Objective-This study investigates how prenatal demographic, social, and behavioral characteristics of Mexican origin immigrant mothers, which are linked to their relatively healthy birth outcomes, influence the subsequent health of their children in comparison to other racial and ethnic groups.Methods-We use data from the Fragile Families and Child Wellbeing Study of a cohort of 2,819 children born between 1998 and 2000 to analyze chronic health conditions at age 5 using logistic regression models.Results-Multivariate analyses revealed no significant differences in chronic health conditions at age 5 between children of Mexican immigrant mothers and non-Hispanic white children, controlling for socioeconomic status and access to health care. In contrast, children of U.S.-born Mexican American mothers had significantly higher odds of chronic conditions compared to nonHispanic white children. Social support and health care use are related to child health outcomes but do not explain racial and ethnic differences.Conclusions-Health policy must respond in order to help maintain the healthy outcomes of Mexican American children of immigrants and reverse the deteriorating health of children in subsequent generations, in light of considerable socioeconomic disadvantage and inadequate access to health care.In spite of their healthy birth outcomes in comparison to other racial and ethnic groups, there are serious concerns that Mexican American children are at risk for health problems and developmental deficiencies during their early years (Flores et al., 2002;Guendelman, 1998). Known as the epidemiological paradox (Markides and Coreil 1986), the phenomenon of relatively healthy birth outcomes among Mexican Americans despite high poverty rates, low levels of education, and limited access to health care has been extensively studied, but research on this population has for the most part not extended to childhood health. This gap was succinctly summarized by Guendelman (1998: 282) who, in a review of Hispanic health, stated that "a question remains whether the protective factors available during pregnancy continue to sustain the health of Hispanic children after they are born."It is important to monitor the health of Mexican American children through early childhood because this critical period -between ages 3 and 5 -marks the transition to school (BrooksGunn, Fuligni, and Berlin, 2003). A child's physical and mental health sets the stage for school readiness and subsequent educational attainment. Of particular concern are chronic health conditions (also known as chronic developmental problems), which include attention deficit hyperactivity disorder, mental retardation, autism, cerebral palsy, heart disease, poor Direct correspondence to Yolanda C. Padilla, School of Social Work, University of Texas at Austin, 1 University Station D3500, Austin, Texas 78712 or ypadilla@mail.utexas.edu. Yolanda C. Padilla will provide all data and coding information to those wishing to replicate the study.
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