Latino immigrants

拉丁裔移民
  • 文章类型: Journal Article
    背景:与非拉丁裔白人相比,美国肥胖的患病率越来越多地影响拉丁裔。移民和文化适应与拉丁裔移民的不健康饮食变化有关,一种被称为饮食适应的现象。新出现的证据表明饮食习惯之间存在更微妙的关系,移民,和文化适应,强调需要对饮食适应有更多的最新理解。
    目的:我们探讨了拉丁裔移民移民到美国的经历如何影响他们的饮食习惯,以及他们对美国与他们的祖国相比如何支持美国建立健康做法的经验。
    方法:采用描述性定性研究设计,我们对2016年至2019年期间参加生活方式改变计划的19名拉丁裔人进行了半结构化访谈.我们使用主题分析来分析数据并报告新出现的主题。
    结果:参与者对移民后的饮食习惯表达了不同的看法。一些肯定的普遍的饮食适应假设,在生活节奏加快的背景下,美国的饮食质量不断恶化,在祖国更健康的选择,以及食物环境的变化,阻碍了人们获得健康食品的机会。相反,其他人持相反意见,将他们认为的饮食改善归因于拉丁美洲不健康的饮食习惯,再加上美国健康食品的可获得性和可负担性增加。
    结论:我们的研究有助于拉丁裔移民对饮食适应的不断发展的理解,并提供了对这一过程的更细致和更新的理解,反映了他们目前在美国适应的经验。
    BACKGROUND: The growing prevalence of obesity in the USA disproportionately affects Latinos compared to non-Latino Whites. Immigration and acculturation have been associated with unhealthy dietary shifts among Latino immigrants, a phenomenon known as dietary acculturation. Emerging evidence points to a more nuanced relationship between dietary habits, immigration, and acculturation, highlighting the need for a more current comprehension of dietary acculturation.
    OBJECTIVE: We explored how Latino immigrants\' experiences in migrating to the USA have affected their perceived dietary habits and their experiences of how supportive the USA is in establishing healthy practices compared to their native country.
    METHODS: Employing a descriptive qualitative study design, we conducted semi-structured interviews with 19 Latinos who had participated in a lifestyle change program between 2016 and 2019. We used thematic analysis to analyze the data and report emerging themes.
    RESULTS: Participants expressed divergent perceptions of their dietary habits post-immigration. Some affirmed prevailing assumptions of dietary acculturation, citing deteriorating diet quality in the USA in the context of a faster pace of life, healthier options in the native country, and shifts in the food environment that prevented access to healthy foods. Conversely, others held opposing views, attributing their perceived improved diet to unhealthy dietary habits in Latin America, coupled with increased access to and affordability of healthy foods in the USA.
    CONCLUSIONS: Our study contributes to the evolving understanding of dietary acculturation among Latino immigrants and provides a more nuanced and updated understanding of this process that reflects their current experiences in acculturating to the USA.
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  • 文章类型: Journal Article
    The CDC recommends that persons aged 13-64 receive an HIV test at least once in their lifetime and that some groups test annually or more frequently. Nearly one-half of US Latino immigrants have never been tested for HIV. To the extent that immigration-related laws deter documented and undocumented immigrants from engaging in communicable disease control measures, these laws undermine public health efforts. 1750 noncitizen adult, sexually active, Spanish-speaking Latino immigrants across four cities in the US completed a cross-sectional survey assessing perceptions of immigration-related laws and immigration consequences related to HIV testing and diagnosis. Participants were recruited in-person by staff in community settings, through flyers posted in places frequented by Latino immigrants, and by word-of-mouth through snowball sampling. Outcomes were whether participants had ever received an HIV test and whether they tested in the previous 12 months. Multivariable analyses examined the relative contribution of perceived immigration laws and consequences on HIV testing behaviors when considering established predictors of HIV testing. Perceptions of HIV-related immigration laws and immigration consequences was a significant predictor of never having had an HIV test even when considered relative to common predictors of HIV testing. The influence of perceived immigration laws and consequences on testing in the previous 12 months was not significant in multivariable analysis. Perceived HIV-related immigration laws and consequences appear to be a substantial contributor to reluctance to be tested for HIV among Latino immigrants who have never been tested. Effective interventions should be developed to address these.
