Contributions of individual acculturation and neighborhood ethnic density to variations in Hispanic children's respiratory health in a US--Mexican border metropolis.

Background We used an expanded conceptualization of ethnic density at the neighborhood level, tailored to Hispanic majority communities in the USA, and a robust measure of children's acculturation at the individual level, to predict Hispanic children's respiratory health. Methods We conducted a cros...

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Publicado en:Journal of Public Health Vol. 38; no. 3; pp. 441 - 450
Autores principales: Grineski, Sara E., Collins, Timothy W., Young-An Kim
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Sep2016
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Contributions of individual acculturation and neighborhood ethnic density to variations in Hispanic children's respiratory health in a US--Mexican border metropolis.
      aug:
        au:
          Grineski, Sara E.
          Collins, Timothy W.
          Young-An Kim
        affil: Department of Sociology and Anthropology, University of Texas of El Paso, El Paso, TX 79968, USA
      sug:
        subj:
          Acculturation
          Birth Place
          Infant, Low Birth Weight
          Health
          Asthma
          Bronchitis
          United States
          Mexico
          Logistic Regression
          Child
          Data Analysis
          Descriptive Statistics
          Prospective Studies
          Study Design
          Confidence Intervals
          Odds Ratio
          Surveys
          Sensitivity and Specificity
          Regression
          Questionnaires
          Scales
          Infant
          Human
          Child: 6-12 years
          Infant: 1-23 months
      ab: Background We used an expanded conceptualization of ethnic density at the neighborhood level, tailored to Hispanic majority communities in the USA, and a robust measure of children's acculturation at the individual level, to predict Hispanic children's respiratory health. Methods We conducted a cross-sectional survey of 1904 children in 2012 in El Paso, TX, USA. One thousand one hundred and seven Hispanic children nested within 72 census tracts were analyzed. Multilevel logistic regression models with cross-level interactions were used to predict bronchitis, asthma and wheezing during sleep. Results A neighborhood-level ethnic density factor was a non-significant risk factor while individual-level acculturation was a significant risk factor for the three outcomes. Pest troubles and not having been breastfed as an infant intensified the positive association between ethnic density and bronchitis. Increases in ethnic density intensified the odds of wheezing in sleep if the child was not low birth weight or was not economically deprived. Conclusions Results suggest that increasing individual-level acculturation is detrimental for US Hispanic children's respiratory health in this Hispanic majority setting, while high ethnic density neighborhoods are mildly risky and pose more significant threats when other individual-level factors are present.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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