Vision Loss in Children from Immigrant and Nonimmigrant Households: Evidence from the National Survey of Children’s Health 2018–2020

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Immigrant and Minority Health Pub Date : 2024-04-06 DOI:10.1007/s10903-024-01597-3
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Abstract

The aim of this study was to determine whether immigrant generation is associated with caregiver-reported vision loss in children adjusting for sociodemographic characteristics. Nationally representative data from the National Survey of Children’s Health (2018–2020) was used. The primary exposure was immigrant generation defined as: first (child and all reported parents were born outside the United States); second (child was born in the United States and at least one parent was born outside the United States); third or higher (all parents in the household were born in the United States). The main outcome was caregiver-reported vision loss in child. Adjusted odds ratios (aOR) and 95% confidence intervals were computed based on immigration generation. The study sample included 84,860 US children aged 3–17 years. First generation children had higher adjusted odds of caregiver-reported vision loss (aOR 2.30; 95% CI 1.21, 4.35) than third or higher generation children after adjusting for demographic characteristics and social determinants of health. For Hispanic families, first generation (aOR 2.99; 95% CI 1.34, 6.66), and second-generation children (aOR 1.70; 95% CI 1.06, 2.74) had a higher adjusted odds of vision loss compared with third or higher generation children. Even when adjusting for sociodemographic characteristics, first generation children had greater odds of vision loss, especially in Hispanic households, than third generation children. Immigration generation should be treated as an independent risk factor for vision loss for children and is a social determinant of eye health.

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移民和非移民家庭儿童的视力损失:来自 2018-2020 年全国儿童健康调查的证据
摘要 本研究旨在确定移民世代是否与照顾者报告的儿童视力下降有关,并对社会人口特征进行调整。研究采用了全国儿童健康调查(2018-2020 年)中具有全国代表性的数据。主要暴露是移民世代,定义为:第一代(孩子和所有报告的父母都出生在美国境外);第二代(孩子出生在美国,父母中至少有一人出生在美国境外);第三代或以上(家庭中所有父母都出生在美国)。主要结果是护理人员报告的儿童视力下降。根据移民世代计算调整后的几率比(aOR)和 95% 的置信区间。研究样本包括 84,860 名 3-17 岁的美国儿童。在对人口特征和健康的社会决定因素进行调整后,第一代儿童与第三代或更高世代的儿童相比,其护理人员报告的视力下降调整几率更高(aOR 2.30;95% CI 1.21,4.35)。就西班牙裔家庭而言,第一代(aOR 2.99;95% CI 1.34-6.66)和第二代(aOR 1.70;95% CI 1.06-2.74)儿童与第三代或以上儿童相比,视力下降的调整后几率更高。即使对社会人口特征进行调整,第一代儿童视力下降的几率也高于第三代儿童,尤其是在西班牙裔家庭中。移民世代应被视为儿童视力丧失的一个独立风险因素,也是眼健康的一个社会决定因素。
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来源期刊
Journal of Immigrant and Minority Health
Journal of Immigrant and Minority Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
5.30%
发文量
104
期刊介绍: Journal of Immigrant and Minority Health is an international forum for the publication of peer-reviewed original research pertaining to immigrant health from contributors in many diverse fields including public health, epidemiology, medicine and nursing, anthropology, sociology, population research, immigration law, and ethics. The journal also publishes review articles, short communications, letters to the editor, and notes from the field.
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