Duke University, Durham, North Carolina 27708, USA.
J Health Soc Behav. 2012 Mar;53(1):99-123. doi: 10.1177/0022146511431267. Epub 2012 Feb 16.
This article draws on theories of gender inequality and immigrant health to hypothesize differences among the largest immigrant population, Mexicans, and a lesser known population of Middle Easterners. Using data from the 2000-2007 National Health Interview Surveys, we compare health outcomes among immigrants to those among U.S.-born whites and assess gender differences within each group. We find an immigrant story and a gender story. Mexican and Middle Eastern immigrants are healthier than U.S.-born whites, and men report better health than women regardless of nativity or ethnicity. We identify utilization of health care as a primary mechanism that contributes to both patterns. Immigrants are less likely than U.S.-born whites to interact with the health care system, and women are more likely to do so than men. Thus, immigrant and gender health disparities may partly reflect knowledge of health status rather than actual health.
本文借鉴了性别不平等和移民健康理论，假设最大的移民群体——墨西哥人和鲜为人知的中东人之间存在差异。利用 2000-2007 年全国健康访谈调查的数据，我们比较了移民与美国出生的白人之间的健康结果，并评估了每个群体中的性别差异。我们发现了一个移民故事和一个性别故事。墨西哥和中东移民比美国出生的白人更健康，而且无论出生国或种族如何，男性的健康状况都好于女性。我们发现，利用医疗保健是导致这两种模式的主要机制之一。移民比美国出生的白人更不可能与医疗保健系统互动，而女性比男性更有可能这样做。因此，移民和性别健康差距可能部分反映了对健康状况的了解，而不是实际健康状况。
