scholarly journals SOCIOCULTURAL VARIABILITY IN SELF-REPORTED COGNITIVE IMPAIRMENT AMONG OLDER LATINOS IN THE UNITED STATES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S584-S584
Author(s):  
Marc A Garcia ◽  
David F Warner ◽  
Catherine Garcia
Keyword(s):  
United States ◽  
Cognitive Impairment ◽  
Brain Aging ◽  
Country Of Origin ◽  
The United States ◽  
Health Concern ◽  
Significant Heterogeneity ◽  
Foreign Born ◽  
Cross Sectional ◽  
Monolithic Group

Abstract Cognitive impairment is a major public health concern in the United States. Research indicates cognitive impairment is higher for older U.S. Latinos than non-Latino whites, due in part to Latinos having longer life expectancy, lower educational attainment, and a higher prevalence of diabetes and cardiovascular disease. Prior studies on cognition have largely examined “Latinos” as a monolithic group. However, Latinos are heterogeneous in composition with unique socio-cultural characteristics based on nativity and country of origin. Accordingly, we used data from the 1997-2017 National Health Interview Survey (NHIS) to document age-specific trends in in self-reported cognitive impairment among US-born Mexican, foreign-born Mexican, island-born Puerto Rican, foreign-born Cuban, and non-Latino white adults aged 60 and older. Given the repeated cross-sectional nature of these data, we estimated hierarchical age period–cohort (HAPC) cross-classified random-effects model (CCREM) to isolate age trends in self-reported cognitive impairment across Latino subgroups and non-Latino whites. Results indicate significant heterogeneity among Latino subgroups, with island-born Puerto Ricans exhibiting the highest rates of cognitive impairment and foreign-born Cubans the lowest. Conversely, US-born and foreign-born Mexicans exhibited rates in between these two. All Latino subgroups statistically differed from non-Latino whites. Socio-demographic controls account for approximately 33%-45% of the disparity, but fully account for foreign-born Cubans and non-Latino whites differences. These findings indicate the importance of considering nativity and country of origin when assessing cognitive outcomes among older Latinos. Understanding minority and immigrant differences in cognitive impairment has implications for the development and implementation of culture-appropriate programs to promote healthy brain aging.

scholarly journals Prevalence of chronic hepatitis B among foreign-born persons living in the United States by country of origin

Hepatology ◽  
2012 ◽  
Vol 56 (2) ◽  
pp. 422-433 ◽  
Author(s):  
Kris V. Kowdley ◽  
Chia C. Wang ◽  
Sue Welch ◽  
Henry Roberts ◽  
Carol L. Brosgart
Keyword(s):  
United States ◽  
Chronic Hepatitis ◽  
Hepatitis B ◽  
Chronic Hepatitis B ◽  
Country Of Origin ◽  
The United States ◽  
Foreign Born

scholarly journals Greater Acculturation is Associated With Poorer Cardiovascular Health in the Multi‐Ethnic Study of Atherosclerosis

2021 ◽  
Author(s):  
Olatokunbo Osibogun ◽  
Oluseye Ogunmoroti ◽  
Lena Mathews ◽  
Victor Okunrintemi ◽  
Martin Tibuakuu ◽  
...  
Keyword(s):  
United States ◽  
Cardiovascular Disease ◽  
Cardiovascular Health ◽  
Hispanic Americans ◽  
The United States ◽  
Foreign Born ◽  
Cross Sectional ◽  
Lower Odds ◽  
Increased Risk ◽  
At Home

Background Greater acculturation is associated with increased risk of cardiovascular disease. However, little is known about the association between acculturation and ideal cardiovascular health (CVH) as measured by the American Heart Association's 7 CVH metrics. We investigated the association between acculturation and ideal CVH among a multi‐ethnic cohort of US adults free of clinical cardiovascular disease at baseline. Methods and Results This was a cross‐sectional analysis of 6506 men and women aged 45 to 84 years of 4 races/ethnicities. We examined measures of acculturation(birthplace, language spoken at home, and years lived in the United States [foreign‐born participants]) by CVH score. Scores of 0 to 8 indicate inadequate, 9 to 10 average and 11 to 14 optimal CVH. We used multivariable regression to examine associations between acculturation and CVH, adjusting for age, sex, race/ethnicity, education, income and health insurance. The mean (SD) age was 62 (10) years, 53% were women, 39% non‐Hispanic White‐, 26% non‐Hispanic Black‐, 12% Chinese‐ and 22% Hispanic‐Americans. US‐born participants had lower odds of optimal CVH (odds ratio [OR]: 0.63 [0.50–0.79], P <0.001) compared with foreign‐born participants. Participants who spoke Chinese and other foreign languages at home had greater odds of optimal CVH compared with those who spoke English (1.91 [1.08–3.36], P =0.03; and 1.65 [1.04–2.63], P =0.03, respectively). Foreign‐born participants who lived the longest in the United States had lower odds of optimal CVH (0.62 [0.43–0.91], P =0.02). Conclusions Greater US acculturation was associated with poorer CVH. This finding suggests that the promotion of ideal CVH should be encouraged among immigrant populations since more years lived in the United States was associated with poorer CVH.

