title: The Hispanic health paradox across generations: the relationship of child generational status and citizenship with health outcomes.
abstract: OBJECTIVE
  In examining the Hispanic health paradox, researchers rarely determine if the paradox persists across immigrant generations. This study examines immigrant respiratory health disparities among Hispanic children in terms of current asthma, bronchitis, and allergies using an expanded six-group immigrant cohort framework that includes citizenship and the fourth-plus generation.
  
  
  METHODS
  Cross-sectional primary survey data from 1568 caretakers of Hispanic schoolchildren in El Paso, Texas (USA), were utilized.
  
  
  METHODS
  Data were analyzed using generalized linear models.
  
  
  RESULTS
  Results indicate that a healthy immigrant advantage lasts until the 2.5 generation for bronchitis and allergies (P < 0.05), and until the third generation for asthma (P < 0.10). Citizenship was not an influence on the likelihood of a child having a respiratory health condition.
  
  
  CONCLUSIONS
  Findings demonstrate the utility of the expanded six-group cohort framework for examining intergenerational patterns in health conditions among immigrant groups.
authors.affiliation: Department of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX 79968, United States.
authors.forename: A J
authors.initials: AJ
authors.lastname: Balcazar
authors.affiliation: Department of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX 79968, United States. Electronic address: segrineski@utep.edu.
authors.forename: S E
authors.initials: SE
authors.lastname: Grineski
authors.affiliation: Department of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX 79968, United States.
authors.forename: T W
authors.initials: TW
authors.lastname: Collins
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000208:ethnology; D001991:Bronchitis / Q000208:ethnology; D002648:Child; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D005191:Family Characteristics / Q000208:ethnology*; D005260:Female; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D012130:Respiratory Hypersensitivity / Q000208:ethnology; D012140:Respiratory Tract Diseases / Q000208:ethnology*; D013781:Texas
keywords: Asthma; Children; Generational status; Hispanic health paradox; Immigrant health