Danso Kofi
a Minnesota State University , Mankato , Minnesota , USA.
Soc Work Public Health. 2016;31(3):175-87. doi: 10.1080/19371918.2015.1099494. Epub 2016 Mar 10.
This study examines the differences in the social determinants of health and chronic health conditions of immigrants and nonimmigrants. The logistic regression results indicate that employment, education, poverty, residential status, and neighborhood safety have strong influence on the health of immigrants and native-born Americans; however, gender and place of residence are significant to only nonimmigrant health. For chronic health conditions, age and employment status are significant predictors for immigrants whereas race/ethnicity, age, gender, insurance coverage, and education are important predictors of chronic health conditions among nonimmigrants. Neighborhood safety, English proficiency, and marital status were not significant determinants of the health conditions of both subgroups. The study points to the importance of education, poverty/income, and neighborhood safety as essential determinants of immigrant and nonimmigrant health. However, there are variations in the health predictors for each group.
本研究考察了移民和非移民在健康的社会决定因素以及慢性健康状况方面的差异。逻辑回归结果表明,就业、教育、贫困、居住状况和社区安全对移民和美国本土出生者的健康有很大影响;然而,性别和居住地点仅对非移民的健康有显著影响。对于慢性健康状况,年龄和就业状况是移民的重要预测因素,而种族/族裔、年龄、性别、保险覆盖范围和教育是非移民慢性健康状况的重要预测因素。社区安全、英语水平和婚姻状况对这两个亚组的健康状况都不是显著的决定因素。该研究指出教育、贫困/收入和社区安全作为移民和非移民健康的基本决定因素的重要性。然而,每组的健康预测因素存在差异。