title: Neighborhood context and the Hispanic health paradox: differential effects of immigrant density on children׳s wheezing by poverty, nativity and medical history.
abstract: Prior research suggests that immigrant enclaves provide respiratory health benefits for US Hispanic residents. We test if immigrant enclaves provide differential respiratory health benefits for Hispanic children in El Paso (Texas) based on individual-level factors. Results reveal that higher neighborhood immigrant density is associated with reduced odds of wheezing, but that the protective immigrant enclave effect is modified by poverty, general health status, body mass index (BMI), and caretaker nativity. Higher immigrant density is significantly more protective for poor children and those with foreign-born caretakers; conversely, it is significantly less protective for children in worse health and those with higher BMI. These findings foster a novel understanding of how immigrant enclaves may be differentially protective for Hispanic children based on individual-level factors.
authors: Department of Sociology & Anthropology, University of Texas at El Paso, 500 West University Ave, El Paso, Texas 79968, USA. Electronic address: youngank@uci.edu.
authors: Young-An
authors: YA
authors: Kim
authors: Department of Sociology & Anthropology, University of Texas at El Paso, 500 West University Ave, El Paso, Texas 79968, USA. Electronic address: twcollins@utep.edu.
authors: Timothy W
authors: TW
authors: Collins
authors: Department of Sociology & Anthropology, University of Texas at El Paso, 500 West University Ave, El Paso, Texas 79968, USA. Electronic address: segrineski@utep.edu.
authors: Sara E
authors: SE
authors: Grineski
mesh_terms: D000293:Adolescent; D002648:Child; D002669:Child Welfare / Q000208:ethnology / Q000706:statistics & numerical data; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D011156:Population Density; D011203:Poverty / Q000706:statistics & numerical data*; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012135:Respiratory Sounds / Q000209:etiology*; D012959:Socioeconomic Factors; D013781:Texas / Q000453:epidemiology
keywords: Asthma; Children; Hispanic health paradox; Multilevel models; Neighborhood effects