Neighborhood context and the Hispanic health paradox: differential effects of immigrant density on children׳s wheezing by poverty, nativity and medical history.

Neighborhood context and the Hispanic health paradox: differential effects of immigrant density on children׳s wheezing by poverty, nativity and medical history.
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邻里环境和西班牙裔健康悖论:移民密度对儿童喘息的差异影响,贫穷,耶稣降生和病史。

DOI:
10.1016/j.healthplace.2014.01.006
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发表时间:
2014-05
期刊:
影响因子:
4.8
通讯作者:
Grineski SE
Grineski SE
中科院分区:
医学2区
文献类型:
--
作者:
Kim YA;Collins TW;Grineski SE

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先前的研究表明,移民飞地为美国西班牙裔居民提供呼吸系统健康益处。我们测试,如果移民飞地提供不同的呼吸系统健康福利的西班牙裔儿童在埃尔帕索(得克萨斯州)的基础上,个人层面的因素。结果显示,较高的邻里移民密度与喘息的几率降低,但保护移民飞地效应修改贫困,一般健康状况,体重指数(BMI),和照顾者出生。较高的移民密度对贫困儿童和有外国出生的照顾者的儿童的保护作用明显更大;相反,对健康状况较差和BMI较高的儿童的保护作用明显较小。这些研究结果促进了一个新的理解移民飞地可能是差异保护西班牙裔儿童的基础上个人层面的因素。
Prior research suggests that immigrant enclaves provide respiratory health benefits for US Hispanic residents. We test if immigrant enclaves provide differential respiratory health benefits for Hispanic children in El Paso (Texas) based on individual-level factors. Results reveal that higher neighborhood immigrant density is associated with reduced odds of wheezing, but that the protective immigrant enclave effect is modified by poverty, general health status, body mass index (BMI), and caretaker nativity. Higher immigrant density is significantly more protective for poor children and those with foreign-born caretakers; conversely, it is significantly less protective for children in worse health and those with higher BMI. These findings foster a novel understanding of how immigrant enclaves may be differentially protective for Hispanic children based on individual-level factors.