Nativity as a Determinant of Health Disparities Among Children

Journal of Immigrant and Minority Health
Sasha A McGee, Luz Claudio

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.

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Citations

Jan 16, 2019·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Jean-Marie BruzzeseLusine Poghosyan
May 3, 2021·Journal of Immigrant and Minority Health·Julia RosenbergMarjorie S Rosenthal
Jul 25, 2021·International Journal of Environmental Research and Public Health·Faven ArayaLuz Claudio
Aug 2, 2021·Journal of Immigrant and Minority Health·Carolina Villamil GrestJulie Cederbaum

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