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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 4/2018

01-08-2018 | Original Paper

An Examination of the Association of Multiple Acculturation Measures with Asthma Status Among Elementary School Students in El Paso, Texas

Authors: Mónica Siañez, Linda Highfield, Héctor Balcazar, Timothy Collins, Sara Grineski

Published in: Journal of Immigrant and Minority Health | Issue 4/2018

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Abstract

Some researchers posit that the lower prevalence of asthma among those of Mexican descent may result from an under-diagnosis and recommend a critical appraisal of factors related to race/ethnicity, like acculturation, and its influence on asthma status. Survey data were analyzed using multinomial logistic regression to examine the association of child’s asthma status (no wheezing/no asthma symptoms, possible undiagnosed and diagnosed asthma) with measures of acculturation among Hispanic students (n = 1095). In this population, the prevalence of diagnosed asthma (15%) was higher than both national (7.6%) and state (6.8%) averages for Hispanic children in 2012. While bivariate analyses showed significant associations for asthma status and measures of acculturation, multivariate analyses did not. There is an underestimated burden of illness among Hispanic children in El Paso County. More research on the suitability of acculturation constructs is needed to delineate what they actually measure and how acculturation influences asthma status.
Literature
1.
Lara M, Akinbami L, Flores G, Morgenstern H. Heterogeneity of childhood asthma among Hispanic children: Puerto rican children bear a disproportionate burden. Pediatrics. 2006;117(1):43–53.CrossRefPubMed
2.
Akinbami LJ. The state of childhood asthma, United States. CDC Advanced Data and Vital Statistics. 2006.
3.
Centers for Disease Control and Prevention (CDC). Vital signs: asthma prevalence, disease characteristics, and self-management education: United States, 2001–2009. MMWR Morb Mortal Wkly Rep. 2011;60(17):547–52.
4.
Markides KS, Coreil J. The health of Hispanics in the southwestern United States: an epidemiologic paradox. Public Health Rep. 1986;101(3):253–65.PubMedPubMedCentral
5.
Abraido-Lanza AF, Dohrenwend BP, Ng-Mak DS, Turner JB. The latino mortality paradox: a test of the “salmon bias” and healthy migrant hypotheses. Am J Public Health. 1999;89(10):1543–8.CrossRefPubMedPubMedCentral
6.
Fuentes-Afflick E, Lurie P. Low birth weight and latino ethnicity: examining the epidemiologic paradox. Arch Pediatr Adolesc Med. 1997;151(7):665–74.CrossRefPubMed
7.
Alegria M, Canino G, Shrout PE, et al. Prevalence of mental illness in immigrant and non-immigrant US latino groups. Am J Psychiatry. 2008;165(3):359–69.CrossRefPubMedPubMedCentral
8.
Cagney KA, Browning CR, Wallace DM. The Latino paradox in neighborhood context: the case of asthma and other respiratory conditions. Am J Public Health. 2007;97(5):919–25.CrossRefPubMedPubMedCentral
9.
Padilla AM. Acculturation, theory, models, and some new findings. Washington, DC: Advancement of Science; 1980.
10.
Hazuda HP, Haffner SM, Stern MP, Eifler CW. Effects of acculturation and socioeconomic status on obesity and diabetes in Mexican Americans. The San Antonio Heart Study. Am J Epidemiol. 1988;128(6):1289–301.CrossRefPubMed
11.
Cobas JA, Balcazar H, Benin MB, Keith VM, Chong Y. Acculturation and low-birthweight infants among latino women: a reanalysis of HHANES data with structural equation models. Am J Public Health. 1996;86(3):394–6.CrossRefPubMedPubMedCentral
12.
Valencia-Garcia D, Simoni JM, Alegría M, Takeuchi DT. Social capital, acculturation, mental health, and perceived access to services among Mexican American women. J Consult Clin Psychol. 2012;80(2):177.CrossRefPubMedPubMedCentral
13.