The Effect of Americanization on the Earnings of Foreign-born Men

2019 ◽  
pp. 17-40
Author(s):  
George J. Borjas ◽  
Barry R. Chiswick
Keyword(s):  
United States ◽  
Labor Market ◽  
Country Of Origin ◽  
White Men ◽  
The United States ◽  
Foreign Born ◽  
Labor Market Experience ◽  
Market Experience

The earnings of foreign-born adult white men, as reported in the 1970 Census of Population, are analyzed through comparisons with the native born and among the foreign born by country of origin, years in the United States, and citizenship. Differences in the effects of schooling and postschool training are explored. Although immigrants initially earn less than the native born, their earnings rise more rapidly with U.S. labor market experience, and after 10 to 15 years their earnings equal, and then exceed, those of the native born. Earnings are unrelated to whether the foreign born are U.S. citizens.

scholarly journals Nativity and Country of Origin Variations in Life Expectancy With Functional Limitations Among Older Hispanics in the United States

2020 ◽  
Vol 42 (7-8) ◽  
pp. 199-207 ◽  
Author(s):  
Marc A. Garcia ◽  
Adriana M. Reyes ◽  
Catherine García ◽  
Chi-Tsun Chiu ◽  
Grecia Macias
Keyword(s):  
United States ◽  
Life Expectancy ◽  
National Health Interview Survey ◽  
Puerto Ricans ◽  
Functional Limitations ◽  
Country Of Origin ◽  
The United States ◽  
Foreign Born ◽  
Interview Survey ◽  
Racial Ethnic

This study examined racial/ethnic, nativity, and country of origin differences in life expectancy with and without functional limitations among older adults in the United States. We used data from the National Health Interview Survey (1999–2015) to estimate Sullivan-based life tables of life expectancies with functional limitations and without functional limitations by sex for U.S.-born Mexicans, foreign-born Mexicans, U.S.-born Puerto Ricans, island-born Puerto Ricans, foreign-born Cubans, and U.S.-born Whites. We find that Latinos exhibit heterogeneous life expectancies with functional limitations. Among females, U.S.-born Mexicans, foreign-born Mexicans, and foreign-born Cubans spend significantly fewer years without functional limitations, whereas island-born Puerto Ricans spend more years with functional limitations. For men, U.S.-born Puerto Ricans were the only Latino subgroup disadvantaged in the number of years lived with functional limitations. Conversely, foreign-born Cubans spend significantly fewer years without functional limitations. To address disparities in functional limitations, we must consider variation in health among Latino subgroups.

Fear of Immigration Enforcement Among Older Latino Immigrants in the United States

2017 ◽  
Vol 29 (6) ◽  
pp. 986-1014 ◽  
Author(s):  
Nestor Rodriguez ◽  
Cristian L. Paredes ◽  
Jacqueline Hagan
Keyword(s):  
United States ◽  
Well Being ◽  
The United States ◽  
Latino Immigrants ◽  
Immigration Enforcement ◽  
Immigration Reform ◽  
Foreign Born ◽  
Cross Sectional ◽  
Permanent Residence ◽  
Older Immigrants

