Migration Effects on Health of Working Age Vietnamese

这项拟议的研究将调查生活在美国和越南的越南人的一些健康结果。一个主要的实质性重点将是调查最近移民到美国的越南工作年龄成年人的总体健康状况和核心健康信念。暴露的健康的关键维度包括身体功能、角色限制、疼痛、社会功能、一般心理健康、压力、活力、能量、疲劳和一般健康观念。虽然关于其他主要移民群体的健康状况有大量文献，但我们对越南裔美国人的健康状况知之甚少，他们构成了美国近代史上最大的移民浪潮之一。一个主要的方法重点将涉及发展新技术，以便更好地解释移徙者和非移徙者之间的健康差异。由于将移徙本身的影响与选择因素区分开来的固有困难，将所报告的移徙对健康的影响归因于具体原因变得复杂。如果移徙者不能代表派遣国人口，那么就很难解释派遣国移徙者和非移徙者之间的差异。我们将移民效应与选择效应分离的方法涉及一个“自然”实验，该实验比较了三个不同的群体：美国的越南移民；从未离开过越南的越南人；以及返回越南的越南人。

The proposed study will examine a number of health outcomes among Vietnamese living both in the United States and in Vietnam. A major substantive focus will be the investigation of overall health status and core health beliefs among working-age Vietnamese adults who have recently immigrated to the United States. Key dimensions of health to be exposed include physical functioning, role limitations, pain, social functioning, general mental health, stress, vitality, energy, fatigue, and general health perceptions. While there is an extensive literature on the health of other major immigrant groups, we know much less about the health of Vietnamese Americans, who constitute one of the largest waves of immigration to the United States in recent history. A major methodological focus will involve the development of new techniques to better explain health differences between migrants and non-migrants. Attributing reported effects of migration on health to specific causes are complicated by the inherent difficulties of separating the effects of migration per se from selection factors. If migrants are not representative of sending populations, then differences between migrants and non-migrants in the sending countries are difficult to interpret. Our approach to separating migration effects from selection effects involves a "natural" experiment that compares three distinct groups: Vietnamese immigrants in the United States; Vietnamese who have never left Vietnam; and Vietnamese returnees in Vietnam.