Holguin F, Mannino DM, Antó J, et al. Country of birth as a risk factor for asthma among Mexican Americans. Am J Respir Crit Care Med. 2005;171(2):103–8.CrossRefPubMed
14.
Eldeirawi KM, Persky VW. Associations of acculturation and country of birth with asthma and wheezing in Mexican American youths. J Asthma. 2006;43(4):279–86.CrossRefPubMed
15.
Quinn K, Shalowitz MU, Berry CA, Mijanovich T, Wolf RL. Racial and ethnic disparities in diagnosed and possible undiagnosed asthma among public-school children in Chicago. Am J Public Health. 2006;96(9):1599–603.CrossRefPubMedPubMedCentral
16.
Dodge R. A comparison of the respiratory health of mexican-american and non-mexican-american white children. CHEST J. 1983;84(5):587–92.CrossRef
17.
18.
Speight AN, Lee DA, Hey EN. Underdiagnosis and undertreatment of asthma in childhood. Br Med J (Clin Res Ed). 1983;286(6373):1253–6.CrossRef
19.
Siersted HC, Boldsen J, Hansen HS, Mostgaard G, Hyldebrandt N. Population based study of risk factors for underdiagnosis of asthma in adolescence: Odense schoolchild study. BMJ. 1998;316(7132):651–5; discussion 655–6.CrossRefPubMedPubMedCentral
20.
Yeatts K, Davis KJ, Sotir M, Herget C, Shy C. Who gets diagnosed with asthma? Frequent wheeze among adolescents with and without a diagnosis of asthma. Pediatrics. 2003;111(5):1046–54.CrossRefPubMed
21.
Magzamen S, Tager IB. Factors related to undiagnosed asthma in urban adolescents: a multilevel approach. J Adolesc Health. 2010;46(6):583–91.CrossRefPubMed
22.
Bryant-Stephens T. Asthma disparities in urban environments. J Allergy Clin Immunol. 2009;123(6):1199–206.CrossRefPubMed
23.
Perry TT, Vargas PA, McCracken A, Jones SM. Underdiagnosed and uncontrolled asthma: findings in rural schoolchildren from the Delta region of Arkansas. Ann Allergy Asthma Immunol. 2008;101(4):375–81.CrossRefPubMed
24.
Wolf RL, Berry CA, Quinn K. Development and validation of a brief pediatric screen for asthma and allergies among children. Ann Allergy Asthma Immunol. 2003;90(5):500–7.CrossRefPubMed
25.
Wolf RL, Berry CA, O’Connor T, Coover L. Validation of the brief pediatric asthma screen. CHEST J. 1999;116(suppl_2):224S–9S.CrossRef
26.
Gerald LB, Sockrider MM, Grad R, et al. An official ATS workshop report: issues in screening for asthma in children. Proc Am Thorac Soc. 2007;4(2):133–41.CrossRefPubMed
27.
Maier WC, Arrighi HM, Morray B, Llewllyn C, Redding GJ. The impact of asthma and asthma-like illness in seattle school children. J Clin Epidemiol. 1998;51(7):557–68.CrossRefPubMed
28.
Litonjua AA, Carey VJ, Weiss ST, Gold DR. Race, socioeconomic factors, and area of residence are associated with asthma prevalence. Pediatr Pulmonol. 1999;28(6):394–401.CrossRefPubMed
29.
Andrew Aligne C, Auinger P, Byrd RS, Weitzman M. Risk factors for pediatric asthma: contributions of poverty, race, and urban residence. Am J Respir Crit Care Med. 2000;162(3):873–7.CrossRef
30.
Mosnaim GS, Sadowski LS, Durazo-Arvizu RA, et al. Parental language and asthma among urban Hispanic children. J Allergy Clin Immunol. 2007;120(5):1160–5.CrossRefPubMed
31.
Joseph SP, Borrell LN, Shapiro A. Self-reported lifetime asthma and nativity status in US children and adolescents: results from the national health and nutrition examination survey 1999–2004. J Health Care Poor Underserved. 2010;21(2):125–39.PubMed
32.
Eldeirawi KM, Persky VW. Associations of physician-diagnosed asthma with country of residence in the first year of life and other immigration-related factors: Chicago asthma school study. Ann Allergy Asthma Immunol. 2007;99(3):236–43.CrossRefPubMed
33.
Hunt LM, Schneider S, Comer B. Should “acculturation” be a variable in health research? A critical review of research on US Hispanics. Soc Sci Med. 2004;59(5):973–86.CrossRefPubMed
34.
Thomson MD, Hoffman-Goetz L. Defining and measuring acculturation: a systematic review of public health studies with Hispanic populations in the United States. Soc Sci Med. 2009;69(7):983–91.CrossRefPubMed
