Nativity and Health Disparities: Predictors of Immigrant Health

Danso, Kofi

doi:10.1080/19371918.2015.1099494

Cited by 9 publications

(9 citation statements)

References 35 publications

(17 reference statements)

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“…Income was a common factor in reducing health inequalities in urban and rural areas in our study. In previous studies, income was often found to be associated with health and high-income groups tended to report good health [7, 12, 36, 51]. Zhou et al [52] using data from the Chinese NHSS conducted in 2003 and 2008, reported strong pro-rich inequity in access to inpatient utilization in rural China.…”

Section: Discussionmentioning

confidence: 99%

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Decomposing the causes of socioeconomic-related health inequality among urban and rural populations in China: a new decomposition approach

Cai

Coyte

Zhao

2017

Int J Equity Health

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BackgroundIn recent decades, China has experienced tremendous economic growth and also witnessed growing socioeconomic-related health inequality. The study aims to explore the potential causes of socioeconomic-related health inequality in urban and rural areas of China over the past two decades.MethodsThis study used six waves of the China Health and Nutrition Survey (CHNS) from 1991 to 2006. The recentered influence function (RIF) regression decomposition method was employed to decompose socioeconomic-related health inequality in China. Health status was derived from self-rated health (SRH) scores. The analyses were conducted on urban and rural samples separately.ResultsWe found that the average level of health status declined from 1989 to 2006 for both urban and rural populations. Average health scores were greater for the rural population compared with those for the urban population. We also found that there exists pro-rich health inequality in China. While income and secondary education were the main factors to reduce health inequality, older people, unhealthy lifestyles and a poor home environment increased inequality. Health insurance had the opposite effects on health inequality for urban and rural populations, resulting in lower inequality for urban populations and higher inequality for their rural counterparts.ConclusionThese findings suggest that an effective way to reduce socioeconomic-related health inequality is not only to increase income and improve access to health care services, but also to focus on improvements in the lifestyles and the home environment. Specifically, for rural populations, it is particularly important to improve the design of health insurance and implement a more comprehensive insurance package that can effectively target the rural poor. Moreover, it is necessary to comprehensively promote the flush toilets and tap water in rural areas. For urban populations, in addition to promoting universal secondary education, healthy lifestyles should be promoted, including measures such as alcohol control.Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-017-0624-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…There were demographic characteristics [7], socioeconomic status [36], lifestyle factors [11] and home environment [37]. Gender, age, ethnicity, marital status, place of residence and household size were included in demographic characteristics.…”

Section: Methodsmentioning

confidence: 99%

Decomposing the causes of socioeconomic-related health inequality among urban and rural populations in China: a new decomposition approach

Cai

Coyte

Zhao

2017

Int J Equity Health

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“…Disparities in neurodevelopment have been described in children with different socio-demographic indicators [ 1 , 2 , 3 ]. Children in communities of color, immigrant and low-income families have been shown to be at high risk for adverse health and developmental outcomes [ 1 , 2 , 3 , 4 , 5 , 6 ]. Immigrant health is of particular interest due to the increasing influx of global migration, including within the United States (US).…”

Section: Introductionmentioning

confidence: 99%

“…Disparities in neurodevelopment have been described in children with different socio-demographic indicators [1][2][3]. Children in communities of color, immigrant and lowincome families have been shown to be at high risk for adverse health and developmental outcomes [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Inequalities in Exposure to Ambient Air Neurotoxicants and Disparities in Markers of Neurodevelopment in Children by Maternal Nativity Status

Araya

Stingone

Cláudio

2021

IJERPH

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Exposure levels to environmental pollutants vary significantly among different populations. These inequities in exposure to hazardous air pollutants (HAP) among different populations can contribute to disparities in neurodevelopmental outcomes. The aim of this study was to determine if exposure to HAP varies by maternal nativity status, a demographic marker often overlooked in the study of health disparities. We also assessed if those inequalities in exposure levels are associated with neurodevelopmental measures in young children. To do this, we obtained data from the Early Childhood Longitudinal Study-Birth cohort (ECLS-B), a nationally representative sample of children born in the U.S. in the year 2001 (N = 4750). Bayley’s Short Form-Research Edition (BSF-R) was used to measure cognitive development at 2 years of age. Using residential location at nine months of age, participants were assigned exposures to ten HAPs identified as potentially neurotoxic. Linear regression models were used to assess the joint effect of maternal nativity status and HAP exposure on neurodevelopment. Results showed inequities in exposure levels to ten different HAPs among the populations, as approximately 32% of children of foreign-born mothers were exposed to high levels of HAPs, compared to 21% of children born to U.S.-born mothers. Adjusting for socioeconomic factors, both isophorone exposure (a marker of industrial pollution) (−0.04, 95% CI, -0.12, 0.04) and maternal nativity status (−0.17, 95% CI, −0.27, −0.06) were independently associated with lower standardized BSF-R mental scores in children. Interaction between nativity status and isophorone was not statistically significant, but the change in mental scores associated with isophorone exposure was greater in children of foreign-born mothers compared to children of U.S.-born mothers (−0.12, vs. −0.03, p = 0.2). In conclusion, exposure to HAPs within the highest quartile was more commonly found among children of foreign-born mothers as compared to children of US-born mothers, indicating inequities in pollutant exposure by nativity status within urban populations. Exposures associated with nativity status may negatively contribute to children’s neurodevelopment.

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“…Health is influenced by a complex interplay of individual factors, including genetics, lifestyle, ethnicity, and social determinants such as immigrant status [ 21 ]. In fact, Hispanic women could have an increased risk of developing GDM [ 22 ] due to both genetic predisposition and lifestyle habits [ 23 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain

et al. 2020

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Gestational diabetes mellitus (GDM) is the most frequent morbidity found in pregnancy, and it increases the risk for several maternal-fetal complications. Hispanic women are considered at high risk. The St. Carlos GDM prevention study is a randomized controlled trial (RCT) conducted from 2016–2017. Normoglycemic women were randomized at 12–14 Gestation week (WG) to an intervention group (IG) receiving recommendations based on the MedDiet (supplemented with ExtraVirgin Olive Oil/pistachios), or to a control group (CG), recommended to limit fat intake. After RCT conclusion, IG recommendations were applied to a real-world group (RW) in routine clinical practice. The primary endpoint of the current study is an assessment of the GDM rate in Hispanic participants of the aforementioned studies: 132 RCT, 128 CT, 284 RW participants. The GDM rate was lower in IG: 19/128(14.8%), p = 0.021, and RW: 38/284(13.4%), p = 0.029) than in CG: 34/132(25.8%). Adjusted RR (95%CI) for GDM: 0.72 (0.50–0.97), p = 0.037 in IG and 0.77 (0.61–0.97), p = 0.008 in RW. Rates of urinary tract infections, emergency caesarean-sections and perineal trauma were also lower in IG and RW. Other adverse outcomes were lower in IG vs. CG. In conclusion, a MedDiet-based intervention reduces the rate of GDM and several adverse maternal-fetal outcomes in Hispanic women residing in Spain.

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Nativity and Health Disparities: Predictors of Immigrant Health

Cited by 9 publications

References 35 publications

Decomposing the causes of socioeconomic-related health inequality among urban and rural populations in China: a new decomposition approach

Decomposing the causes of socioeconomic-related health inequality among urban and rural populations in China: a new decomposition approach

Inequalities in Exposure to Ambient Air Neurotoxicants and Disparities in Markers of Neurodevelopment in Children by Maternal Nativity Status

Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain

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