Foreign-Born Therapists Practicing in the United States: A Quantitative Cross-Sectional On-Line Survey

2018 ◽  
Author(s):  
Karni Kissil
Keyword(s):  
United States ◽  
The United States ◽  
Foreign Born ◽  
Cross Sectional ◽  
On Line ◽  
Line Survey

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.

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.

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 National Internet-Based Survey of the Use, Barriers, Reasons and Beliefs of Mind-Body Practices During the Early Months of the COVID-19 Pandemic

2021 ◽  
Vol 26 ◽  
pp. 2515690X2110063
Author(s):  
Tracy Hellem ◽  
Sandra Benavides-Vaello ◽  
Ruth Taylor-Piliae
Keyword(s):  
Physical Activity ◽  
United States ◽  
Online Survey ◽  
The United States ◽  
On Line ◽  
The Common ◽  
Line Survey ◽  
Novel Coronavirus ◽  
Body Practices ◽  
Common Barriers

The purpose of this study was to learn about the use, barriers, reasons and beliefs regarding mind-body practices among adults living in the United States during the beginning months of the 2019 novel coronavirus disease (COVID-19) pandemic. An on-line survey was developed following the Checklist for Reporting Results of Internet e-Surveys (CHERRIES) guidelines and using the online survey software program, Qualtrics® XM, platform. Pilot testing of the survey was conducted for usability and functionality. The final 24-item survey was distributed via email and social media. A total of 338 adults responded to the survey, with 68.8% indicating that they participated in mind-body activities since the start of the pandemic. Physical activity was the most frequently (61.5%, n = 227) used mind-body practice. Further, 2 of the common barriers to engaging in mind-body practices were lack of motivation and wandering mind. Frequently listed reasons for using mind-body practices were to promote health, reduce stress and relaxation. Respondents believed that mind-body practices resulted in less stress. These findings may be applicable for reducing psychological stress related to the pandemic, as the pandemic continues to impact many areas of the United States.

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.

scholarly journals Relationship of Preeclampsia With Maternal Place of Birth and Duration of Residence Among Non-Hispanic Black Women in the United States

2021 ◽  
Vol 14 (2) ◽  
Author(s):  
Ellen Boakye ◽  
Garima Sharma ◽  
S. Michelle Ogunwole ◽  
Sammy Zakaria ◽  
Arthur J. Vaught ◽  
...  
Keyword(s):  
United States ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
The United States ◽  
Cardiovascular Disease Risk Factors ◽  
Foreign Born ◽  
Healthy Immigrant Effect ◽  
Cross Sectional

Background: Preeclampsia is one of the leading causes of maternal mortality in the United States. It disproportionately affects non-Hispanic Black (NHB) women, but little is known about how preeclampsia and other cardiovascular disease risk factors vary among different subpopulations of NHB women in the United States. We investigated the prevalence of preeclampsia by nativity (US born versus foreign born) and duration of US residence among NHB women. Methods: We analyzed cross-sectional data from the Boston Birth Cohort (1998–2016), with a focus on NHB women. We performed multivariable logistic regression to investigate associations between preeclampsia, nativity, and duration of US residence after controlling for potential confounders. Results: Of 2697 NHB women, 40.5% were foreign born. Relative to them, US-born NHB women were younger, in higher percentage current smokers, had higher prevalence of obesity (body mass index ≥30 kg/m 2 ) and maternal stress, but lower educational level. The age-adjusted prevalence of preeclampsia was 12.4% and 9.1% among US-born and foreign-born women, respectively. When further categorized by duration of US residence, the prevalence of all studied cardiovascular disease risk factors except for diabetes was lower among foreign-born NHB women with <10 versus ≥10 years of US residence. Additionally, the odds of preeclampsia in foreign-born NHB women with duration of US residence <10 years was 37% lower than in US-born NHB women. In contrast, the odds of preeclampsia in foreign-born NHB women with duration of US residence ≥10 years was not significantly different from that of US-born NHB women after adjusting for potential confounders. Conclusions: The prevalence of preeclampsia and other cardiovascular disease risk factors is lower in foreign-born than in US-born NHB women. The healthy immigrant effect, which typically results in health advantages for foreign-born women, appears to wane with longer duration of US residence (≥10 years). Further research is needed to better understand these associations.

Prevalence of Viremic Hepatitis C Virus Infection by Age, Race/Ethnicity, and Birthplace and Disease Awareness Among Viremic Persons in the United States, 1999–2016

2019 ◽  
Author(s):  
Biyao Zou ◽  
Yee Hui Yeo ◽  
Michael Huan Le ◽  
Linda Henry ◽  
Ellen T Chang ◽  
...  
Keyword(s):  
United States ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Birth Cohort ◽  
The United States ◽  
Hcv Infection ◽  
Foreign Born ◽  
Cross Sectional ◽  
Curative Therapy ◽  
Disease Awareness

Abstract Background Athough curative therapy is now available for hepatitis C virus (HCV) infection in the United States, it is not clear whether all affected persons have been diagnosed and/or linked to care. Methods This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (1999–2016) and included 46 465 nonincarcerated and noninstitutionalized participants. Results Viremic HCV prevalence decreased from 1.32% in 1999–2004 to 0.80% in 2011–2016, although most of the decrease occurred in US-born whites and blacks but not the foreign-born or those born after 1985. In 2011–2016, approximately 1.90 million US adults remained viremic with HCV, and 0.33 million were at higher risk for advanced fibrosis, but only 49.8% were aware of their HCV infection, with higher disease awareness in those with health insurance coverage and US-born persons. Conclusions The prevalence of viremic HCV has decreased in recent years among US born whites and blacks but not in other race/ethnicities and foreign-born persons and birth cohort born after 1985. Less than half of the viremic population was aware of having HCV infection. Improved HCV screening and linkage to care are needed, especially for the uninsured, foreign-born, birth cohort after 1985 and certain ethnic minorities.

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