University of Maryland, College Park, MD, USA.
The University of Texas at Austin, Austin, TX, USA.
Health Educ Behav. 2021 Jun;48(3):320-331. doi: 10.1177/10901981211011047.
Prior to 1980, U.S. national demographic and health data collection did not identify individuals of Hispanic/Latina/o heritage as a population group. Post-1990, robust immigration from Latin America (e.g., South America, Central America, Mexico) and subsequent growth in U.S. births, dynamically reconstructed the ethnoracial lines among Latinos from about 20 countries, increasing racial admixture and modifying patterns of health disparities. The increasing racial and class heterogeneity of U.S. Latina/os demands a critical analysis of sociodemographic factors associated with population health disparities. To determine the state of available Latina/o population demographic and health data in the United States, assess demographic and health variables and trends from 1960 to the present, and identify current strengths, gaps, and areas of improvement. Analysis of 101 existing data sets that included demographic, socioeconomic, and health characteristics of the U.S. Latina/o population, grouped by three, 20-year intervals: 1960-1979, 1980-1999, and 2000-2019. Increased Latina/o immigration and U.S. births between 1960 and 2019 was associated with increases of Latino population samples in data collection. Findings indicate major gaps in the following four areas: children and youth younger than 18 years, gender and sexual identity, race and mixed-race measures, and immigration factors including nativity and generational status. The analysis of existing ethnoracial Latina/o population data collection efforts provides an opportunity for critical analysis of past trends, future directions in data collection efforts, and an equity lens to guide appropriate community health interventions and policies that will contribute to decreasing health disparities in Latina/o populations.
在 1980 年之前,美国的国家人口和健康数据收集并未将西班牙裔/拉丁裔个体确定为一个人群群体。1990 年后,来自拉丁美洲(如南美洲、中美洲、墨西哥)的大量移民以及随后美国出生人口的增长,动态重建了来自大约 20 个国家的拉丁裔的种族和民族界限,增加了种族混合并改变了健康差异的模式。美国拉丁裔人口的种族和阶级异质性不断增加,需要对与人口健康差异相关的社会人口因素进行批判性分析。为了确定美国可用的拉丁裔人口人口和健康数据的状况,评估 1960 年至今的人口和健康变量和趋势,并确定当前的优势、差距和改进领域。对 101 个现有数据集进行了分析,这些数据集包括美国拉丁裔人口的人口统计、社会经济和健康特征,分为三个 20 年的间隔:1960-1979 年、1980-1999 年和 2000-2019 年。1960 年至 2019 年期间拉丁裔移民和美国出生人口的增加与数据收集拉丁裔人口样本的增加有关。调查结果表明,以下四个领域存在重大差距:18 岁以下的儿童和青年、性别和性身份、种族和混合种族措施以及包括原籍国和代际地位在内的移民因素。对现有的西班牙裔/拉丁裔人口数据收集工作的分析为批判性分析过去的趋势、数据收集工作的未来方向以及公平视角提供了机会,以指导适当的社区卫生干预措施和政策,这将有助于减少拉丁裔人口的健康差异。