scholarly journals Age of Migration Differentials in Life Expectancy With Cognitive Impairment: 20-Year Findings From the Hispanic-EPESE

2017 ◽  
Vol 58 (5) ◽  
pp. 894-903 ◽  
Author(s):  
Marc A Garcia ◽  
Joseph L Saenz ◽  
Brian Downer ◽  
Chi-Tsun Chiu ◽  
Sunshine Rote ◽  
...  

Abstract Background and Objectives To examine differences in life expectancy with cognitive impairment among older Mexican adults according to nativity (U.S.-born/foreign-born) and among immigrants, age of migration to the United States. Research Design and Methods This study employs 20 years of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to estimate the proportion of life spent cognitively healthy and cognitively impaired prior to death among older Mexican adults residing in the southwestern United States. We combine age-specific mortality rates with age-specific prevalence of cognitive impairment, defined as a Mini-Mental Status Exam score of less than 21 points to calculate Sullivan-based life table models with and without cognitive impairment in later life. Results Foreign-born Mexican immigrants have longer total life expectancy and comparable cognitive healthy life expectancy regardless of gender compared to U.S.-born Mexican-Americans. However, the foreign-born spend a greater number of years after age 65 with cognitive impairment relative to their U.S.-born counterparts. Furthermore, we document an advantage in life expectancy with cognitive impairment and proportion of years after age 65 cognitively healthy among mid-life immigrant men and women relative to early- and late-life migrants. Discussion and Implications The relationship between nativity, age of migration, and life expectancy with cognitive impairment means that the foreign-born are in more need of support and time-intensive care in late life. This issue merits special attention to develop appropriate and targeted screening efforts that reduce cognitive decline for diverse subgroups of older Mexican-origin adults as they age.

2019 ◽  
Vol 7 (3) ◽  
pp. 86-90
Author(s):  
Shervin Assari ◽  
Mohammed Saqib ◽  
Cheryl Wisseh ◽  
Mohsen Bazargan

Introduction: Socioeconomic status (SES) indicators are among the main social determinants of health and illness. Less, however, is known about the role of SES in the epidemiology of polypharmacy in immigrant Latino Americans living in the United States. This research studied the association between three SES indicators, education, income, and employment, and polypharmacy in older first generation Latino American immigrant adults. Methods: Data was obtained from the Sacramento Area Latino Study on Aging (SALSA, 1996-2008). A total of 632 older first generation Mexican-American immigrants to the U.S. entered this analysis. The independent variables were education, income, and employment. Polypharmacy was the outcome. Age, gender, physical health, smoking, and drinking were the covariates. Binary logistic regression was used to analyze the data. Results: Employment was associated with lower odds of polypharmacy. The association between education and polypharmacy was above and beyond demographic factors, physical health, health behaviors, and health insurance. Neither education nor income were associated with polypharmacy. Other determinants of polypharmacy were poor self-rated health (SRH) and a higher number of chronic medical conditions (CMCs). Conclusion: Employment appears to be the major SES determinant of polypharmacy in older foreign-born Mexican Americans. Unemployed older Mexican American immigrants with multiple chronic diseases and those who have poor SRH have the highest need for an evaluation of polypharmacy. Given the age group of this population, most of them have health insurance, which provides an opportunity for reducing their polypharmacy.


Author(s):  
Michael Innis-Jiménez

By recognizing and not underestimating the significance of everyday forms of resistance and the politics of culture, as well as institutions and organizations not normally seen as vehicles for everyday and working class change, we can delve into the strategies that helped Mexicans in interwar South Chicago cope with the oppressive environment that surrounded them. Individual Mexican immigrants and Mexican Americans in interwar South Chicago, including steel workers, shop owners, union organizers, and social workers, formed a community that was able to change its physical and cultural environment to help its members and create a degree of resistance that helped Mexicans persevere against intimidation and prejudice. These individual and community histories—the stories of people, organizations, and their physical surroundings—shed light on Mexicano life in a place far from the border and at the industrial heart of the United States.