    RESULTS: El CDC recomienda que las personas de 13 a 64 años se hagan una prueba del VIH al menos una vez en la vida y que algunos grupos se hagan la prueba anualmente o con mayor frecuencia. Casi la mitad de los inmigrantes latinos de los Estados Unidos nunca se han hecho la prueba del VIH. En la medida en que las leyes relacionadas con la inmigración disuadan a los inmigrantes documentados e indocumentados de participar en medidas de control de enfermedades transmisibles, estas leyes socavan los esfuerzos de salud pública. 1750 inmigrantes latinos adultos no ciudadanos, sexualmente activos y de habla hispana en cuatro ciudades de EE. UU. completaron una encuesta transversal que evaluó las percepciones de las leyes relacionadas con la inmigración y de las consecuencias de la inmigración relacionadas con las pruebas y el diagnóstico del VIH. Los participantes fueron reclutados en persona en contextos comunitarios, a través de volantes publicados en lugares frecuentados por inmigrantes latinos y de boca en boca a través de muestras de bola de nieve. Las variables dependientes fueron si los participantes se habían hecho una prueba del VIH alguna vez y si se habían hecho la prueba en los últimos 12 meses. Los análisis multivariados examinaron la contribución relativa de la percepción de las leyes de inmigración y de las consecuencias de inmigración sobre los comportamientos relativo a las pruebas del VIH, controlando por predictores conocidos de las pruebas del VIH. Las percepciones de las leyes de inmigración relacionadas con el VIH y las consecuencias de la inmigración fueron un predictor significativo de nunca haberse realizado una prueba del VIH, aun considerando los predictores comunes de la prueba del VIH. La influencia de la percepción de las leyes de inmigración y de las consecuencias de la inmigración sobre la prueba en los últimos 12 meses no fue significativa en el análisis multivariado. Las leyes de inmigración y las consecuencias percibidas relacionadas con el VIH parecen contribuir sustancialmente a la renuencia a hacerse la prueba del VIH entre los inmigrantes latinos que nunca se han hecho la prueba. Deben desarrollarse intervenciones efectivas para abordar esta renuencia.
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  • 文章类型: Comparative Study
    背景技术拉丁裔人口在美国人口中所占的份额在不断增长和多样化。先前的研究已经将拉丁裔移民视为同质群体。作者假设拉丁裔移民亚组之间的心血管疾病风险因素存在异质性(来自墨西哥,波多黎各,古巴,多米尼加共和国,中美洲,或南美)与非拉丁裔白人成年人相比。方法和结果对2010年至2018年全国健康访谈调查(NHIS)进行了横断面分析,其中548739人。具有泊松分布的广义线性模型被拟合以比较自我报告的高血压的患病率。超重/肥胖,糖尿病,高胆固醇,缺乏身体活动,和目前的吸烟,调整已知的混杂因素。作者包括474968名非拉丁裔白人成年人和73771名来自墨西哥的拉丁裔移民(59%),波多黎各(7%),古巴(6%)多米尼加共和国(5%)中美洲(15%)南美(9%)。与白人相比,墨西哥移民的超重/肥胖患病率最高(患病率[PR],1.17[95%CI,1.15-1.19]);波多黎各人的糖尿病患病率最高(PR,1.63[95%CI,1.45-1.83]);中美洲个体的高胆固醇患病率最高(PR,1.16[95%CI,1.04-1.28]);来自多米尼加共和国的个体缺乏体力活动的患病率最高(PR,1.25[95%CI,1.18-1.32])。与白人成年人相比,所有拉丁裔移民亚组吸烟的可能性较小。结论作者观察到拉丁裔移民在心血管疾病危险因素方面的优势和差异。汇总拉丁美洲人的数据可能掩盖了心血管疾病风险的差异,并阻碍了减少该人群健康差异的努力。研究结果为拉丁裔群体提供了可操作的信息和改善心血管健康的目标。