35.
Horevitz E, Organista KC. The Mexican health paradox expanding the explanatory power of the acculturation construct. Hisp J Behav Sci. 2013;35(1):3–34.CrossRef
36.
Lara M, Gamboa C, Kahramanian MI, Morales LS, Hayes Bautista DE. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.CrossRefPubMedPubMedCentral
37.
Abraído-Lanza AF, Armbrister AN, Flórez KR, Aguirre AN. Toward a theory-driven model of acculturation in public health research. Am J Public Health. 2006;96(8):1342–6.CrossRefPubMedPubMedCentral
38.
Elder JP, Arredondo EM, Campbell N, et al. Individual, family, and community environmental correlates of obesity in latino elementary school children. J Sch Health. 2010;80(1):20–30.CrossRefPubMedPubMedCentral
39.
Ayala GX, Baquero B, Arredondo EM, Campbell N, Larios S, Elder JP. Association between family variables and Mexican American children’s dietary behaviors. J Nutr Educ Behav. 2007;39(2):62–9.CrossRefPubMed
40.
Martin MA, Shalowitz MU, Mijanovich T, Clark-Kauffman E, Perez E, Berry CA. The effects of acculturation on asthma burden in a community sample of Mexican American schoolchildren. Am J Public Health. 2007;97(7):1290–6.CrossRefPubMedPubMedCentral
41.
English PB, Von Behren J, Harnly M, Neutra RR. Childhood asthma along the United States/Mexico border: hospitalizations and air quality in two California counties. Revista Panamericana de Salud Pública. 1998;3(6):392–9.CrossRefPubMed
42.
Grineski S. Characterizing children’s asthma hospitalizations on the Texas-Mexico border. J Asthma. 2007;44(9):783–7.CrossRefPubMed
43.
Canino G, Koinis-Mitchell D, Ortega AN, McQuaid EL, Fritz GK, Alegría M. Asthma disparities in the prevalence, morbidity, and treatment of Latino children. Soc Sci Med. 2006;63(11):2926–37.CrossRefPubMed
44.
United States-Mexico Border Health Commission. Border lives: health status in the United States-Mexico border region. Washington, DC: United States-Mexico Border Health Commission; 2010.
45.
46.
47.
Kim Y, Collins TW, Grineski SE. Neighborhood context and the Hispanic health paradox: differential effects of immigrant density on children׳ s wheezing by poverty, nativity and medical history. Health Place. 2014;27:1–8.CrossRefPubMedPubMedCentral
48.
Collins TW, Kim Y, Grineski SE, Clark-Reyna S. Can economic deprivation protect health? Paradoxical multilevel effects of poverty on Hispanic children’s wheezing. Int J Environ Res Public Health. 2014;11(8):7856–73.CrossRefPubMedPubMedCentral
49.
Grineski SE, Collins TW, Olvera HA. Local variability in the impacts of residential particulate matter and pest exposure on children’s wheezing severity: a geographically weighted regression analysis of environmental health justice. Popul Environ. 2015;37:1–22.CrossRef
50.
Grineski SE, Collins TW, Chavez-Payan P, et al. Social disparities in children’s respiratory health in El Paso, Texas. Int J Environ Res Public Health. 2014;11(3):2941–57.CrossRefPubMedPubMedCentral
51.
Balcazar AJ, Grineski SE, Collins TW. The durability of immigration-related barriers to health care access for Hispanics across generations. Hisp J Behav Sci. 2015;37(1):118–35.CrossRef
52.
Balcazar A, Grineski S, Collins T. The Hispanic health paradox across generations: the relationship of child generational status and citizenship with respiratory health outcomes. Public Health. 2015;129:691–7.CrossRefPubMedPubMedCentral
53.
Chavez-Payan P, Grineski S, Collins T. Low birth weight, prenatal smoking, breastfeeding and pest exposure modify the effect of acculturation on Hispanic children’s asthma. Hisp Health Care Int. 2015;13(3):119–30CrossRefPubMed
54.
Curtin R, Presser S, Singer E. The effects of response rate changes on the index of consumer sentiment. Public Opin Q. 2000;64(4):413–28.CrossRefPubMed
55.
