Mendiola Jennifer, Do-Reynoso Van, Gonzalez Mariaelena
Department of Psychological Sciences, University of California, Merced, 5200 N. Lake Road, Merced, CA, United States.
Department of Public Health, University of California, Merced, 5200 N. Lake Road, Merced, CA, United States.
Prev Med Rep. 2015 Nov 17;3:25-9. doi: 10.1016/j.pmedr.2015.11.006. eCollection 2016 Jun.
First generation Latinos often have better health behaviors and outcomes than second and third generation Latinos. This study examined the correlates of seasonal influenza vaccinations among Mexican-identified (Mexican) adults, who make up the largest Latino subgroup in California. A sample of Mexican adults (N = 7493) from the 2011-12 California Interview Health Survey was used to compare the odds of first, second, and third generation Mexicans receiving influenza vaccinations in the past year. We performed a logistic regression taking into account socio-demographic characteristics, health status, and access to care. We repeated the analysis after stratifying for nativity, and then age. Being a second (odds ratio (OR) = 0.74, confidence interval (CI): 0.59, 0.92) and third generation or higher (OR = 0.66, CI: 0.51, 0.86) Mexican was associated with lower odds of getting an influenza vaccination compared to first generation Mexicans. Having a chronic disease, and access to care was associated with higher odds of vaccination, while lower age was associated with lower odds of vaccination among both US-, and foreign-born Mexicans. Given that the majority of Mexicans in California are US-born, the fact that being second- and third-generation Mexicans was associated with lower influenza vaccination rates is of significant concern.
第一代拉丁裔往往比第二代和第三代拉丁裔拥有更健康的行为和更好的健康状况。本研究调查了墨西哥裔（墨西哥）成年人季节性流感疫苗接种的相关因素，墨西哥裔成年人是加利福尼亚州最大的拉丁裔亚群体。来自2011 - 12年加利福尼亚访谈健康调查的墨西哥成年人样本（N = 7493）被用于比较第一代、第二代和第三代墨西哥人在过去一年中接种流感疫苗的几率。我们进行了逻辑回归分析，同时考虑了社会人口学特征、健康状况和获得医疗服务的机会。我们在按出生地分层，然后按年龄分层后重复了分析。与第一代墨西哥人相比，第二代（优势比（OR）= 0.74，置信区间（CI）：0.59，0.92）和第三代及以上（OR = 0.66，CI：0.51，0.86）墨西哥人接种流感疫苗的几率较低。患有慢性病以及获得医疗服务与接种疫苗的几率较高相关，而年龄较小与美国出生和外国出生的墨西哥人接种疫苗的几率较低相关。鉴于加利福尼亚州的大多数墨西哥人是在美国出生的，第二代和第三代墨西哥人与较低的流感疫苗接种率相关这一事实令人高度关注。