    Background The Latino population is a growing and diverse share of the US population. Previous studies have examined Latino immigrants as a homogenous group. The authors hypothesized that there would be heterogeneity in cardiovascular disease risk factors among Latino immigrant subgroups (from Mexico, Puerto Rico, Cuba, Dominican Republic, Central America, or South America) compared with non-Latino White adults. Methods and Results A cross-sectional analysis of the 2010 to 2018 National Health Interview Survey (NHIS) among 548 739 individuals was performed. Generalized linear models with Poisson distribution were fitted to compare the prevalence of self-reported hypertension, overweight/obesity, diabetes, high cholesterol, physical inactivity, and current smoking, adjusting for known confounders. The authors included 474 968 non-Latino White adults and 73 771 Latino immigrants from Mexico (59%), Puerto Rico (7%), Cuba (6%), Dominican Republic (5%), Central America (15%), and South America (9%). Compared with White adults, Mexican immigrants had the highest prevalence of overweight/obesity (prevalence ratio [PR], 1.17 [95% CI, 1.15-1.19]); Puerto Rican individuals had the highest prevalence of diabetes (PR, 1.63 [95% CI, 1.45-1.83]); individuals from Central America had the highest prevalence of high cholesterol (PR, 1.16 [95% CI, 1.04-1.28]); and individuals from the Dominican Republic had the highest prevalence of physical inactivity (PR, 1.25 [95% CI, 1.18-1.32]). All Latino immigrant subgroups were less likely to be smokers than White adults. Conclusions The authors observed advantages and disparities in cardiovascular disease risk factors among Latino immigrants. Aggregating data on Latino individuals may mask differences in cardiovascular disease risk and hinder efforts to reduce health disparities in this population. Study findings provide Latino group-specific actionable information and targets for improving cardiovascular health.
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  • 文章类型: Randomized Controlled Trial
    拉丁裔临时工(LDL)是脆弱的工人群体,面临相当大的职业伤害风险。在我们社区顾问委员会的指导下,我们开发并测试了可行性,Vales+Tú(你更有价值)的可接受性和初步效果,在LDL寻求就业的街角,由promotors实施降低工作场所伤害风险的计划。该计划由强调个人和团体代理和自决的理论观点提供信息。在75LDL中进行了一项试点三臂集群随机社区试验。干预武器包括个性化的简短激励访谈,集体问题解决活动和护理控制标准(OSHA安全卡)。我们达到了每个干预组25LDL的研究目标,并在干预后联系了88%的参与者。参与者对干预措施评价良好。在测试后,简短的激励访谈小组报告了工作场所危险暴露的显着减少和降低风险的做法的增加。小组问题解决参与者显示暴露于危险的显著减少(t检验-4.16,p<0.001)。两个干预组都增加了对角落同龄人的依赖,衡量社会支持。护理参与者的标准提高了安全工作的自我效能。总的来说,三种研究条件之间唯一的显著差异是自我效能.这些发现为ValesTú的可行性和可接受性提供了证据,并显示了计划的初步有效性。大规模复制试验将允许对研究结果进行更正式的建模。临床试验注册(ClinicalTrials.gov):NCT04378348。
    这项试点随机试验测试了降低拉丁裔临时工(LDL)伤害风险计划的可行性和初始有效性。该研究测试了两种替代干预措施,包括简短的动机访谈(个人)和小组问题解决(小组)条件,并将其与接受安全卡的标准护理对照组进行了比较。然后,我们测试了研究条件在多大程度上减少了对工作场所危害的暴露,并增加了工作中的安全实践。结果表明,在日间劳动角落进行干预是这些移民工人可以接受的可行干预策略。初步结果还表明,在降低风险方面,组内有多个显著差异,主要是在个体情况下,并且在测试后,安全性自我效能感有一个显着差异。更大更严格的试验可以进一步测试这些结果的稳定性,并确定这些干预方法可以降低LDL在工作中面临的伤害风险的程度。
    Latino day laborers (LDL) are a vulnerable population of workers facing considerable risk for occupational injury. Under the guidance of our Community Advisory Board, we developed and tested the feasibility, acceptability and preliminary effects of Vales+Tú (You Are Worth More), a workplace injury risk-reduction program implemented by promotores on street-corners where LDL seek employment. The program was informed by theoretical perspectives emphasizing individual and group agency and self-determination. A pilot three-arm cluster-randomized community trial was conducted among 75 LDL. The intervention arms consisted of an individualized