Groves RM. Nonresponse rates and nonresponse bias in household surveys. Public Opin Q. 2006;70(5):646–75.CrossRef
56.
Holbrook A, Krosnick JA, Pfent A. The causes and consequences of response rates in surveys by the news media and government contractor survey research firms. In: Lepkowski JM, Tucker C, Brick JM, Leeuw EDd, Japec L, Lavrakas PJ, Link MW, Sangster RL, editors. Advances in telephone survey Methodology. Hoboken, NJ: Wiley & Sons, Inc; 2007. p. 499–528.CrossRef
57.
Keeter S, Kennedy C, Dimock M, Best J, Craighill P. Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Q. 2006;70(5):759–79.CrossRef
58.
Visser PS, Krosnick JA, Marquette J, Curtin M. Mail surveys for election forecasting? An evaluation of the Columbus Dispatch poll. Public Opin Q. 1996;60(2):181–227.CrossRef
59.
60.
Asher MI, Keil U, Anderson HR, et al. International study of asthma and allergies in childhood (ISAAC): rationale and methods. Eur Respir J. 1995;8(3):483–91.CrossRefPubMed
61.
Jenkins MA, Clarke JR, Carlin JB, et al. Validation of questionnaire and bronchial hyperresponsiveness against respiratory physician assessment in the diagnosis of asthma. Int J Epidemiol. 1996;25(3):609–16.CrossRefPubMed
62.
Annesi-Maesano I, Sterlin C, Caillaud D, et al. Factors related to under-diagnosis and under-treatment of childhood asthma in metropolitan france. Multidiscip Respir Med. 2012;7(1):24.CrossRefPubMedPubMedCentral
63.
Eldeirawi K, McConnell R, Freels S, Persky VW. Associations of place of birth with asthma and wheezing in Mexican American children. J Allergy Clin Immunol. 2005;116(1):42–8.CrossRefPubMed
64.
Mendoza RH. An empirical scale to measure type and degree of acculturation in Mexican American adolescents and adults. J Cross Cult Psychol. 1989;20(4):372–85.CrossRef
65.
Mendoza R. Cultural life style inventory: version 20. Los Angeles: California School of Professional Psychology; 1994.
66.
Lerman D, Maldonado R, Luna D. A theory-based measure of acculturation: the shortened cultural life style inventory. J Bus Res. 2009;62(4):399–406.CrossRef
67.
Magaña JR, de la Rocha O, Amsel J, Magafia HA, Fernandez MI, Rulnick S. Revisiting the dimensions of acculturation: cultural theory and psychometric practice. Hisp J Behav Sci. 1996;18(4):444–68.CrossRef
68.
Clark BR, Burkett SA, Andridge RR, Buckley TJ. Evidence of high rates of undiagnosed asthma in central Ohio elementary schoolchildren. J Sch Health. 2013;83(12):896–906.CrossRefPubMed
69.
Camacho-Rivera M, Kawachi I, Bennett GG, Subramanian S. Revisiting the Hispanic health paradox: the relative contributions of nativity, country of origin, and race/ethnicity to childhood asthma. J Immigr Minor Health. 2014;17:1–8.
70.
Javier JR, Wise PH, Mendoza FS. The relationship of immigrant status with access, utilization, and health status for children with asthma. Ambul Pediatr. 2007;7(6):421–30.CrossRefPubMed
71.
Iqbal S, Oraka E, Chew GL, Flanders WD. Association between birthplace and current asthma: the role of environment and acculturation. Am J Public Health. 2014;104(S1):S175–82.CrossRefPubMedPubMedCentral
72.
Shalowitz MU, Sadowski LM, Kumar R, Weiss KB, Shannon JJ. Asthma burden in a citywide, diverse sample of elementary schoolchildren in Chicago. Ambul Pediatr. 2007;7(4):271–7.CrossRefPubMed
73.
Kawachi I, Daniels N, Robinson DE. Health disparities by race and class: why both matter. Health Aff (Millwood). 2005;24(2):343–52.CrossRef
Metadata
Title
An Examination of the Association of Multiple Acculturation Measures with Asthma Status Among Elementary School Students in El Paso, Texas
Authors
Mónica Siañez
Linda Highfield
Héctor Balcazar
Timothy Collins
Sara Grineski
Publication date
01-08-2018
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 4/2018
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-017-0627-z

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