RESIDENTIAL ENCLAVES AND THE HEALTH OF IMMIGRANTS

住宅区和移民的健康

• 批准号: 6091383
• 负责人: Felicia B. LeClere
• 金额: $ 6.81万
• 依托单位: UNIVERSITY OF NOTRE DAME
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-04-01 至 2002-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6091383
• 关键词: ethnic group; health behavior; health science research; health services research tag; health surveys; housing; human data; human morbidity; human mortality; human population study; immigrant; residential mobility; socioeconomics

The proposed research will use data from eight cross-sectional surveys of adults with mortality follow-up linked to information about the place of residence of the survey respondent to assess the impact of the residential clustering of immigrants and co-ethnics on the empirically identified mortality and morbidity advantage of the foreign born. More specifically, this research will address the issue of whether living in a residential enclave, which is defined as a contiguous set of Census block-groups with statistically identified densities of recent immigrants of particular ethnic groups with language constraints, affects the morbidity and mortality prospects of immigrants. The secondary research questions are whether the neighborhood economic conditions and city level income inequality and residential segregation attenuate or eliminate any favorable effects of living in such an enclave. Data from three independent sources will be used to conduct these analyses in three steps. Individual data on health risk behavior, demographic characteristics, and health outcomes comes from adult respondents to the 1987-1994 National Health Interview Survey (NHIS), an annual nationally representative cross-sectional survey of the non-institutional population of the United States. These data will also be linked to the National Health Interview Survey-Multiple Cause of Death (NHIS-MCD) files for the same eight year period, which contains death certificate information for survey respondents from the NHIS to provide data for the mortality portion of the analysis. These matched records are then linked via geocodes to the STF3-A data from the 1990 Census of Population at the block-group, census tract, and Metropolitan Statistical Area. This data will be used to characterize the residential environment of the survey respondents. Additional tabulated data from the Census Bureau on residential segregation and income inequality in Metropolitan Statistical Areas will be used to augment the data available from the Census STF3-A. The analysis will consist of three steps. First, spatial models will be developed to identity immigrant residential enclaves from the available information at the block-group level. Second, individual mortality and morbidity models will be developed for immigrants to establish the individual level pathways to differential health among immigrant populations. These models will be specified with and without selected health behaviors to assess the intervening role of health behaviors in health outcomes. Finally, the individuals will be placed in their residential contexts and the direct effects of living in a residential enclave and the modifying effects of the neighborhood and city-level economic and residential segregation conditions will be assessed using appropriate multilevel techniques.

拟议的研究将使用八项针对成年人的横断面调查的数据，并进行死亡率跟踪，并与调查受访者的居住地信息相关联，以评估移民和同族裔居住聚集对经验确定的死亡率的影响以及外国出生者的发病优势。更具体地说，这项研究将解决居住在居住飞地（定义为一组连续的人口普查街区组，统计上确定了受语言限制的特定族裔群体的新移民密度）是否会影响发病率和死亡率前景的问题。的移民。 第二个研究问题是，社区经济状况、城市层面的收入不平等和居住隔离是否会减弱或消除生活在这样一个飞地的任何有利影响。来自三个独立来源的数据将用于分三个步骤进行这些分析。 有关健康风险行为、人口特征和健康结果的个人数据来自 1987-1994 年全国健康访谈调查 (NHIS) 的成年受访者，该调查是对美国非机构人口进行的年度全国代表性横断面调查。这些数据还将与同一八年期间的国家健康访谈调查-多因死亡 (NHIS-MCD) 文件相关联，其中包含来自 NHIS 的调查受访者的死亡证明信息，以提供该人群死亡率部分的数据。分析。然后，这些匹配的记录通过地理编码链接到 1990 年街区组、人口普查区和大都市统计区人口普查的 STF3-A 数据。该数据将用于表征调查受访者的居住环境。人口普查局提供的关于大都市统计区域居住隔离和收入不平等的其他表格数据将用于补充人口普查 STF3-A 中的可用数据。分析将包括三个步骤。首先，将开发空间模型，根据街区组级别的可用信息来识别移民居住飞地。其次，将为移民开发个人死亡率和发病率模型，以建立移民人群中差异化健康的个人水平途径。这些模型将在有或没有选定的健康行为的情况下进行指定，以评估健康行为对健康结果的干预作用。 最后，将个人置于其居住环境中，并使用适当的多层次技术评估居住在住宅区的直接影响以及邻里和城市级经济和居住隔离条件的改变影响。