Rurality and Ethnicity in Adolescent Physical Illness: Are Children of the Growing Rural Latino Population at Excess Health Risk?

Autor/inn/en	Wickrama, K. A. S.; Elder, Glen H.; Abraham, W. Todd
Titel	Rurality and Ethnicity in Adolescent Physical Illness: Are Children of the Growing Rural Latino Population at Excess Health Risk?
Quelle	In: Journal of Rural Health, 23 (2007) 3, S.228-237 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2007.00095.x
Schlagwörter	African Americans; Physical Health; Rural Areas; Obesity; Mexican Americans; Ethnicity; Chronic Illness; Child Health; Hispanic Americans; Whites; American Indians; Asian Americans; Place of Residence; Public Health; Psychological Patterns; Social Influences; Acculturation; English (Second Language); Language Usage; Racial Differences; National Longitudinal Study of Adolescent Health + Suchen Sie Ihr Suchwort? Afroamerikaner; Gesundheitszustand; Rural area; Ländlicher Raum; Adipositas; Hispanoamerikaner; Ethnizität; Chronic disease; Chronische Krankheit; Hispanic; White; Weißer; American Indian; Indianer; Asian immigrant; United States; Asiatischer Einwanderer; USA; Wohnort; Gesundheitswesen; Sozialer Einfluss; Akkulturation; English as second language; English; Second Language; Englisch als Zweitsprache; Sprachgebrauch; Rassenunterschied
Abstract	Context and Purpose: This study's objectives are to: investigate potential additive and multiplicative influences of rurality and race/ethnicity on chronic physical illness in a nationally representative sample of youth; and examine intra-Latino processes using a Latino sub-sample. Specifically, we examine how rurality and individual psychosocial processes reflected by acculturation proxies (generational status and use of the English language at home) link to chronic physical illness of Latino youth. Finally, we examine whether these associations and the levels of chronic illness differ across Latino subgroups. Methods: Logistic-normal (binomial) modeling analyses examine multilevel influences on physical health using longitudinal data from a nationally representative sample (N = 13,905) of white, African American, Latino, Asian, and Native American adolescents between the ages of 12 and 19 participating in the National Longitudinal Study of Adolescent Health. Findings: Prevalence rates of certain chronic illnesses (obesity, asthma, and high cholesterol) among Latino adolescents exceed rates for the same illnesses among white adolescents. Comparisons between rural and non-rural youth reveal a rurality disadvantage in terms of any chronic illness likelihood among Latino, Asian, and Native American youth not evident among whites or African Americans. Among Latino youth (N = 2,505), Mexican Americans show lower health risk for any chronic illness compared to other Latino groups. However, third generation Latinos and those who primarily speak English at home experience higher risk for any chronic illness than do those of first or second generation status, with amplification of the risk linked to English use at home among Latino youth living in rural areas. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10