期刊
SOCIAL SCIENCE & MEDICINE
卷 69, 期 1, 页码 110-120出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.socscimed.2009.04.010
关键词
Health inequalities; Neighborhood; Immigrants; Health behaviors; USA; Hispanic Americans; Chinese Americans
资金
- NHLBI NIH HHS [N01-HC-95162, R01 HL071759, N01-HC-95160, N01 HC095164, N01-HC-95159, N01HC95165, N01-HC-95164, N01HC95159, N01 HC095165, N01 HC095169, N01-HC-95161, N01 HC095163, N01 HC095162, N01 HC095159, N01-HC-95163, N01HC95169, R01 HL071759-04, N01 HC095161, N01-HC-95165, N01 HC095160, N01-HC-95169] Funding Source: Medline
- NIMHD NIH HHS [P60 MD002249, P60 MD002249-02] Funding Source: Medline
The growing size and changing composition of the foreign-born population in the USA highlights the importance of examining the health consequences of living in neighborhoods with higher proportions of immigrants. Using data from the Multi-ethnic Study of Atherosclerosis in four US cities, we examined whether neighborhood immigrant composition was associated with health behaviors (diet, physical activity) among Hispanic and Chinese Americans (n = 1902). Secondarily we tested whether neighborhoods with high proportions of immigrants exhibited better or worse neighborhood quality, and whether these dimensions of neighborhood quality were associated with healthy behaviors. Neighborhood immigrant composition was defined based on the Census 2000 tract percent of foreign-born from Latin-America, and separately, percent foreign-born from China. After adjustment for age, gender, income, education, neighborhood poverty, and acculturation, living in a tract with a higher proportion of immigrants was associated with lower consumption of high-fat foods among Hispanics and Chinese, but with being less physically active among Hispanics. Residents in neighborhoods with higher proportions of immigrants reported better healthy food availability, but also worse walkability, fewer recreational exercise resources, worse safety, lower social cohesion, and lower neighborhood-based civic engagement. Associations of neighborhood immigrant composition with diet persisted after adjustment for reported neighborhood characteristics, and associations with physical activity were attenuated. Respondent-reported neighborhood healthy food availability, walkability, availability of exercise facilities and civic participation remained associated with behaviors after adjusting for immigrant composition and other covariates. Results show that living in an immigrant enclave is not monolithically beneficial and may have different associations with different health behaviors. (C) 2009 Elsevier Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据