Health Status of Mexican-Origin Persons: Do Proxy Measures of Acculturation Advance our Understanding of Health Disparities?

Carter‐Pokras, Olivia; Zambrana, Ruth Enid; Yankelvich, Gillermina; Estrada, María Camila Calle; Castillo‐Salgado, Carlos; Ortega, Alexander N.

doi:10.1007/s10903-008-9146-2

Cited by 67 publications

(53 citation statements)

References 107 publications

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“…The significantly lower rates of gastroschisis among foreign-born women concord with many studies that have observed similarly paradoxical findings of better birth outcomes among foreign-born women, who are typically medically underserved and of lower socioeconomic status. Women born outside the U.S., particularly those of Hispanic ethnicity, have a lower risk of preterm delivery, low birth weight, and infant mortality, and they report less preterm labor and hypertension than U.S.-born women; this advantage tends to diminish with increasing acculturation (Cervantes et al, 1999;Crump et al, 1999;Buekens et al, 2000;Carter-Pokras et al, 2008;McDonald et al, 2008;Ruiz et al, 2008). The protective effect associated with being foreign born is not consistent for all birth outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Many birth outcomes, including infant mortality, low birth weight, and preterm birth, differ according to maternal nativity. Foreign-born women, especially Hispanics, have more favorable birth outcomes than U.S.-born women, despite their having more demographic and socioeconomic risk factors (Crump et al, 1999;Carter-Pokras et al, 2008). Women born outside the United States tend to have more social support, engage in fewer risky behaviors during pregnancy such as tobacco and alcohol use, and have fewer medical risks (Leslie et al, 2006;Campos et al, 2008;McDonald et al, 2008;Ruiz et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Women born outside the United States tend to have more social support, engage in fewer risky behaviors during pregnancy such as tobacco and alcohol use, and have fewer medical risks (Leslie et al, 2006;Campos et al, 2008;McDonald et al, 2008;Ruiz et al, 2008). However, many of these advantageous factors and better pregnancy outcomes experienced by foreign-born women diminish with increasing acculturation in the U.S. and the adoption of new cultural beliefs and health behaviors (Abriado-Lanza et al, 2005;Carter-Pokras et al, 2008;Ruiz et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Maternal nativity as a risk factor for gastroschisis: A population‐based study

Salemi

Pierre

Tanner

et al. 2009

Birth Defects Research

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BACKGROUND:The prevalence of gastroschisis is increasing in many parts of the world, although the etiology is largely unexplained. Young maternal age has been the only consistently identified, strong risk factor. The objective of this study was to examine the role of maternal nativity in relation to other suspected risk factors for gastroschisis in Florida. METHODS: We conducted a retrospective cohort study of singleton infants born in Florida from 1998-2003. Gastroschisis cases were identified from the Florida Birth Defects Registry. Demographic and perinatal data were obtained from birth records. Multivariable Poisson regression was used to estimate adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) for each factor of interest. RESULTS: The 6-year birth prevalence of gastroschisis was 3.26 per 10,000 live births, and the annual rate increased 41% during the study period. In addition to maternal age and marital status, maternal race/ethnicity and nativity were significantly associated with the risk of delivering an infant with gastroschisis. Compared with non-Hispanic white women, non-Hispanic black women had the lowest risk of delivering an infant with gastroschisis (PR, 0.19; 95% CI, 0.13-0.26), followed by Hispanic women (PR, 0.60; 95% CI, 0.43-0.83). Women born outside the United States were significantly less likely than U.S.-born women to deliver an infant with gastroschisis (PR, 0.59; 95% CI, 0.41-0.86). CONCLUSIONS: Although young maternal age remains a strong significant risk factor for gastroschisis in Florida, other factors such as maternal race/ ethnicity and nativity could be important in explaining the increasing prevalence of gastroschisis. Birth

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Maternal nativity as a risk factor for gastroschisis: A population‐based study

Salemi

Pierre

Tanner

et al. 2009

Birth Defects Research

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“…There is currently no gold standard measure of acculturation; several proxies exist that may assess different constructs of the multidimensional process (7)(8)(9). Prior studies have suggested that the relationship between acculturation and obesity in Hispanics may depend on the specific acculturation measure.…”

Section: Introductionmentioning

confidence: 99%

Acculturation and overweight-related attitudes and behavior among obese hispanic adults in the United States

New

Xiao²,

2013

Obesity

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Objective: US Hispanics bear a disproportionate burden of excess body weight and associated morbidity, making obesity prevention and control in this population a public health priority. Development of culturally appropriate weight loss interventions requires understanding the influence of acculturation on attitudes and behavior related to obesity and weight loss. Design and Methods: Using data from the National Health and Nutrition Examination Survey (2001-2004), we analyzed the associations of country of birth and language usage with weight perception, weight dissatisfaction, intention to lose weight, and intended weight loss of clinical significance among obese Hispanic adults (>20 years of age; unweighted n ¼ 675) in multivariable logistic regression analyses. 43-5.40) and achieve clinically significant weight loss (OR ¼ 3.94; 95% CI ¼ 1.51-10.3). Conclusions: The findings suggest that lack of acculturation as measured by foreign birth and limited English proficiency may contribute to within-ethnicity health inequality among obese Hispanics, even after controlling for a variety of sociodemographic characteristics, including education and income, differential healthcare access and use, and health status. Further studies should examine the underlying mechanisms, thereby informing culturally competent intervention strategies targeted at obese US Hispanics.

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“…Some studies suggest that family values such as familism and strong social support networks serve as protective factors for Latina/o populations (e.g., Stein, Gonzalez, Cupito, Kiang, & Supple, 2013) and may partially explain the Latina/o immigrant paradox. The protective factor of being an immigrant, however, may come with an expiration date since some studies also suggest that the longer immigrants reside in the U.S., the more their health deteriorates (Carter-Pokras, Zambrana, Yankelvich, Estrada, Castillo-Salgado, & Ortega, 2008). Our efforts to understand Latina/o families' well-being, including those living in rural America, should include research focused on protective factors.…”

Section: Background the Changing Demographics Of Rural Americamentioning

confidence: 99%

Five Personality Types Based on Big Five: A Latent Class Analysis

Yao²,

Didericksen³

et al. 2018

FSR

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ABSTRACT. The face of rural America is rapidly changing as rural communities become home to growing numbers of racial and ethnic minorities, especially Latina/o families. While Latinas/os are important to the vitality and productivity of rural communities, they experience disproportionately higher rates of poverty, food insecurity, and additional challenges such as lack of proficiency in English, documentation status, and discrimination, compared to the general population. This paper presents 20 years of findings on the well-being of Latina/o families in rural America from the multi-state USDA Hatch funded projects, Rural Families Speak (NC 223/NC 1011) and Rural Families Speak about Health (NC 1171). Findings are organized by an adapted Bronfenbrenner's Ecological model that includes inner (e.g., individual, family) and outer layer systems (e.g., access to public assistance and healthcare, culture, social support, working conditions). There is discussion of implications for policies and programs affecting Latina/o families.

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Health Status of Mexican-Origin Persons: Do Proxy Measures of Acculturation Advance our Understanding of Health Disparities?

Cited by 67 publications

References 107 publications

Maternal nativity as a risk factor for gastroschisis: A population‐based study

Maternal nativity as a risk factor for gastroschisis: A population‐based study

Acculturation and overweight-related attitudes and behavior among obese hispanic adults in the United States

Five Personality Types Based on Big Five: A Latent Class Analysis

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