Brief Motivational Interview, a Group Problem Solving activity and a standard of care control (OSHA safety cards). We met our study goal of 25 LDL per intervention arm, and contacted 88% of participants post intervention. Participants evaluated the interventions favorably. At post-test, the Brief Motivational Interview group reported significant reductions in exposure to workplace hazards and increases in risk-reduction practices. The Group Problem Solving participants showed significant reductions in exposure to hazards (t-test -4.16, p < 0.001). Both intervention groups increased their reliance on corner peers, a measure of social support. Standard of care participants increased in self-efficacy to work safely. Overall, the only significant different between the three study conditions was in self-efficacy. These findings provide evidence of the feasibility and acceptability of Vales+Tú and show preliminary program efficacy. A large-scale replication trial will permit a more formal modeling of the study findings. Clinical Trial Registration (ClinicalTrials.gov): NCT04378348.
    This pilot-randomized trial tested the feasibility and initial efficacy of an injury risk-reduction program among Latino day laborers (LDL). The study tested two alternative interventions consisting of a Brief Motivational Interview (Individual) and a Group Problem Solving (Group) conditions that were compared with a Standard-of-Care control group receiving safety cards. We then tested the extent to which the study conditions reduced exposure to workplace hazards and increased safety practices at work. Results indicate that intervening at day labor corners is a feasible intervention strategy acceptable to these immigrant workers. Initial results also indicate that there were multiple within-group significant differences in risk reduction, mostly in the individual condition, and that there was one significant between-group difference in safety self-efficacy at post-test. A larger more rigorous trial can further test the stability of these results and determine the extent to which these intervention approaches can reduce the risk for injury that LDL confront at work.
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  • 文章类型: Journal Article
    美国的拉丁裔人口不成比例地受到药物使用的影响,艾滋病毒/艾滋病,暴力,心理健康问题(SAVAME)。越来越多的证据证明了SAVAME的联合性质以及需要采取综合策略来减少其影响。这项研究旨在了解费城拉丁裔移民的SAVAME服务网络,以告知未来对SAVAME预防和缓解的干预措施。
    与在提供SAVAME服务的拉丁裔服务组织中工作的提供者进行了关键线人访谈(N=30)。使用主题编码和扎根理论对访谈进行了分析。
    拉丁裔服务提供商认为,以及可用性的重要限制,可访问性,以及为拉丁裔移民提供的SAVAME服务的充分性。差距被认为对精神健康和物质使用服务特别严重,部分原因是这些服务的资金不足。拉丁裔移民缺乏医疗保险,移民身份,有限的英语水平(LEP),围绕SAVAME问题的耻辱,以及对可用服务的有限知识被确定为阻碍获得服务的重大障碍。供应商指出,缺乏训练有素的人,文化能力强,种族和谐的提供者降低了为拉丁裔移民客户提供SAVAME服务的充分性。小尺寸,基础设施水平低,据报道,能力有限是限制许多拉丁裔服务组织在SAVAME服务的预防和治疗中采用联合方法的能力的其他因素。
    结果要求改变资金流的结构和整个社区的战略,以促进与拉丁裔移民客户合作的SAVaME提供商之间的合作。
    Latino populations in the United States are disproportionately affected by substance use, HIV/AIDS, violence, and mental health issues (SAVAME). A growing body of evidence demonstrates the syndemic nature of SAVAME and the need for integrated strategies to reduce their impact. This study sought to understand the network of SAVAME services for Latino immigrants in Philadelphia to inform future interventions for SAVAME prevention and mitigation.
