加利福尼亚州拉丁裔人群中基于人群样本的多种慢性疾病风险因素的社会不平等。
Social Inequalities in Multiple Chronic Disease Risk Factors among a population-based Sample of Latinas in California.
机构信息
School of Social Work, the University of Texas at Arlington, Arlington, Texas, USA.
Steve Hicks School of Social Work, the University of Texas at Austin, Austin, Texas, USA.
出版信息
Soc Work Public Health. 2023 Jan 2;38(1):33-46. doi: 10.1080/19371918.2022.2091075. Epub 2022 Jul 13.
Data from 1,248 Latina mothers who participated in the Geographic Research on Wellbeing (GROW) study were used to examine associations between SES, neighborhood-level Latinx concentration, neighborhood-level poverty and having two or more modifiable behavioral risk factors (e.g., smoking, drinking) for chronic disease. Logistic regression models were estimated stratified by nativity and adjusted for age and marital status. Among immigrants, low SES was associated with odds of multiple risk factors (Adjusted Odds Ratio [AOR] = 1.66, 95% Confidence Interval [CI] = 1.17-2.38). Among US-born women, low neighborhood-level Latinx concentration was associated with odds of multiple risk factors (AOR = 0.43, 95% CI = 0.22-0.84), and high neighborhood-level poverty (AOR = 2.83, 95% CI = 1.61-4.99) and low SES (AOR = 1.72, 95% CI = 1.02-2.92) were associated with odds, respectively. Heterogeneous effects between nativity and social factors may produce risk for chronic disease among Latinas.
使用参与地理福祉研究（GROW）的 1248 名拉丁裔母亲的数据，来检验社会经济地位（SES）、邻里层面拉丁裔集中程度、邻里层面贫困程度与存在两种或多种可改变的慢性病行为风险因素（例如吸烟、饮酒）之间的关联。按出生地对逻辑回归模型进行分层，并根据年龄和婚姻状况进行调整。在移民中，低 SES 与多种风险因素的可能性相关（调整后的优势比 [AOR] = 1.66，95%置信区间 [CI] = 1.17-2.38）。在美国出生的女性中，低邻里层面拉丁裔集中程度与多种风险因素的可能性相关（AOR = 0.43，95%CI = 0.22-0.84），高邻里层面贫困（AOR = 2.83，95%CI = 1.61-4.99）和低 SES（AOR = 1.72，95%CI = 1.02-2.92）分别与可能性相关。出生地和社会因素之间的异质效应可能会给拉丁裔女性带来慢性病风险。
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