Arévalo Sandra P, Tucker Katherine L, Falcón Luis M
College of Health Sciences, Clinical Laboratory and Nutritional Sciences, University of Massachusetts at Lowell, 3 Solomont Way, Suite 4, Weed Hall, Lowell, MA 01854, USA.
College of Health Sciences, Clinical Laboratory and Nutritional Sciences, University of Massachusetts at Lowell, 3 Solomont Way, Suite 4, Weed Hall, Lowell, MA 01854, USA.
Soc Sci Med. 2015 Aug;138:91-100. doi: 10.1016/j.socscimed.2015.05.040. Epub 2015 May 29.
Pre-migration and post-migration factors may influence the health of immigrants. Using a cross-national framework that considers the effects of the sending and receiving social contexts, we examined the extent to which pre-migration and post-migration factors, including individual and neighborhood level factors, influence depressive symptoms at a 2-year follow-up time point. Data come from the Boston Puerto Rican Health Study, a population-based prospective cohort of Puerto Ricans between the ages of 45 and 75 y. The association of neighborhood ethnic density with depressive symptomatology at follow-up was significantly modified by sex and level of language acculturation. Men, but not women, experienced protective effects of ethnic density. The interaction of neighborhood ethnic density with language acculturation had a non-linear effect on depressive symptomatology, with lowest depressive symptomatology in the second highest quartile of language acculturation, relative to the lowest and top two quartiles among residents of high ethnic density neighborhoods. Results from this study highlight the complexity, and interplay, of a number of factors that influence the health of immigrants, and emphasize the significance of moving beyond cultural variables to better understand why the health of some immigrant groups deteriorates at faster rates overtime.
移民前和移民后的因素可能会影响移民的健康。我们使用一个跨国框架来考量移民输出国和接收国社会环境的影响，研究了在两年随访时间点上，包括个人和社区层面因素在内的移民前和移民后因素对抑郁症状的影响程度。数据来自波士顿波多黎各健康研究，这是一项基于人群的前瞻性队列研究，研究对象为年龄在45至75岁之间的波多黎各人。随访时，社区种族密度与抑郁症状之间的关联受到性别和语言文化适应水平的显著影响。男性而非女性从种族密度中获得了保护作用。社区种族密度与语言文化适应的相互作用对抑郁症状有非线性影响，在高种族密度社区居民中，语言文化适应处于第二高四分位数时抑郁症状最低，相对于最低和最高的两个四分位数。这项研究的结果凸显了影响移民健康的诸多因素的复杂性及其相互作用，并强调超越文化变量以更好地理解为何一些移民群体的健康状况随时间推移恶化速度更快的重要性。
