Healthy migrant effect (HME) of immigrants has been evidenced in various heath aspects. However, few studies have explored the applicability of HME on Asian immigrants' health risk behavior-smoking. This study used three waves of Current Population Survey-Tobacco Use Supplement data, 1998-1999, 2005-2006, and 2010-2011, to compare the rates of being a current smoker among Asian immigrants and United States born citizens. Further, the odds ratios of gender, age, marital status, socioeconomic status, years of migration, and citizenship status on the likelihood of being a current smoker were examined. Across the three waves, Asian immigrants smoked at a much lower rate than their native-born counterparts. The gender gap of being a current smoker was much wider among Asian immigrants. The longer the Asian immigrants stayed in the United States, the more likely they were to become current smokers. These data confirmed the association of HME and Asian immigrants' smoking behavior, and also provided strong evidence of the importance of smoking prevention among Asian immigrants. This study also implied the possibility of a decline in the effectiveness of HME on Asian immigrants as the time they spent in the United States increased.
Objective: To compare the racial/ethnic differences in traumatic brain injury (TBI) recovery among Asians, Hispanics, and Whites, and explore the effect of nativity in the recovery process. Setting: Six Traumatic Brain Injury Model Systems (TBIMS) centers. Participants: In total, 7953 patients who had at least 1 severe TBI between 2000 and 2016 were admitted to one of the TBIMS centers. Design: Secondary data analysis. Main Measures: Functional Independent Measure (FIM instrument) ratings. Results: Asians had the lowest injury severity at admission, but they failed to make the improvements made by the Hispanics and the Whites between the rehabilitation discharge and the 1-year follow-up. The magnitude of improvement made by the foreign-born Asians was less than that made by their native-born counterparts. Both Asian and the Hispanic groups had lower functional outcomes at the 1-year follow-up, and the differences in functional outcomes between the Asian and Hispanic groups were not statistically significant. The above racial/ethnic disparities in functional outcomes were not fully explained by differences in sociodemographic status, injury characteristics, and immigration-related factors. The effect of nativity was mediated by covariates. Conclusions: This study reveals racial/ethnic disparities post-TBI functional recovery. Despite lower injury severity and apparent financial resource advantages, Asians did not experience better functional outcomes. Although the effect of nativity was not established in this study, contextual factors related to ethnicity and immigration experiences should be further investigated.
Background: The number of doctor of nursing practice (DNP) programs in the United States has increased dramatically in the past few years. However, few studies have been done to provide a comprehensive view of program structures and curricula offered. Methods: This study explored differences in entry pathway, admission statistics skills requirement, and whether a program offered a Biostatistics course in its curriculum by investigating the websites of DNP programs listed on the American Association of Colleges of Nursing (AACN) DNP directory. Results and conclusions: This study found no regional differences in these three areas: type of program offered, statistics course as a prerequisite, and whether Biostatistics is offered. Overall, more schools have started to require a graduate level statistic course in their admission requirement and more schools offered a Biostatistics course in their DNP curriculum. However, 25% of schools did not request for specific statistics skills prior to admission, nor did they incorporate a Biostatistics course in the program.
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