Demography ◽  
2016 ◽  
Vol 53 (4) ◽  
pp. 1109-1134 ◽  
Author(s):  
Neil K. Mehta ◽  
Irma T. Elo ◽  
Michal Engelman ◽  
Diane S. Lauderdale ◽  
Bert M. Kestenbaum

Author(s):  
Ramón A. Gutiérrez

This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of American History. Please check back later for the full article. Mexican immigration to the United States is a topic of particular interest at this moment for a number of political reasons. First, and probably foremost, Mexicans are currently the single largest group of foreign-born residents in the country. In 2013, the United States counted 41.3 million individuals of foreign birth; 28 percent, or 11.6 million, were Mexican. If census data are aggregated more broadly, adding together the foreign-born and persons of Mexican ancestry who are citizens, the number totals 31.8 million in 2010, or roughly 10 percent of the country’s total population of 308.7 million. What has nativists and those eager to restrict immigration particularly concerned is that the Mexican origin population has been growing rapidly, by 54 percent between the 2000 and 2010 censuses, or from 11.2 million to 31.8 million persons. This pace of growth has slowed, but not enough to calm racial and xenophobic fears of the citizenry fearful of foreigners and terrorists. Mexican immigration to the United States officially began in 1846 and has continued into the present without any significant period of interruption, also making it quite distinct. The immigration histories of national groups that originated in Asia, Africa, and Europe are much more varied in trajectory and timing. They usually began with massive movements, driven by famine, political strife or burgeoning economic opportunities in the United States, and then slowed, tapered off, or ended abruptly, as was the case with Chinese immigration from 1850 to 2015. This fact helps explain why Mexico has been the single largest source of immigrants in the United States for the longest period of time. The geographic proximity between the two countries, compounded by profound economic disparities, has continuously attracted Mexican immigrants, facilitated by a border that is rather porous and that has been poorly patrolled for much of the 20th century. The United States and Mexico are divided by a border that begins at the Pacific Ocean, at the twin cities of San Diego, California and Tijuana, Baja California. The border moves eastward until it reaches the Rio Grande at El Paso, Texas and Ciudad Júarez, Chihuahua. From there the border follows the river’s flow in a southeastern direction, until its mouth empties into the Gulf of Mexico where Brownsville, Texas and Matamoros, Tamaulipas sit. This expanse of over 1,945 miles is poorly marked. In many places, only old concrete markers, sagging, dry-rotted fence posts with rusted barbed wire, and a river that has continually changed its course, mark the separation between these two sovereign national spaces. Since 1924, when the U.S. Border Patrol was created mainly to prohibit the unauthorized entry of Chinese immigrants, not Mexicans, American attempts to effectively regulate entries and exits has been concentrated only along known, highly trafficked routes that lead north. The inability of the United States to patrol the entire length of its border with Mexico has meant that any Mexican eager to work or live in the United States has rarely found the border an insurmountable obstacle, and if they have encountered it temporarily so, they have simply hired expensive professional smugglers (known as coyotes) to maximize safe passage into the United States without border inspection or official authorization. In 2014, there were approximately 11.3 million such unauthorized immigrants in the United States; 49 percent, or 5.6 million of them were Mexican. Over the long course of history Mexican immigration is best characterized as the movement of unskilled workers toiling in agriculture, railroad construction, and mineral extraction; for the last two decades, they have worked in construction and service industries as well. This labor migration has evolved through five distinct phases, each marked by its own logic, demands, and governance.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S584-S584
Author(s):  
Marc A Garcia ◽  
David F Warner ◽  
Catherine Garcia

