Columbia University, School of Social Work, 1255 Amsterdam Ave, New York, NY 10027, USA.
Soc Sci Med. 2012 Aug;75(3):459-68. doi: 10.1016/j.socscimed.2012.03.038. Epub 2012 Apr 26.
A large literature on immigrant health in the U.S. has shown that immigrants tend to be healthier and live longer than both individuals who remain in their countries of origin and natives of their host countries who are of the same race or ethnicity. However, this immigrant health advantage appears to diminish with duration of residence in the U.S. Few studies of the effects of immigrants' exposure to the U.S. have focused on perinatal health. This study used three contemporary national datasets to describe patterns in infant birthweight by maternal duration of residence in the U.S. For both immigrants overall and Hispanic immigrants in particular, rates of low birthweight appeared to decline over the first few years in the U.S. and increase thereafter. This curvilinear association was robust across the three datasets and deviates somewhat from the prevailing notion that immigrant health declines monotonically over time. Additionally, we found no evidence that prenatal substance use increased with duration of residence in the U.S.
美国有大量关于移民健康的文献表明,与留在原籍国的人以及与他们具有相同种族或族裔的东道国本地人相比,移民往往更健康,寿命更长。然而,这种移民健康优势似乎随着在美国的居住时间的延长而减少。很少有研究关注移民接触美国对围产期健康的影响。本研究使用三个当代的全国性数据集,描述了母亲在美国居住时间对婴儿出生体重的影响模式。对于所有移民,特别是西班牙裔移民,低出生体重的比例在美国的头几年似乎有所下降,此后又有所上升。这种曲线关系在三个数据集中都是稳健的,与移民健康随着时间的推移单调下降的普遍观念略有不同。此外,我们没有发现证据表明产前药物使用随着在美国的居住时间的延长而增加。