Health, Chronic Conditions, and Behavioral Risk Disparities Among U.S. Immigrant Children and Adolescents.
Objective. We examined differentials in the prevalence of 23 parent-reported health, chronic condition, and behavioral indicators among 91,532 children of immigrant and U.S.-born parents. Methods. We used the 2007 National Survey of Children's Health to estimate health differentials among 10 ethnic-...
| Publicado en: | Public Health Reports Vol. 128; no. 6; pp. 463 - 480 |
|---|---|
| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications Inc.
Nov/Dec2013
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=91967641&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 91967641 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00333549 PHR jtl: Public Health Reports issn: 00333549 maglogo: Y pubinfo: dt: Nov/Dec2013 vid: 128 iid: 6 pid: 344 pub: Sage Publications Inc. artinfo: ui: 91967641 10.1177/003335491312800606 ppf: 463 ppct: 17 formats: tig: atl: Health, Chronic Conditions, and Behavioral Risk Disparities Among U.S. Immigrant Children and Adolescents. aug: au: SINGH, GOPAL K. YU, STELLA M. KOGAN, MICHAEL D. affil: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Rockville, MD su: United States Immigrants Attention-deficit hyperactivity disorder Autism Behavior disorders in children Children's health Chronic diseases Mental depression Epidemiology Ethnic groups Obesity Adolescent health Surveys Asthma Birthplaces Chi-squared test Child development deviations Comparative studies Confidence intervals Statistical correlation Sleep disorders T-test (Statistics) Time Logistic regression analysis Data analysis Secondary analysis Disease prevalence Physical activity Descriptive statistics sug: subj: Immigrants Attention-deficit hyperactivity disorder Autism Behavior disorders in children Children's health Chronic diseases Mental depression Epidemiology Ethnic groups Obesity Adolescent health United States Surveys Asthma Birthplaces Chi-squared test Child development deviations Comparative studies Confidence intervals Statistical correlation Sleep disorders T-test (Statistics) Time Logistic regression analysis Data analysis Secondary analysis Disease prevalence Physical activity Descriptive statistics ab: Objective. We examined differentials in the prevalence of 23 parent-reported health, chronic condition, and behavioral indicators among 91,532 children of immigrant and U.S.-born parents. Methods. We used the 2007 National Survey of Children's Health to estimate health differentials among 10 ethnic-nativity groups. Logistic regression yielded adjusted differentials. Results. Immigrant children in each racial/ethnic group had a lower prevalence of depression and behavioral problems than native-born children. The prevalence of autism varied from 0.3% among immigrant Asian children to 1.3%--1.4% among native-born non-Hispanic white and Hispanic children. Immigrant children had a lower prevalence of asthma, attention deficit disorder/attention deficit hyperactivity disorder; developmental delay; learning disability; speech, hearing, and sleep problems; school absence; and ≥1 chronic condition than native-born children, with health risks increasing markedly in relation to mother's's duration of residence in the U.S. Immigrant children had a substantially lower exposure to environmental tobacco smoke, with the odds of exposure being 60%--95% lower among immigrant non-Hispanic black, Asian, and Hispanic children compared with native non-Hispanic white children. Obesity prevalence ranged from 7.7% for native-born Asian children to 24.9%--25.1% for immigrant Hispanic and native-born non-Hispanic black children. Immigrant children had higher physical inactivity levels than native-born children; however, inactivity rates declined with each successive generation of immigrants. Immigrant Hispanic children were at increased risk of obesity and sedentary behaviors. Ethnic-nativity differentials in health and behavioral indicators remained marked after covariate adjustment. Conclusions. Immigrant patterns in child health and health-risk behaviors vary substantially by ethnicity, generational status, and length of time since immigration. Public health programs must target at-risk children of both immigrant and U.S.-born parents. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|