Abstract Cognitive impairment is a major public health concern in the United States. Research indicates cognitive impairment is higher for older U.S. Latinos than non-Latino whites, due in part to Latinos having longer life expectancy, lower educational attainment, and a higher prevalence of diabetes and cardiovascular disease. Prior studies on cognition have largely examined “Latinos” as a monolithic group. However, Latinos are heterogeneous in composition with unique socio-cultural characteristics based on nativity and country of origin. Accordingly, we used data from the 1997-2017 National Health Interview Survey (NHIS) to document age-specific trends in in self-reported cognitive impairment among US-born Mexican, foreign-born Mexican, island-born Puerto Rican, foreign-born Cuban, and non-Latino white adults aged 60 and older. Given the repeated cross-sectional nature of these data, we estimated hierarchical age period–cohort (HAPC) cross-classified random-effects model (CCREM) to isolate age trends in self-reported cognitive impairment across Latino subgroups and non-Latino whites. Results indicate significant heterogeneity among Latino subgroups, with island-born Puerto Ricans exhibiting the highest rates of cognitive impairment and foreign-born Cubans the lowest. Conversely, US-born and foreign-born Mexicans exhibited rates in between these two. All Latino subgroups statistically differed from non-Latino whites. Socio-demographic controls account for approximately 33%-45% of the disparity, but fully account for foreign-born Cubans and non-Latino whites differences. These findings indicate the importance of considering nativity and country of origin when assessing cognitive outcomes among older Latinos. Understanding minority and immigrant differences in cognitive impairment has implications for the development and implementation of culture-appropriate programs to promote healthy brain aging.


2020 ◽  
Vol 75 (5) ◽  
pp. 906-913 ◽  
Author(s):  
Paola Zaninotto ◽  
George David Batty ◽  
Sari Stenholm ◽  
Ichiro Kawachi ◽  
Martin Hyde ◽  
...  

Abstract Background We examined socioeconomic inequalities in disability-free life expectancy in older men and women from England and the United States and explored whether people in England can expect to live longer and healthier lives than those in the United States. Methods We used harmonized data from the Gateway to Global Aging Data on 14,803 individuals aged 50+ from the U.S. Health and Retirement Study (HRS) and 10,754 from the English Longitudinal Study of Ageing (ELSA). Disability was measured in terms of impaired activities and instrumental activities of daily living. We used discrete-time multistate life table models to estimate total life expectancy and life expectancy free of disability. Results Socioeconomic inequalities in disability-free life expectancy were of a similar magnitude (in absolute terms) in England and the United States. The socioeconomic disadvantage in disability-free life expectancy was largest for wealth, in both countries: people in the poorest group could expect to live seven to nine fewer years without disability than those in the richest group at the age of 50. Conclusions Inequalities in healthy life expectancy exist in both countries and are of similar magnitude. In both countries, efforts in reducing health inequalities should target people from disadvantaged socioeconomic groups.


1994 ◽  
Vol 28 (3) ◽  
pp. 478-500 ◽  
Author(s):  
Dudley L. Poston

This article is concerned with the economic attainment patterns of foreign-born male workers in the United States in 1980. The economic attainment patterns of males born in 92 countries of the world are examined and are compared among themselves, as well as among the seven principal U.S.-born groups of Anglos, Afro-American, Mexican Americans, Puerto Ricans, Cuban Americans, Asian Americans, and American Indians. For all foreign-born groups, the article examines the degree to which such individual-level factors as educational attainment, labor market experience, and so forth account for their variation in economic attainment. We conclude that although microlevel characteristics are not the complete answer, they are important for most foreign-born populations in explaining their variation in earnings.


2020 ◽  
Vol 42 (7-8) ◽  
pp. 199-207 ◽  
Author(s):  
Marc A. Garcia ◽  
Adriana M. Reyes ◽  
Catherine García ◽  
Chi-Tsun Chiu ◽  
Grecia Macias

This study examined racial/ethnic, nativity, and country of origin differences in life expectancy with and without functional limitations among older adults in the United States. We used data from the National Health Interview Survey (1999–2015) to estimate Sullivan-based life tables of life expectancies with functional limitations and without functional limitations by sex for U.S.-born Mexicans, foreign-born Mexicans, U.S.-born Puerto Ricans, island-born Puerto Ricans, foreign-born Cubans, and U.S.-born Whites. We find that Latinos exhibit heterogeneous life expectancies with functional limitations. Among females, U.S.-born Mexicans, foreign-born Mexicans, and foreign-born Cubans spend significantly fewer years without functional limitations, whereas island-born Puerto Ricans spend more years with functional limitations. For men, U.S.-born Puerto Ricans were the only Latino subgroup disadvantaged in the number of years lived with functional limitations. Conversely, foreign-born Cubans spend significantly fewer years without functional limitations. To address disparities in functional limitations, we must consider variation in health among Latino subgroups.


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