健康状况独立相关，并且可能有助于解释拉丁裔亚族裔群体在心理健康状况方面的差异。未来关于拉丁裔移民健康的研究应该使用前瞻性设计来研究与融入美国大陆社会地位的感知变化相关的生理和心理成本。 (C) 2013 Elsevier Ltd. 保留所有权利。
Latino immigrants exhibit health declines with increasing duration in the United States, which some attribute to a loss in social status after migration or downward social mobility. Yet, research into the distribution of perceived social mobility and patterned associations to Latino health is sparse, despite extensive research to show that economic and social advancement is a key driver of voluntary migration. We investigated Latino immigrant sub-ethnic group variation in the distribution of perceived social mobility, defined as the difference between respondents' perceived social status of origin had they remained in their country of origin and their current social status in the U.S. We also examined the association between perceived social mobility and past-year major depressive episode (MDE) and self-rated fair/poor physical health, and whether Latino sub-ethnicity moderated these associations. We computed weighted logistic regression analyses using the Latino immigrant subsample (N = 1561) of the National Latino and Asian American Study. Puerto Rican migrants were more likely to perceive downward social mobility relative to Mexican and Cuban immigrants who were more likely to perceive upward social mobility. Perceived downward social mobility was associated with increased odds of fair/poor physical health and MDE. Latino sub-ethnicity was a statistically significant moderator, such that perceived downward social mobility was associated with higher odds of MDE only among Puerto Rican and Other Latino immigrants. In contrast perceived upward social mobility was not associated with self-rated fair/poor physical health. Our findings suggest that perceived downward social mobility might be an independent correlate of health among Latino immigrants, and might help explain Latino sub-ethnic group differences in mental health status. Future studies on Latino immigrant health should use prospective designs to examine the physiological and psychological costs associated with perceived changes in social status with integration into the U.S. mainland. (C) 2013 Elsevier Ltd. All rights reserved.