1. Nativity as a Determinant of Health Disparities Among Children
- Author
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Sasha McGee and Luz Claudio
- Subjects
Male ,Parents ,medicine.medical_specialty ,Adolescent ,Epidemiology ,media_common.quotation_subject ,Immigration ,Ethnic group ,Emigrants and Immigrants ,Disease ,Health Services Accessibility ,Article ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,Environmental health ,Health care ,Humans ,Medicine ,Child ,Socioeconomic status ,Minority Groups ,Quality of Health Care ,media_common ,A determinant ,030505 public health ,business.industry ,Public health ,Child Health ,Public Health, Environmental and Occupational Health ,Health Status Disparities ,Consumer Behavior ,Health equity ,Cross-Sectional Studies ,Child, Preschool ,Female ,New York City ,0305 other medical science ,business - Abstract
Nativity is not often considered in the study of health disparities. We conducted a cross-sectional, parent-reported survey of demographics, socioeconomic characteristics, healthcare access, and health conditions in New York City schoolchildren (n = 9029). US-born children with US-born parents (US/US) had higher socioeconomic status, better access to healthcare, and reported higher rates of disease diagnoses compared to US-born children with immigrant parents and to immigrant children. Dental cavities were the only condition in which US/US children reported lower prevalence. US/US children had the best healthcare access, most favorable parent-reported health status and highest rate of satisfaction with healthcare. The magnitude of racial/ethnic disparities varied based on nativity of the children being compared. Factors such as the healthy immigrant effect and differential diagnosis rates may explain the results. In conclusion, nativity influences disease burdens and should be considered in health disparities studies.
- Published
- 2017
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