    Key informant interviews (N = 30) were conducted with providers working in Latino-serving organizations providing SAVAME services. Interviews were analyzed using thematic coding and grounded theory.
    Latino-serving providers perceived a large need for, and important limitations in the availability, accessibility, and adequacy of SAVAME services for Latino immigrants. Gaps were seen as especially acute for mental health and substance use services, partly because of insufficient funding for these services. Latino immigrants\' lack of health insurance, immigration status, limited English proficiency (LEP), stigma surrounding SAVAME issues, and limited knowledge of available services were identified as significant barriers preventing access to services. Providers noted that scarcity of well-trained, culturally competent, and ethnically concordant providers reduced the adequacy of SAVAME services for Latino immigrant clients. The small size, low levels of infrastructure, and limited capacity were reported as additional factors limiting the ability of many Latino-serving organizations to adopt a syndemic approach in the prevention and treatment of SAVAME services.
    The results call for changes in the structure of funding streams and communitywide strategies to foster collaboration across SAVAME providers working with Latino immigrant clients.
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  • 文章类型: Journal Article
    在COVID-19大流行期间,美国粮食不安全率迅速上升,对拉丁裔移民家庭的影响不成比例。我们进行了一项定性研究,以调查在COVID-19大流行期间,农村拉丁裔移民的家庭食物环境如何受到影响。31名受访者(42%来自低粮食安全家庭)完成了对加利福尼亚州四个农村县的采访(2020年7月至2021年4月)。使用农村家庭粮食安全概念框架来分析数据。在大流行的早期,食物供应受到学校关闭和在家吃饭/零食消费增加的影响;食物供应受到收入减少的影响。进入的障碍包括有限的交通,多余的距离,缺乏便利。缓解粮食不安全的关键资源是补充营养援助计划(SNAP),大流行电子福利转移(P-EBT),学校的饭菜,慈善食品项目,社会资本,尽管注意到慈善食品分配的充分性和可接受性。受访者对法律地位表示关注,污名,以及在讨论政府营养援助计划的障碍时的公共收费规则。他们报告说,食品储藏室和P-EBT的进入障碍较少。积极的应对策略包括促进健康的食物替代和减少家庭外的膳食消费。结果可以为制定政策和系统干预措施提供信息,以减少农村拉丁裔移民的粮食不安全和与营养相关的健康差距。
    U.S. food insecurity rates rapidly increased during the COVID-19 pandemic, with disproportionate impacts on Latino immigrant households. We conducted a qualitative study to investigate how household food environments of rural Latino immigrants were affected during the COVID-19 pandemic. Thirty-one respondents (42% from low food security households) completed interviews (July 2020-April 2021) across four rural counties in California. A rural household food security conceptual framework was used to analyze the data. Early in the pandemic, food availability was impacted by school closures and the increased consumption of meals/snacks at home; food access was impacted by reduced incomes. Barriers to access included limited transportation, excess distance, and lack of convenience. Key resources for mitigating food insecurity were the Supplemental Nutrition Assistance Program (SNAP), the Pandemic Electronic Benefits Transfer (P-EBT), school meals, charitable food programs, and social capital, although the adequacy and acceptability of charitable food distributions were noted issues. Respondents expressed concern about legal status, stigma, and the public charge rule when discussing barriers to government nutrition assistance programs. They reported that food pantries and P-EBT had fewer access barriers. Positive coping strategies included health-promoting food substitutions and the reduced consumption of meals outside the home. Results can inform the development of policy and systems interventions to decrease food insecurity and nutrition-related health disparities among rural Latino immigrants.
