Social Inequalities in Multiple Chronic Disease Risk Factors among a population-based Sample of Latinas in California.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Work in Public Health Pub Date : 2023-01-02 Epub Date: 2022-07-13 DOI:10.1080/19371918.2022.2091075
Christian Vazquez, Catherine Cubbin, Yessenia Castro
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Abstract

Data from 1,248 Latina mothers who participated in the Geographic Research on Wellbeing (GROW) study were used to examine associations between SES, neighborhood-level Latinx concentration, neighborhood-level poverty and having two or more modifiable behavioral risk factors (e.g., smoking, drinking) for chronic disease. Logistic regression models were estimated stratified by nativity and adjusted for age and marital status. Among immigrants, low SES was associated with higher odds of multiple risk factors (Adjusted Odds Ratio [AOR] = 1.66, 95% Confidence Interval [CI] = 1.17-2.38). Among US-born women, low neighborhood-level Latinx concentration was associated with lower odds of multiple risk factors (AOR = 0.43, 95% CI = 0.22-0.84), and high neighborhood-level poverty (AOR = 2.83, 95% CI = 1.61-4.99) and low SES (AOR = 1.72, 95% CI = 1.02-2.92) were associated with higher odds, respectively. Heterogeneous effects between nativity and social factors may produce risk for chronic disease among Latinas.

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加州拉丁裔人群中多种慢性病危险因素的社会不平等
来自1248名参加幸福地理研究(GROW)研究的拉丁裔母亲的数据被用来检查社会经济地位、社区水平拉丁裔浓度、社区水平贫困和拥有两种或两种以上可改变的慢性疾病行为风险因素(如吸烟、饮酒)之间的关系。Logistic回归模型以出生年龄分层进行估计,并根据年龄和婚姻状况进行调整。在移民中,社会经济地位低与多种危险因素的高几率相关(调整优势比[AOR] = 1.66, 95%可信区间[CI] = 1.17-2.38)。在美国出生的女性中,低社区拉丁裔浓度与多种危险因素的低几率相关(AOR = 0.43, 95% CI = 0.22-0.84),高社区贫困(AOR = 2.83, 95% CI = 1.61-4.99)和低社会经济地位(AOR = 1.72, 95% CI = 1.02-2.92)分别与高几率相关。出生和社会因素之间的异质性影响可能导致拉丁美洲人患慢性病的风险。
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来源期刊
CiteScore
4.20
自引率
4.00%
发文量
55
期刊介绍: Social Work in Public Health (recently re-titled from the Journal of Health & Social Policy to better reflect its focus) provides a much-needed forum for social workers and those in health and health-related professions. This crucial journal focuses on all aspects of policy and social and health care considerations in policy-related matters, including its development, formulation, implementation, evaluation, review, and revision. By blending conceptual and practical considerations, Social Work in Public Health enables authors from many disciplines to examine health and social policy issues, concerns, and questions.
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