Hispanic Health Paradox at the Border: Substance, Alcohol, and Tobacco Use among Latinx Immigrants Seeking Free or Reduced-Cost Care in Southernmost Texas
| Autor: | Paloma Flores, Nancy Saenz, Jennifer Tabler, Laryssa Mykyta, Rebecca Stocker, Alvaro Marquez, Alla Chernenko |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Tobacco use Substance-Related Disorders media_common.quotation_subject Immigration Emigrants and Immigrants Logistic regression 01 natural sciences Tobacco Use 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires US Citizen Humans Medicine 030212 general & internal medicine 0101 mathematics Tobacco Use Epidemiology media_common business.industry 010102 general mathematics Health Care Costs Hispanic or Latino General Medicine Middle Aged Texas Confidence interval Survey data collection Female Substance use business Demography |
| Zdroj: | Southern Medical Journal. 113:183-190 |
| ISSN: | 1541-8243 0038-4348 |
| DOI: | 10.14423/smj.0000000000001087 |
| Popis: | OBJECTIVE 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. METHODS 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). RESULTS 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 (P < 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. CONCLUSIONS Despite facing potentially adverse social environments, undocumented Latinx immigrants experience positive health outcomes relative to US-born/naturalized citizen peers. |
| Databáze: | OpenAIRE |
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