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  • 文章类型: Journal Article
    美国的拉丁美洲人对牙周和牙齿健康的影响较差。然而,驱动这些模式的机制的详细描述直到最近才开始在文献中得到解决。在目前的研究中,我们探索墨西哥移民个体特征之间的关系,他们的网络属性,和牙齿问题的经验。具体来说,使用来自墨西哥移民到美国中西部的城市社区的数据(n=332),本研究探讨了口腔健康问题(OHM)讨论网络的特征和个体层面的社会人口统计学特征如何与4项不良口腔健康结局相关.研究结果为移民网络特征与牙齿问题之间的关系提供了有力的支持。我们发现,有更多牙齿问题的人在网络关系中更频繁地谈论这些问题。相反,与OHM讨论网络的关系更强,以平均接近度来衡量,预示着牙齿问题的减少。此外,我们确定了改变牙齿知识的感知之间的联系,嘴,牙龈和自负报告更好的口腔健康结果。观察到的模式暗示了在社会中很好地复制的社会影响机制,medical,和公共卫生文献,但很少在口腔健康领域进行实证检验。虽然是初步的,我们的研究结果表明,社会网络在口腔健康差异研究中一些最重要的问题和问题中具有潜在的解释作用.总之,我们的研究结果表明,在这一移民群体中,社交网络成员是口腔健康问题管理和应对的积极参与者,应被视为疾病发展和进程的重要因素.
    Latinos in the United States have poor outcomes for periodontal and dental health. However, a detailed description of the mechanisms driving these patterns has only recently started to be addressed in the literature. In the current study, we explore relationships between individual-level characteristics of Mexican immigrants, properties of their networks, and experiences of dental problems. Specifically, using data from an urban community of Mexican immigrants to the American Midwest (n = 332), this study examines how characteristics of oral health matters (OHM) discussion networks and individual-level sociodemographic characteristics are associated with four adverse oral health outcomes. The results provide strong support for relationships between immigrants\' network characteristics and dental problems. We find that people with more dental problems talk about these issues more frequently with network ties. Conversely, stronger relationships with OHM discussion networks, as measured by mean closeness, are predictive of fewer dental problems. In addition, we identify a link between perceptions of alters\' knowledge about teeth, mouth, and gums and egos reporting better oral health outcomes. The observed patterns are suggestive of mechanisms of social influence that are well replicated in the social, medical, and public health literatures, but that have seldom been empirically tested in the domain of oral health. Though preliminary, our findings suggest a potential explanatory role for social networks in some of the most important questions and problems in oral health disparities research. In all, our findings suggest that social network members are active participants in the management and response to oral health problems in this immigrant group and should be considered an important factor in the development and course of diseases.
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  • 文章类型: Journal Article
    Latinos and Latino immigrants are increasingly settling in new immigrant destinations, such as Tennessee and Georgia, that have historically lacked sufficient infrastructure for delivery of culturally and linguistically competent health and social services. This cross-sectional survey study was designed to assess providers\' (n = 109) perspectives of the service provision landscape in each state. Descriptive analyses and t-tests (by state) were conducted to explore service concerns, access barriers, and organizational capacity to address concerns and barriers. Among most prevalently reported concerns were income/wages and fear of deportation. Key access barriers included language, lack of driver\'s license and insurance, and fear of deportation. Most (63%) organizations had sufficient Spanish language proficiency, though building trust was a notable barrier within 58% of organizations. Results provide meaningful data to inform existing strengths and service gaps in two exclusionary policy states. Future research should include perspectives of Latino community members.
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  • 文章类型: Journal Article
    OBJECTIVE: This paper focuses on the older Latino undocumented population and anticipates how their current demographic characteristics and health insurance coverage might impact future population size and health insurance trends.
