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Maternal Place of Birth, Socioeconomic Characteristics, and Child Health in US-Born Latinx Children in Boston

Published:September 18, 2019DOI:https://doi.org/10.1016/j.acap.2019.09.005

      Abstract

      Objective

      Among US-born children of Latina US (USB) and Latina foreign-born mothers (FBM), to determine whether 1) household and child characteristics differ; 2) child health outcomes differ; 3) these differences diminish for children of FBM with longer duration of residence in the United States; and 4) these differences can be explained by food insecurity (FI) or by Supplemental Nutrition Assistance Program (SNAP) participation.

      Methods

      Cross-sectional survey of 2145 Latina mothers of publicly insured US-born children 0 to 48 months old in a Boston emergency department (ED) 2004 to 2013. Predictors were FBM versus USBM and duration of residence in the United States. Outcomes were mothers’ report of child health, history of hospitalization, developmental risk, and hospital admission on the day of ED visit. Multivariable logistic regression adjusted for potential confounders and effect modification.

      Results

      FBM versus USBM households had more household (31% vs 26%) and child (19% vs 11%) FI and lower SNAP participation (44% vs 67%). Children of FBM versus USBM were more likely to be reported in fair/poor versus good/excellent health (adjusted odds ratios 1.9, 95% confidence interval [1.4, 2.6]), with highest odds for children of FBM with shortest duration of residence, and to be admitted to the hospital on the day of the ED visit (adjusted odds ratios 1.7, 95% confidence interval [1.3, 2.2]). SNAP and FI did not fully explain these outcomes.

      Conclusion

      When providing care and creating public policies, clinicians and policymakers should consider higher rates of food insecurity, lower SNAP participation, and risk for poor health outcomes in Latinx children of FBM.

      Keywords

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      References

      1. Stepler R, Brown A. Statistical portrait of Hispanics in the United States[press release]. Pew Research Center, April 2016.

        • Patten E
        The Nation's Latino Population Is Defined by Its Youth.
        Pew Research Center, 2016
        • Huang ZJ
        • Yu SM
        • Ledsky R
        Health status and health service access and use among children in U.S. immigrant families.
        Am J Public Health. 2006; 96: 634-640
        • Coleman-Jensen A RM
        • Gregory C
        • Singh A
        Household Food Security in the United States in 2014.
        USDA, 2015
        • Chilton M
        • Black MM
        • Berkowitz C
        • et al.
        Food insecurity and risk of poor health among US-born children of immigrants.
        Am J Public Health. 2009; 99: 556-562
        • Kalil A
        • Chen JH
        Mothers' citizenship status and household food insecurity among low-income children of immigrants.
        New Dir Child Adolesc Dev. 2008; 2008: 43-62
        • Rubio R
        • Grineski SE
        • Morales DX
        • et al.
        The role of parents' nativity in shaping differential risks of food insecurity among US first graders.
        Matern Child Health J. 2019; 23: 910-918
        • Cook JT
        • Frank DA
        • Berkowitz C
        • et al.
        Food insecurity is associated with adverse health outcomes among human infants and toddlers.
        J Nutr. 2004; 134: 1432-1438
        • Arteaga I
        • Potochnick S
        • Parsons S
        Decomposing the household food insecurity gap for children of U.S.-born and foreign-born Hispanics: evidence from 1998 to 2011.
        J Immigr Minor Health. 2017; 19: 1050-1058
        • Capps R
        • Fix M
        • Ost J
        • et al.
        The Health and Well-Being of Young Children of Immigrants.
        Urban Institute, Washington, D.C.2005
        • Ettinger de Cuba S
        • Chilton M
        • Bovell-Ammon A
        • et al.
        Loss of SNAP is associated with food insecurity and poor health in working families with young children.
        Health Aff (Millwood). 2019; 38: 765-773
        • Van Hook J
        • Balistreri KS
        Ineligible parents, eligible children: food stamps receipt, allotments, and food insecurity among children of immigrants.
        Soc Sci Res. 2006; 35: 228-251
        • Teruya SA
        • Bazargan-Hejazi S
        The immigrant and Hispanic paradoxes: a systematic review of their predictions and effects.
        Hisp J Behav Sci. 2013; 35: 486-509
        • Markides KS
        • Rote S
        The healthy immigrant effect and aging in the United States and other western countries.
        Gerontologist. 2019; 59: 205-214
        • Balcazar AJ
        • Grineski SE
        • Collins TW
        The Hispanic health paradox across generations: the relationship of child generational status and citizenship with health outcomes.
        Public Health. 2015; 129: 691-697
        • Crimmins EM
        • Kim JK
        • Alley DE
        • et al.
        Hispanic paradox in biological risk profiles.
        Am J Public Health. 2007; 97: 1305-1310
        • Sanchez-Vaznaugh EV
        • Braveman PA
        • Egerter S
        • et al.
        Latina birth outcomes in California: not so paradoxical.
        Matern Child Health J. 2016; 20: 1849-1860
        • Humes K
        • Jones N
        • Ramirez R
        Overview of Race and Hispanic Origin: 2010.
        U.S. Census Bureau, 2011
        • Teitler JO
        • Hutto N
        • Reichman NE
        Birthweight of children of immigrants by maternal duration of residence in the United States.
        Soc Sci Med. 2012; 75: 459-468
        • Glascoe FP
        Evidence-based approach to developmental and behavioural surveillance using parents' concerns.
        Child Care Health Dev. 2000; 26: 137-149
      2. Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey III. In:1994.

