Suchergebnisse

Thousands of minors are migrating unaccompanied to high-income countries. This special issue focuses on unaccompanied migrant minors from the Global South to Europe and the United States. In this introduction we seek to complement the contributions to this special issue by shedding light on what resources and experiences unaccompanied migrants arrive with, stressing these young migrants' challenges at each stage prior to arrival and the challenges they face navigating the receiving context. We first clarify how the international community defines "unaccompanied minors" or "unaccompanied children." We then provide brief histories of unaccompanied minors in immigration flows to the U.S. and the EU. Next, we review the literature on the experiences of unaccompanied minors before, during, and after migration. Finally, we discuss key themes and insights from the articles provided in this special issue.

Using data from a stratified random sample of 281 foreign-born adolescents and their parents in the United States, this study provides data on migration-related trauma exposures and examines how the migration process influences the risk of experiencing trauma and developing posttraumatic stress disorder (PTSD). We find that 29 percent of foreign-born adolescents and 34 percent of foreign-born parents experienced trauma during the migration process. Among those that experienced trauma, 9 percent of adolescents and 21 percent of their parents were at risk for PTSD. Pre-migration poverty combined with clandestine entry into the U.S. increased the risk of trauma and the subsequent development of PTSD symptoms. Post-migration experiences of discrimination and neighborhood disorder further exacerbated this risk, while social support and familism mitigated it. Our results emphasize the importance of understanding how factors prior to, during, and after migration combine to influence the health of immigrants.

This article summarizes frameworks for understanding Hispanic children's health, sources of national data available to evaluate their health, and variations in health among Hispanic children. Following ecological and life-course perspectives, we organize our review of the literature on Hispanic children's health and development according to three key stages of child development (zero to three, early to middle childhood, and adolescence to emerging adulthood) with attention to how each stage influences the next. Within each stage, we consider how social position (i.e., skin color, social class, gender, and nativity), social contexts (i.e., family, school, and neighborhood), and political and legal contexts influence Hispanic children's health and development. We argue that to improve the health and development of Hispanic children, federal, state, and local policies must address social and economic injustices that lead to declines in health across immigrant generations and persistent racial/ethnic health disparities.

Poor childhood health contributes to lower socioeconomic status in adulthood. Subsequently, low socioeconomic status among parents contributes to poor childhood health outcomes in the next generation. This cycle can be particularly pernicious for vulnerable and low-income minority populations, including many children of immigrants. And because of the rapid growth in the numbers of immigrant children, this cycle also has implications for the nation as a whole. By promoting the physical well-being and emotional health of children of immigrants, health professionals and policy makers can ultimately improve the long-term economic prospects of the next generation. Despite their poorer socioeconomic circumstances and the stress associated with migration and acculturation, foreign-born children who immigrate to the United States typically have lower mortality and morbidity risks than U.S. children born to immigrant parents. Over time, however, and across generations, the health advantage of immigrant children fades. For example, researchers have found that the share of adolescents who are overweight or obese, a key indicator of physical health, is lowest for foreign-born youth, but these shares grow larger for each generation and increase rapidly as youth transition into adulthood. Access to health care substantially influences the physical and emotional health status of immigrant children. Less likely to have health insurance and regular access to medical care services than nonimmigrants, immigrant parents delay or forgo needed care for their children. When children finally receive care, it is often in the emergency room after an urgent condition has developed.
To better promote the health of children of immigrants, health researchers and reformers must improve their understanding of the unique experiences of immigrant children; increase access to medical care and the capacity of providers to work with multilingual and multicultural populations; and continue to improve the availability and affordability of health insurance for all Americans.

All families must confront positive and negative influences when raising children. This challenge is greater for new immigrants, who must negotiate the additional influences of culture and environment and incorporate their family history into their life in a new country. This article summarizes findings regarding the well-being of Latino youth on domains important to functioning later in life (e.g., mental health, substance use, school functioning, early adult role-taking). The summary is followed by a discussion of the psychosocial risks that threaten the successful adaptation of Latino youth in immigrant families and the protective factors that facilitate their adaptation. A framework of practice guidelines and case applications is proposed to guide helping professionals in assessing the needs of Latino youth.

Objectives: We examine how acculturation experiences such as discrimination and social acceptance influence the daily psychological well-being of Latino youth living in newly emerging and historical receiving immigrant communities. Methods: We use data on 557 Latino youth enrolled in high school in Los Angeles or in rural or urban North Carolina. Results: Compared to Latino youth in Los Angeles, Latino youth in urban and rural North Carolina experienced higher levels of daily happiness, but also experienced higher levels of daily depressive and anxiety symptoms. Differences in nativity status partially explained location differences in youths' daily psychological well-being. Discrimination and daily negative ethnic treatment worsened, whereas social acceptance combined with daily positive ethnic treatment and ethnic and family identification improved, daily psychological well-being. Conclusions: Our analysis contributes to understanding the acculturation experiences of immigrant youth and the roles of social context in shaping adolescent mental health. Adapted from the source document.

Health insurance gives families access to medical services and protects them against the costs of illness and medical treatment. Insured children are more likely than their uninsured peers to use medical services, preventive health services, have a usual source of care, and have fewer unmet medical needs. In this article, we review trends in health insurance coverage for Hispanic children and the factors that influence their coverage. We then discuss health care utilization among Hispanic children and barriers to health care utilization. We conclude with a discussion of strategies to improve Hispanic children's health care access in the age of COVID-19.

Objectives. We evaluated state-level characteristics associated with cigarette excise taxes before and after the Master Settlement Agreement (MSA).

Inclusion of historically underrepresented populations in biomedical research is critical for large precision medicine research initia­tives. Among 13,721 Hispanic Community Health Study/Study of Latinos (HCHS/SOL) enrollees, we used multivariable-adjusted prevalence ratios to describe characteristics associated with participants' willingness to consent to different levels of biospecimen and genetic data analysis and sharing. At baseline (2008-2011), HCHS/SOL par­ticipants almost universally consented to the use of biospecimens and genetic data by study investigators and their collabora­tors (97.6%; 95%CI: 97.1, 98.0). Fewer consented to biospecimen and genetic data sharing with investigators not affiliated with the HCHS/SOL research team (81%, 95%CI: 80, 82) or any data sharing with commer­cial/for-profit entities (75%, 95%CI: 74, 76). Those refusing to share their data beyond the study investigators group were more often females, Spanish language-speakers and non-US born individuals. As expected, participants who were retained and recon­sented at the six-year follow up visit tended to embrace broader data sharing, although this varied by group. Over time, Puerto Ricans and Dominicans were more likely to convert to broader data sharing than individuals of a Mexican background. Our analysis suggests that acculturation and im­migration status of specific Hispanic/Latino communities may influence decisions about participation in genomic research projects and biobanks. Ethn Dis. 2021;31(4):547- 558; doi:10.18865/ed.31.4.547