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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.

Past studies have shown that acculturation has been linked with media consumption (Shi, 2005; Shohat & Stam, 1996). Some risky health behaviors are associated with immigrants’ acculturation into the American society. In this study, we investigate the association between Latino adolescents’ recreational use of media with acculturation as related to risky health behaviors such as the consumption of sugar-sweetened beverages, the experience of getting sunburns, smoking, and drinking alcohol.

Regression models were run to analyze the Latino adolescent subsample (aged 12–17) of the 2009 California Health Interview Survey (Ponce et al., 2004).

The regression models show that weekend television and video gaming are significantly associated with the number of sunburns one had in the past year (incident rate ratio = 1.008, z = 2.73), and weekend recreational computer use is significantly associated with the number of cans of soda with sugar one drank during the previous day (incident rate ratio = 1.003, z = 2.09). The use of English for the interview, age, parents’ educational attainment, household size, and gender are also found to be associated with different acculturation-related risky health behaviors investigated in this study.

This study is the first to analyze media consumption’s association with sunburn among Latino adolescents. Our findings indicate that among Latino adolescents in the United States, a large amount of media consumption can lead to risky health behaviors that were not common in Latin America. Therefore, parents should heed possible behavioral consequences when they decide on the amount of media exposure children have.

This chapter proposes that efforts to improve our understanding of factors affecting migrant health and longevity in the United States must consider migrants’ labor market incorporation and the structural conditions under which they work. I use public-use death certificate data to examine whether there is a mortality penalty for foreign-born workers in the secondary sector industries of agriculture and construction. I focus on the decade of the 1990s for two contextual and empirical reasons: (1) the decade was characterized by economic restructuring, restrictive immigration policy, increased migration, and dispersion of migrants to new geographic destinations; and (2) the 1990s is an opportunistic decade because 19 states coded the industry and occupation of the decedent during this time. These numerator mortality data and Census denominator data are used to compare all-cause mortality rates between working-age (16–64 years) US-born and foreign-born agricultural and construction workers, the overall foreign-born population, and foreign-born workers in health care – an industry where the foreign-born tend to work in well-paid occupations that are well-regulated by the state. The results show a clear mortality penalty for foreign-born workers in agriculture and construction compared to the overall foreign-born population and foreign-born healthcare workers. The results also show the mortality penalty for foreign-born secondary sector workers varies by industry. These findings support the argument that bringing work into our analyses is critical to understanding the contextual and structural factors affecting migrant health and survival.

To investigate ethnic group differences in the utilization of preventive medical care services among U.S. Asian and Latino immigrant adults.

Using data from the 2002–2003 National Latino and Asian American Study, we examined whether differences exist in the reporting of any preventive physical care or dental/optician visit during the last year across Asian and Latino immigrant groups. Following, we applied Andersen’s (1995) Behavioral Model of Health Services Use to assess how ethnic disparities in preventive care use are a function of predisposing, enabling/impeding, and need-based factors.

Descriptive results showed that among Latinos, a much lower proportion of Mexican immigrants reported a preventive medical care visit during the last year than either Cuban or Puerto Rican immigrants. Asian immigrants show less variation in use, but significant differences still exist with Filipino immigrants reporting the highest level of use, followed by Vietnamese and then Chinese immigrants. Logistic regression models also indicated that predisposing characteristics, especially aspects of acculturation status, contribute strongly to ethnic group differences in preventive care use, while enabling/disabling and need-based characteristics are less important.

While studies of medical care use often treat Asians and Latinos as homogeneous groups, our findings illustrate the need for a more detailed view of the foreign-born population. Findings also highlight the role of acculturation status in shaping group differences in preventive medical care use – and as such, the importance of considering these differences when promoting the use of timely preventive care services among immigrant populations.

This paper seeks to provide a guide to significant primary and secondary resources relevant to the study of Latino health in the USA. It builds on prior scholarship to reflect the most valuable resources published from 1997 to 2007.

Many materials were identified through bibliographies, online catalogs, and the worldwide web. Citation analysis, supported by book reviews published in professional and academic journals, was used to determine impact. All resources were annotated by the author after personal examination.

The paper introduces each resource, describing its content and relevance to the study of Latino health.

Latinos are among the fastest growing minorities in the USA. Although several guides address multicultural health care, few focus solely on the specific needs and issues of Latino health. Moreover, existing resource guides, both on multicultural health care and on Latinos, are at least 12 years old. This guide highlights the most recent developments about this topic.

Discrimination has been identified as a major stressor and influence on immigrant health. This study examined the role of perceived discrimination in relation to other factors, in particular, acculturation, in physical and mental health of immigrants and refugees. Data for US adults (18 +  years) were derived from the National Epidemiologic Survey on Alcohol and Related Conditions. Mental and physical health was assessed with SF-12. Acculturation and perceived discrimination were assessed with multidimensional measures. Structural equation models were used to estimate the effects of acculturation, stressful life effects, perceived discrimination, and social support on health among immigrants and refugees. Among first-generation immigrants, discrimination in health care had a negative association with physical health while discrimination in general had a negative association with mental health. Social support had positive associations with physical and mental health and mediated the association of discrimination to health. There were no significant associations between discrimination and health among refugees, but the direction and magnitude of associations were similar to those for first-generation immigrants. Efforts aiming at reducing discrimination and enhancing integration/social support for immigrants are likely to help with maintaining and protecting immigrants’ health and well-being. Further research using larger samples of refugees and testing moderating effects of key social/psychosocial variables on immigrant health outcomes is warranted. This study used multidimensional measures of health, perceived discrimination, and acculturation to examine the pathways between key social/psychosocial factors in health of immigrants and refugees at the national level. This study included possibly the largest national sample of refugees.

Studies repeatedly have found social disparities of health at many levels of spatial aggregation. A second body of empirical research, demonstrating relationships between an area's racial and class composition and its environmental conditions, has led to the rise of an environmental justice movement. However, few studies have connected these two sets of findings to ask whether social disparities in health outcomes are due to local environmental disparities. This chapter investigates whether the association between racial and socioeconomic composition and multiple health conditions across New York City zip codes is partly mediated by neighborhood physical, built, and social environments.

The fact that Mexican immigrants are healthier than their US-born co-ethnics has been well established. The subsequent observation that this health advantage diminishes over time and with increased acculturation is confirmed by only limited research and is severely compromised by several methodological shortcomings. Our analysis directly tests the acculturation hypothesis by investigating childhood health at an early age; specifically, we explore the relationships between birth-weight, primary language spoken, maternal nativity, and stature for age (SFA) among a sample of respondents to the NHANES III Youth survey data. Results indicate that a substantially large portion of the health advantages transferred from mother to child among the Mexican-born are due to birth-weight advantages. After controlling for health advantages conferred at birth among the foreign-born, language differences fully account for nativity differences between Mexican- and US-born mothers, suggesting an additional protective effect of Spanish-language maintenance and lending evidence to the hypothesis that language-based acculturation erodes health among Mexican Americans.

This chapter provides both an introduction to the volume and a brief review of literature on women, gender, and health and health-care services as well as racial/ethnic minorities in the same areas.

The chapter argues for the importance of greater examination of women, issues of gender, and racial and ethnic minorities in health and health-care services.

The chapter reviews the issues of women and racial and ethnic minorities and previews this book.