Suchergebnisse

Health is an integral feature of immigration, providing not only insight into population health but also a critical lens into immigrant integration and the power structure in receiving countries. The goal of this article is to chart the trajectory of scholarship on immigrants' health, focusing on the formative shift away from dominant individualistic perspectives focused on cultural and behavioral explanations toward a profoundly structural understanding of immigrants' health. Focusing primarily on the US context, we synthesize theoretical and empirical advances in structural perspectives of immigrants' health. We anchor these advances in the concept of exclusion, detailing how it undergirds structuralist perspectives of immigrants' health. We review common ways in which exclusion has been measured in the empirical literature on immigrants' health and highlight recent evidence linking exposure to exclusion to immigrants' health outcomes across the life course. We conclude by discussing key directions and challenges for future research.

The vast majority of American middle schools and high schools sell what are known as "competitive foods," such as soft drinks, candy bars, and chips, to children. The relationship between consumption of sugar-sweetened drinks and snacks and childhood obesity is well established, but it remains unknown whether competitive food sales in schools are related to unhealthy weight gain among children. The authors examined this association using data from the Early Childhood Longitudinal Study, Kindergarten Class. Employing fixed effects models and a natural experimental approach, they found that children's weight gain between fifth and eighth grades was not associated with the introduction or the duration of exposure to competitive food sales in middle school. Also, the relationship between competitive foods and weight gain did not vary significantly by gender, race/ethnicity, or family socioeconomic status, and it remained weak and insignificant across several alternative model specifications. One possible explanation is that children's food preferences and dietary patterns are firmly established before adolescence. Also, middle school environments may dampen the effects of competitive food sales because they so highly structure children's time and eating opportunities.

AbstractThis article investigates how return migrants assess the risks and benefits of migrating internationally by drawing on their previous migration experiences. We draw on data collected in a small city in Guanajuato, Mexico that contains in-depth interviews with 49 participants and 480 surveys on migration and health outcomes for return migrants and nonmigrants. This manuscript contributes to the literature by focusing on how return migrants, who previously worked in the USA without legal authorization, assess the risks and benefits in the migration decision process. Our article contributes to the substantive and theoretical migration literature by taking into consideration how the accumulation of migration and labor market experience may shape intentions and behaviors among returnees. Our findings highlight the broad array of factors that migrants consider including the dangers of crossing the border, hazardous working conditions, and prolonged family separation. Though the risks associated with unauthorized migration to the USA have escalated in recent years, some return migrants in our sample plan to migrate again to the USA. Respondents report wanting to return to the USA because of the perceived availability of jobs through social networks that provide access to higher wages and improvements to lifestyle and work experiences when compared to their current socioeconomic situation. Therefore, we argue that prior US experience provides migrants with a new frame of reference which they use to compare their lives upon returning to Mexico—and which likely informs their future desires to remigrate to the USA.

Mexican women gain weight with increasing duration in the United States. In the United States, body dissatisfaction tends to be associated with depression, disordered eating, and incongruent weight evaluations, particularly among white women and women of higher socioeconomic status. However, it remains unclear how being overweight and obesity are interpreted by Mexican women. Using comparable data of women aged 20–64 from both Mexico (the 2006 Encuesta Nacional de Salud y Nutricion; N = 17,012) and the United States (the 1999–2009 National Health and Nutrition Examination Surveys; N = 8,487), we compare weight status evaluations among Mexican nationals, Mexican immigrants, US-born Mexicans, US-born non-Hispanic whites, and US-born non-Hispanic blacks. Logistic regression analyses, which control for demographic and socioeconomic variables and measured body mass index and adjust for the likelihood of migration for Mexican nationals, indicate that the tendency to self-evaluate as overweight among Mexicans converges with levels among non-Hispanic whites and diverges from blacks over time in the United States. Overall, the results suggest a US integration process in which Mexican-American women's less critical self-evaluations originate in Mexico but fade with time in the United States as they gradually adopt US white norms for thinner body sizes. These results are discussed in light of prior research about social comparison and negative health assimilation.

Mexican women gain weight with increasing duration in the United States. In the United States, body dissatisfaction tends to be associated with depression, disordered eating, and incongruent weight evaluations, particularly among white women and women of higher socioeconomic status. However, it remains unclear how overweight and obesity is interpreted by Mexican women. Using comparable data of women ages 20–64 from both Mexico (the 2006 Encuesta Nacional de Salud y Nutricion; N=17,012) and the United States (the 1999–2009 National Health and Nutrition Examination Surveys; N=8,487), we compare weight status evaluations among Mexican nationals, Mexican immigrants, U.S.-born Mexicans, U.S.-born non-Hispanic Whites, and U.S.-born non-Hispanic blacks. Logistic regression analyses, which control for demographic and social-economic variables and measured body mass index and adjust for the likelihood of migration for Mexican nationals, indicate that the tendency to self-evaluate as overweight among Mexicans converges with levels among non-Hispanic whites and diverges from blacks over time in the United States. Overall, the results suggest a U.S. integration process in which Mexican-American women's less critical self-evaluations originate in Mexico but fade with time in the United States as they gradually adopt U.S. white norms for thinner body sizes. These results are discussed in light of social comparison and negative health assimilation.

The self-reported number of workdays missed due to injury or illness, or sick days, is a reliable measure of health among working-aged adults. Although sick days is a relatively underexplored health-related outcome in migration studies, it can provide a multidimensional understanding of immigrant wellbeing and integration. Current understandings of the association between migration status and sick days are limited for two reasons. First, in the United States, few nationally representative surveys collect migration status information. Second, researchers lack consensus on the most reliable approach for assigning migration status. We use the 2008 Survey of Income and Program Participation (SIPP) to examine sick days and draw comparisons between two methods for assigning migration status—a logical approach and a survey approach. The logical method assigns migration status to foreign-born respondents based on characteristics such as government employment or welfare receipt, while the survey approach relies on self-reported survey responses. Sick days among immigrants was correlated with and predicted by other health conditions available in the SIPP. Comparisons of sick days by migration status vary based on migration assignment approach. Lawful Permanent Residents (LPRs) reported more sick days than non-LPRs and appear less healthy when migration status is assigned using the logical approach. The logical approach also produced a gap in sick days between LPRs and non-LPRs that is not replicated in the survey approach. The results demonstrate that if migration status is not measured directly in the data, interpretation of migration status effects should proceed cautiously.

In this paper, we apply an intersectional perspective and test whether resource substitution, which predicts that education will be more strongly related to the health of women than men, is operating among adults included in the 2014 Study of Health and Migration in Mexico (SHMM). Findings revealed modest and somewhat contradictory evidence regarding the potential role of resource substitution. For Mexican women, rates of elevated waist circumference are very high regardless of education level, but for hypertension, there is a strong, negative association with education even after adjustment for controls. Different patterns emerge for Mexican men as regression models show that the probability of both elevated waist circumference and hypertension is higher among the more educated. Overall, results suggest that education is only health protective for women's risk of hypertension. In sum, this work highlights gender specificity in the relationship between education and health in Mexico, and that this relationship varies by health outcome.