        • Glascoe FP
        Collaborating With Parents: Using Parents' Evaluation of Developmental Status to Detect and Address Developmental and Behavioral Problems.
        Ellsworth & Vandermeer, Nashville, TN1998
        • Kemper KJ
        • Babonis TR
        Screening for maternal depression in pediatric clinics.
        Am J Dis Child. 1992; 146: 876-878
        • Bickel G
        • Nord M
        • Price C
        • et al.
        Guide to Measuring Household Food Security.
        US Department of Agriculture, Food and Nutrition Service, Alexandria, VA2000
        • Baron RM
        • Kenny DA
        The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations.
        J Pers Soc Psychol. 1986; 51: 1173-1182
        • Rabbitt MP
        • Smith MD
        • Coleman-Jensen A
        Food Security Among Hispanic Adults in the United States, 2011-2014.
        United States Department of Agriculture, Economic Research Service, 2016 (May 2016)
      3. National Health and Nutrition Examination Survey; 2011-2012 data documentation, codebook, and frequencies; demographic variables & sample weights (DEMO_G). In:2013.

        • Cohn D PJ
        • Gonzalez-Barrera A
        Rise in U.S. Immigrants From El Salvador, Guatemala and Honduras Outpaces Growth From Elsewhere.
        Pew Research Center, Washington, D.C.2017
        • Flores A
        How the U.S. Hispanic Population Is Changing.
        Pew Research Center, 2017
        • Schuster L
        • et al.
        Powering Greater Boston's Economy: Why the Latino Community Is Critical to Our Shared Future.
        Boston Indicators, 2017
      4. Murphy J. In: Deborah Frank M, ed. DATA SOURCE: Acute Hospital Case-Mix Databases, Massachusetts Center for Health Information and Analysis; DATA ANALYSIS: Research and Evaluation Office, Boston Public Health Commission ed.

        • Ataiants J
        • Cohen C
        • Riley AH
        • et al.
        Unaccompanied children at the United States border, a human rights crisis that can be addressed with policy change.
        J Immigr Minor Health. 2018; 20: 1000-1010
        • Flores G
        • Olson L
        • Tomany-Korman SC
        Racial and ethnic disparities in early childhood health and health care.
        Pediatrics. 2005; 115: e183-e193
        • Pereira K
        • Crosnoe R
        • Fortuny K
        • et al.
        Barriers to Immigrants' Access to Health and Human Services Programs.
        US Department of Health and Human Services, Washington, D.C.2012
        • Hacker K
        • Chu J
        • Leung C
        • et al.
        The impact of immigration and customs enforcement on immigrant health: perceptions of immigrants in Everett, Massachusetts, USA.
        Soc Sci Med. 2011; 73: 586-594
        • Broder T
        • Moussavian A
        • Blazer J
        Overview of Immigrant Eligibility for Federal Programs.
        National Immigration Law Center, Los Angeles, CA2015
        • Kreider B
        • Pepper JV
        • Gundersen C
        • et al.
        Identifying the effects of SNAP (Food Stamps) on child health outcomes when participation is endogenous and misreported.
        J Am Stat Assoc. 2012; 107: 958-975
        • Black MM
        • Cutts DB
        • Frank DA
        • et al.
        Special Supplemental Nutrition Program for Women, Infants, and Children participation and infants' growth and health: a multisite surveillance study.
        Pediatrics. 2004; 114: 169-176
        • Frank DA
        • Casey PH
        • Black MM
        • et al.
        Cumulative hardship and wellness of low-income, young children: multisite surveillance study.
        Pediatrics. 2010; 125: e1115-e1123
        • Jimenez M
        • You X
        • Padilla Y
        • et al.
        Language of interview: importance for Hispanic mothers' self-rated health and reports of their children's health.
        (Working Paper #2007-13-FF)in: Center for Research on Child Wellbeing. 2007
        • Flores G
        Families facing language barriers in healthcare: when will policy catch up with the demographics and evidence?.
        J Pediatr. 2014; 164: 1261-1264
        • Rogers AJ
        • Delgado CA
        • Simon HK
        The effect of limited English proficiency on admission rates from a pediatric ED: stratification by triage acuity.
        Am J Emerg Med. 2004; 22: 534-536
        • Zuckerman KE
        • Boudreau AA
        • Lipstein EA
        • et al.
        Household language, parent developmental concerns, and child risk for developmental disorder.
        Acad Pediatr. 2009; 9: 97-105
        • Chilton M
        • Ettinger de Cuba S
        • Cutts DB
        • et al.
        La alimentación y el bienestar de los ciudadanos estadounidenses más jóvenes de madres mexicanas, centroamericanas, y caribeñas.
        Cahiers Alhim de la Universidad de Paris 8 de Saint-Denis. 2008;
        • Council on Community Pediatrics
        • Committee on Nutrition
        Promoting food security for all children.
        Pediatrics. 2015; 136: e1431-e1438