Objective: The passage of the 1996 Illegal Immigration Reform and Immigrant Responsibility Act (IIRIRA) and other subsequent restrictive immigration policies have created fear among Latino immigrants. This study examines whether fear of immigration enforcement is socially significant among older (50+ years) foreign-born Latino individuals in the United States without citizenship or permanent residence, and whether disapproval of immigrant enforcement policies is directly associated with fear of immigration enforcement among this older population. Method: Data used in the analysis come from 2007, 2008, 2010, and 2013 national Latino surveys conducted by the Pew Research Center. Cross-sectional regression models are used to estimate the probabilities of fearing immigration enforcement in the Latino samples, as well as to examine the association between disapproval and fear of immigration enforcement. Results: The study finds that the predicted probabilities of fearing immigration enforcement among foreign-born individuals aged 50 and over without citizenship or permanent residence are not negligible. Moreover, the study finds evidence of a direct association between the disapproval of enforcement measures and fear of immigration enforcement. Discussion: Restrictive immigration measures have implications for conditions of fear and other stressors affecting the well-being of older immigrants.

scholarly journals Age of Migration Differentials in Life Expectancy With Cognitive Impairment: 20-Year Findings From the Hispanic-EPESE

2017 ◽  
Vol 58 (5) ◽  
pp. 894-903 ◽  
Author(s):  
Marc A Garcia ◽  
Joseph L Saenz ◽  
Brian Downer ◽  
Chi-Tsun Chiu ◽  
Sunshine Rote ◽  
...  
Keyword(s):  
United States ◽  
Cognitive Impairment ◽  
Life Expectancy ◽  
Mexican Americans ◽  
Mexican Immigrants ◽  
Late Life ◽  
The United States ◽  
Foreign Born ◽  
Total Life Expectancy ◽  
Mexican Adults

Abstract Background and Objectives To examine differences in life expectancy with cognitive impairment among older Mexican adults according to nativity (U.S.-born/foreign-born) and among immigrants, age of migration to the United States. Research Design and Methods This study employs 20 years of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to estimate the proportion of life spent cognitively healthy and cognitively impaired prior to death among older Mexican adults residing in the southwestern United States. We combine age-specific mortality rates with age-specific prevalence of cognitive impairment, defined as a Mini-Mental Status Exam score of less than 21 points to calculate Sullivan-based life table models with and without cognitive impairment in later life. Results Foreign-born Mexican immigrants have longer total life expectancy and comparable cognitive healthy life expectancy regardless of gender compared to U.S.-born Mexican-Americans. However, the foreign-born spend a greater number of years after age 65 with cognitive impairment relative to their U.S.-born counterparts. Furthermore, we document an advantage in life expectancy with cognitive impairment and proportion of years after age 65 cognitively healthy among mid-life immigrant men and women relative to early- and late-life migrants. Discussion and Implications The relationship between nativity, age of migration, and life expectancy with cognitive impairment means that the foreign-born are in more need of support and time-intensive care in late life. This issue merits special attention to develop appropriate and targeted screening efforts that reduce cognitive decline for diverse subgroups of older Mexican-origin adults as they age.

scholarly journals Tuberculosis among Healthcare Workers, United States, 1995–2007

2012 ◽  
Vol 33 (11) ◽  
pp. 1126-1131 ◽  
Author(s):  
Lauren A. Lambert ◽  
Robert H. Pratt ◽  
Lori R. Armstrong ◽  
Maryam B. Haddad
Keyword(s):  
United States ◽  
Healthcare Workers ◽  
Descriptive Analysis ◽  
The United States ◽  
Surveillance Data ◽  
Foreign Born ◽  
Cross Sectional ◽  
Tb Treatment ◽  
Control And Prevention ◽  
Latent Tb Infection

Objective.We examined surveillance data to describe the epidemiology of tuberculosis (TB) among healthcare workers (HCWs) in the United States during the period 1995–2007.Design.Cross-sectional descriptive analysis of existing surveillance data.Setting and Participants.TB cases reported to the Centers for Disease Control and Prevention from the 50 states and the District of Columbia from 1995 through 2007.Results.Of the 200,744 reported TB cases in persons 18 years of age or older, 6,049 (3%) occurred in individuals who were classified as HCWs. HCWs with TB were more likely than other adults with TB to be women (unadjusted odds ratio [95% confidence interval], 4.1 [3.8–4.3]), be foreign born (1.3 [1.3–1.4]), have extrapulmonary TB (1.6 [1.5–1.7]), and complete TB treatment (2.5 [2.3–2.8]).Conclusions.Healthcare institutions may benefit from intensifying TB screening of HCWs upon hire, especially persons from countries with a high incidence of TB, and encouraging treatment for latent TB infection among HCWs to prevent progression to TB disease.

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