Article

Immigration, Acculturation and Chronic Back and Neck Problems Among Latino-Americans

Department of Family Medicine, University of Washington, Seattle, WA, USA.
Journal of Immigrant and Minority Health (Impact Factor: 1.16). 04/2011; 13(2):194-201. DOI: 10.1007/s10903-010-9371-3
Source: PubMed

ABSTRACT

Higher acculturation is associated with increased obesity and depression among Latino-Americans, but not much is known about how acculturation is related to their prevalence of back and neck problems. This study examines whether acculturation is associated with the 12-month prevalence of self-reported chronic back or neck problems among US-born and immigrant Latinos. We performed multivariable logistic regression analysis of data from 2,553 noninstitutionalized Latino adults from the 2002-2003 National Latino and Asian American Survey (NLAAS). After adjusting for demographic, physical and mental health indicators, English proficiency, nativity and higher generational status were all significantly positively associated with the report of chronic back or neck problems. Among immigrants, the proportion of lifetime in the US was not significantly associated. Our findings suggest that the report of chronic back or neck problems is higher among more acculturated Latino-Americans independent of health status, obesity, and the presence of depression.

Download full-text

Full-text

Available from: David Takeuchi
  • Source
    • "Our results are consistent with previous conclusions that Hispanic adults who speak English at home report more frequent pain than Hispanics who speak Spanish (Bui et al., 2011; N. Jimenez et al., 2013). For example, data from the National Latino and Asian American Survey documented that the prevalence of chronic back and neck pain among Hispanics increased along with English proficiency (Bui et al., 2011). Similarly, in the Health and Retirement Study, SSH reported both less severe and less prevalent pain than ESH and ESW (N. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: This study examined the role of English language use in the reported frequency of musculoskeletal pain among Hispanic and non-Hispanic White youth. Method: This is a secondary data analysis using a cross-sectional sample of 12,189 Hispanic and non-Hispanic White adolescents recruited for the National Longitudinal Study of Adolescent to Adult Health. Respondents were classified into three groups: (a) English-speaking non-Hispanic Whites, (b) English-speaking Hispanics, and (c) Spanish-speaking Hispanics. Results: After controlling for body mass index and demographic, socioeconomic, and behavioral variables, Spanish-speaking Hispanics reported the least frequent musculoskeletal pain (OR = 0.415, 95% CI [0.361, 0.477]; p < .001), followed by English-speaking Hispanics (OR = 0.773, 95% CI [0.690, 0.865]; p < .001). Conclusion: The experience of musculoskeletal pain is a physiological as well as a cultural phenomenon. Implications for practice: Health care providers should consider the role of language use in reports of pain in Hispanic and non-Hispanic White adolescents.
    Full-text · Article · Dec 2015 · Journal of Transcultural Nursing
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article examines the consequences of undocumented immigration status for those who grow up in the United States. The aim is to examine the relationship between undocumented immigrant status and mental and emotional health. Our efforts focus on undocumented immigrants who arrive as children and spend most of their formative years in the United States. The experiences of these undocumented members of the 1.5 generation are quite different from those who migrate as adults. We are interested in better understanding the effects confusing and conflicting experiences of inclusion and exclusion have on their mental and emotional health as well as the protective factors that may shape resilience. While previous scholarship has drawn some important implications to experiences of stress among undocumented youth and young adults, to our knowledge, no work has been done to explicitly draw the link to mental and emotional health. The article concludes with some suggestions for future research on the topic.
    No preview · Article · Aug 2013 · American Behavioral Scientist
  • [Show abstract] [Hide abstract]
    ABSTRACT: Emerging research has revealed that everyday discrimination and socioeconomic position may have synergistic effects on the health of racial/ethnic minorities. The present study examined the association between self-reported everyday discrimination and count of chronic health conditions, and explored the moderating role of objective and subjective socioeconomic position on the discrimination-health relation. We utilized nationally representative data of Latino adults (N = 2,554) from the National Latino and Asian American Study. Weighted negative binomial regression modeling was used to estimate the association between self-reported everyday discrimination and count of chronic health conditions, and to test whether this relation was modified by markers of socioeconomic position. Binomial regressions revealed that everyday discrimination was associated with a greater count of chronic conditions. However, moderation analyses indicated that household income moderated the discrimination-health relation, controlling for sociodemographic variables. More specifically, the adverse effects of discrimination were stronger for Latinos in middle-income tertiles compared to their lower income counterparts, such that as frequency of discrimination increased, Latinos with medium levels of household income were predicted to have greater counts of chronic conditions. This was only marginally significant among those in the high-income tertile. Our findings suggest that identifying segments of the Latino population that may be at greatest (and lowest) risk of ill health in the context of perceiving being discriminated against may prove useful for understanding Latino health "paradoxes," and may have implications for tailoring prevention and intervention efforts to particular segments of the Latino population.
    No preview · Article · Nov 2013 · Journal of Behavioral Medicine
Show more