Department of Sociology, Rice University, Houston, TX 77005-1892, USA.
J Health Soc Behav. 2010 Dec;51(4):440-57. doi: 10.1177/0022146510386792.
This study examines whether the relationship between acculturation and physical health varies by gender among Mexican Americans, and if the mechanisms that mediate the acculturation-health relationship operate differently by gender. Using the 1998-2007 National Health Interview Study, we construct a composite measure of acculturation and estimate regression models for the total number of health conditions, hypertension, heart disease, and diabetes. Immigrants with the lowest levels of acculturation are the healthiest, but this association is stronger for men. Medical care plays a central role in accounting for gender and acculturation differences across health outcomes-increased access to and utilization of medical care is associated with worse health, which suggests that better health among recent arrivals (particularly men) partially results from their lack of knowledge about their own poor health.
本研究考察了在墨西哥裔美国人中，文化适应与身体健康之间的关系是否因性别而异，以及调节这种文化适应与健康关系的机制是否因性别而异。我们利用 1998-2007 年全国健康访谈研究的数据，构建了一个文化适应综合衡量指标，并为健康状况总数、高血压、心脏病和糖尿病估计了回归模型。文化适应程度最低的移民最健康，但这种关联对男性来说更强。医疗保健在解释性别和文化适应对健康结果的差异方面起着核心作用——更多地获得和利用医疗保健与更差的健康状况相关，这表明新移民（尤其是男性）的健康状况更好，部分原因是他们对自己健康状况不佳缺乏了解。
