Language and Immigrant Status Effects on Disparities in Hispanic Children's Health Status and Access to Health Care
Language and Immigrant Status Effects on Disparities in Hispanic Children's Health Status and Access to Health Care
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DOI：
10.1007/s10995-012-0988-9
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发表时间：
2013-04-01
影响因子：
2.3
通讯作者：
Bramlett, Matthew D.
中科院分区：
文献类型：
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作者：
Avila, Rosa M.;Bramlett, Matthew D.
本研究的目的是估计西班牙裔/非西班牙裔（nH）-白色健康的差距，并评估在何种程度上可以解释的移民身份和家庭的主要语言的差距。2007年全国儿童健康调查由妇幼保健局资助，由疾病控制和预防中心的国家卫生统计中心进行，作为州和地方综合电话调查的一个模块。我们计算了西班牙裔和新罕布什尔州白人儿童之间的各种健康指标的差异，并使用逻辑回归来调整他们的社会经济和人口统计学特征，在家庭中所说的主要语言，和孩子的移民身份。控制语言和移民身份大大减少了健康差距，虽然它并没有完全消除所有的差距，显示西班牙裔儿童的结果较差。讲英语和非移民的西班牙裔儿童比非英语家庭的西班牙裔儿童或移民儿童更类似于新罕布什尔州白人儿童。西班牙裔/新罕布什尔州白人儿童的健康差异主要是由西班牙裔人口的一部分驱动的，这部分人口要么是新到这个国家，要么在家庭中主要不讲英语。
The objective of this study is to estimate Hispanic/non-Hispanic (nH)-white health disparities and assess the extent to which disparities can be explained by immigrant status and household primary language. The 2007 National Survey of Children's Health was funded by the Maternal and Child Health Bureau, and conducted by Centers for Disease Control and Prevention's National Center for Health Statistics as a module of the State and Local Area Integrated Telephone Survey. We calculated disparities for various health indicators between Hispanic and nH-white children, and used logistic regression to adjust them for socio-economic and demographic characteristics, primary language spoken in the household, and the child's immigrant status. Controlling for language and immigrant status greatly reduces health disparities, although it does not completely eliminate all disparities showing poorer outcomes for Hispanic children. English-speaking and nonimmigrant Hispanic children are more similar to nH-white children than are Hispanic children in non-English speaking households or immigrant children. Hispanic/nH-white health disparities among children are largely driven by that portion of the Hispanic population that is either newly-arrived to this country or does not speak primarily English in the household.