Tabler Jennifer, Mykyta Laryssa, Chernenko Alla, Flores Paloma, Marquez Alvaro, Saenz Nancy, Stocker Rebecca
From the Department of Criminal Justice and Sociology, University of Wyoming, Laramie, the Department of Sociology and Anthropology, University of Texas Rio Grande Valley, Edinburg, the Department of Sociology, University of Utah, Salt Lake City, the School of Medicine, Texas Tech University Health Sciences Center, Lubbock, the Department of Education, University of Texas Rio Grande Valley, Edinburg, and Hope Family Health Center, McAllen, Texas.
South Med J. 2020 Apr;113(4):183-190. doi: 10.14423/SMJ.0000000000001087.
Although substantial research has explored the Hispanic health paradox (HHP) and suggests that Latinx immigrants experience positive health outcomes relative to those born in the United States, less research has assessed the role of immigration status. Our aim was to examine this role in Latinx health.
Using survey data collected at two free/reduced-cost clinics in southernmost Texas, we examined differences in the mental and self-rated health, substance, alcohol, and tobacco use of low-income patients by undocumented/documented immigrant and US-born/naturalized citizen status (N = 588).
Based on ordinary least squares regression results, undocumented Latinx immigrants report lower negative self-rated health (coefficient -0.27, 95% confidence interval -0.50 to -0.01) and lower depressive symptoms (coefficient -0.34, 95% confidence interval -0.67 to -0.02]) compared with their US citizen peers ( < 0.05). Logistic regression results suggest that undocumented and documented Latinx immigrants do not differ in alcohol, tobacco, or substance use relative to their citizen peers.
Despite facing potentially adverse social environments, undocumented Latinx immigrants experience positive health outcomes relative to US-born/naturalized citizen peers.
尽管大量研究探讨了西班牙裔健康悖论（HHP），并表明拉丁裔移民相对于在美国出生的人而言健康状况良好，但较少有研究评估移民身份的作用。我们的目的是研究这种作用对拉丁裔健康的影响。
利用在得克萨斯州最南端的两家免费/低成本诊所收集的调查数据，我们按无证/有证移民以及美国出生/入籍公民身份，研究了低收入患者在心理和自评健康、药物、酒精及烟草使用方面的差异（N = 588）。
基于普通最小二乘法回归结果，与美国公民同龄人相比，无证拉丁裔移民报告的负面自评健康状况较低（系数 -0.27，95% 置信区间 -0.50 至 -0.01），抑郁症状也较少（系数 -0.34，95% 置信区间 -0.67 至 -0.02）（P < 0.05）。逻辑回归结果表明，无证和有证拉丁裔移民在酒精、烟草或药物使用方面与他们的公民同龄人没有差异。
尽管面临潜在的不利社会环境，但无证拉丁裔移民相对于在美国出生/入籍的公民同龄人而言，健康状况良好。