    METHODS: We use the 2013-2018 American Community Survey as a baseline to project growth in the Latino 55+ undocumented population over the next 20 years. We use the cohort component method to estimate population size across different migration scenarios and distinguish between aging in place and new in-migration. We also examine contemporary health insurance coverage and chronic health conditions among 55+ undocumented Latinos from the 2003-2014 California Health Interview Survey. We then project health insurance rates in 2038 among Latino immigrants under different migration and policy scenarios.
    RESULTS: If current mortality, migration, and policy trends continue, projections estimate that 40% of undocumented Latino immigrants will be 55 years or older by 2038 - nearly all of whom will have aged in place. Currently, 40% of older Latino undocumented immigrants do not have insurance. Without policies that increase access to insurance, projections estimate that the share who are uninsured among all older Latinos immigrants will rise from 15% to 21%, and the share that is both uninsured and living with a chronic health condition will rise from 5% to 9%.
    CONCLUSIONS: Without access health care, older undocumented immigrants may experience delayed care and more severe morbidity. Our projections highlight the need to develop and enact policies that can address impending health access concerns for an increasingly older undocumented Latino population.
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  • 文章类型: Journal Article
    尽管工资盗窃主要是作为劳工和人权问题讨论的,它可以被概念化为结构性种族主义问题,对移民健康产生重要影响。
    这项研究的目的是:1)确定社会人口统计学,employment,和压力相关的特征增加了拉丁裔临时工经历工资盗窃的几率;2)评估工资盗窃与严重工伤之间的关联;3)评估工资盗窃与三个心理健康-抑郁指标之间的关联,社会孤立,和酒精使用-作为工资盗窃的函数;和4)评估与工作有关的严重伤害,作为工资盗窃控制心理健康的函数。
    次要数据分析基于2013年11月至2014年7月从331名拉丁裔日工收集的调查数据。进行回归分析以测试上述关系。
    大约25%的参与者报告经历了工资盗窃,20%报告了严重的工伤。工资盗窃与建筑业有关,最初与工伤有关。工资盗窃与心理健康指标没有显着相关。当控制心理健康变量时,工资盗窃与伤害之间的关联变得不显着。
    与工资盗窃事件相关的困难和压力最终可能导致更频繁的伤害。尽管我们预计工资盗窃与心理健康有关,我们发现伤害事件表明对身体健康的脆弱性。因此,我们的基本前提得到了部分支持:工资盗窃可能是一种压力源,源于条件,在某种程度上,反映结构性种族主义,使工人容易受到更差的健康。
    Although wage theft has been discussed primarily as a labor and human rights issue, it can be conceptualized as an issue of structural racism with important consequences for immigrant health.
    The objectives of this study were to: 1) identify sociodemographic, employment, and stress-related characteristics that increase Latino day laborers\' odds of experiencing wage theft; 2) assess the association between wage theft and serious work-related injury; 3) assess the association between wage theft and three indicators of mental health-depression, social isolation, and alcohol use-as a function of wage theft; and 4) assess serious work-related injury as a function of wage theft controlling for mental health.
    Secondary data analyses were based on survey data collected from 331 Latino day laborers between November 2013 and July 2014. Regression analyses were conducted to test the relationships described above.
    Approximately 25% of participants reported experiencing wage theft and 20% reported serious work-related injury. Wage theft was associated with working in construction and was initially associated with work-related injury. Wage theft was not significantly associated with mental health indicators. The association between wage theft and injury became non-significant when controlling for the mental health variables.
    The hardship and stress associated with wage theft incidents may ultimately lead to more frequent injury. Although we expected an association of wage theft with mental health, we found vulnerability to physical health as indicated by injury incidents. Thus, our basic premise was partially supported: wage theft may act as a stressor that stems from conditions, in part, reflecting structural racism, making workers vulnerable to poorer health.
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