Yu Stella M, Huang Zhihuan J, Schwalberg Renee H, Kogan Michael D
Maternal and Child Health Bureau, 5600 Fishers Lane, 18A-55, Rockville, Maryland 20857, USA.
Matern Child Health J. 2005 Mar;9(1):27-34. doi: 10.1007/s10995-005-2547-0.
To examine the association between parental immigrant status and awareness of health and community resources to help address common family problems.
Using the 1999 National Survey of America's Families, a survey of the health, economic, and social characteristics of children and adults, bivariate and multivariate analyses were conducted on 35,938 children to examine the relationship between parents' immigrant status (U.S.-born citizens, naturalized citizens, and noncitizens) and their responses to questions about their awareness of specific health and community resources.
Compared to U.S.-born citizens, noncitizens were at the highest risk of not being aware of health and community resources for most outcomes, followed by naturalized citizens. The services of which noncitizens were most likely to be unaware were places to get help for family discord, child care issues, and family violence. Multivariate analyses indicate that parental race/ethnicity, education level, employment status, and child age were other significant independent risk factors.
Immigrant parents are at particularly high risk of alienation from systems of health care and support services that are available to low-income and other vulnerable populations in the United States. These findings clearly document disparate awareness among parents of different immigrant status. Community and health resources should reach out to immigrant populations, in linguistically and culturally appropriate ways, to alert them to the availability of their services.
探讨父母移民身份与健康及社区资源知晓度之间的关联，以帮助解决常见家庭问题。
利用1999年美国全国家庭调查（一项关于儿童和成人健康、经济及社会特征的调查），对35938名儿童进行双变量和多变量分析，以研究父母的移民身份（美国本土公民、入籍公民和非公民）与他们对特定健康及社区资源知晓度问题的回答之间的关系。
与美国本土公民相比，非公民在大多数情况下不知道健康及社区资源的风险最高，其次是入籍公民。非公民最有可能不知道的服务是处理家庭不和、儿童保育问题和家庭暴力的求助场所。多变量分析表明，父母的种族/民族、教育水平、就业状况和孩子年龄是其他显著的独立风险因素。
移民父母与美国低收入及其他弱势群体可获得的医疗保健和支持服务体系脱节的风险尤其高。这些发现清楚地表明不同移民身份的父母之间存在不同的知晓度。社区和卫生资源应以语言和文化适宜的方式向移民群体伸出援手，提醒他们这些服务的可获得性。
