RESUMO
OBJECTIVES: We examined migration-related changes in smoking behavior in the transnational Mexican-origin population. METHODS: We combined epidemiological surveys from Mexico (Mexican National Comorbidity Survey) and the United States (Collaborative Psychiatric Epidemiology Surveys). We compared 4 groups with increasing US contact with respect to smoking initiation, persistence, and daily cigarette consumption: Mexicans with no migrant in their family, Mexicans with a migrant in their family or previous migration experience, migrants, and US-born Mexican Americans. RESULTS: Compared with Mexicans with a migrant in their family or previous migration experience, migrants were less likely to initiate smoking (odds ratio [OR] = 0.56; 95% confidence interval [CI] = 0.38, 0.83) and less likely to be persistent smokers (OR = 0.41; 95% CI = 0.26, 0.63). Among daily smokers, the US-born smoked more cigarettes per day than did Mexicans with a migrant in their family or previous migration experience for men (7.8 vs 6.5) and women (8.6 vs 4.3). CONCLUSIONS: Evidence suggests that smoking is suppressed among migrants relative to the broader transnational Mexican-origin population. The pattern of low daily cigarette consumption among US-born Mexican Americans, noted in previous research, represents an increase relative to smokers in Mexico.
Assuntos
Emigrantes e Imigrantes/estatística & dados numéricos , Americanos Mexicanos/estatística & dados numéricos , Fumar/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Emigrantes e Imigrantes/psicologia , Feminino , Humanos , Masculino , Americanos Mexicanos/psicologia , México/epidemiologia , Pessoa de Meia-Idade , Prevalência , Fatores Sexuais , Fumar/etnologia , Estados Unidos/epidemiologia , Estados Unidos/etnologia , Adulto JovemRESUMO
CONTEXT: Twin studies suggest that conduct disorder (CD) is under substantial genetic influence, which is stronger for aggressive than for nonaggressive symptoms. Studies of migrating populations offer an alternative strategy for separating environmental and genetic influences on psychiatric disorders. OBJECTIVES: To examine variation in the prevalence of CD associated with migration from Mexico to the United States and to determine whether this variation is similar for aggressive and nonaggressive CD symptoms and symptom profiles. DESIGN: The prevalences of CD, different types of CD symptoms, and CD symptom profiles were compared across 3 generations of people of Mexican origin with increasing levels of exposure to American culture: families of origin of migrants (residing in Mexico), children of Mexican migrants raised in the United States, and Mexican-American children of US-born parents. SETTING: General population surveys conducted in Mexico and the United States using the same diagnostic interview. PARTICIPANTS: Adults aged 18 to 44 years in the household population of Mexico and the household population of people of Mexican descent in the United States. MAIN OUTCOME MEASURES: Conduct disorder criteria, assessed using the World Mental Health version of the Composite International Diagnostic Interview. RESULTS: Compared with the risk in families of origin of migrants, risk of CD was lower in the general population of Mexico (odds ratio [OR], 0.54; 95% CI, 0.19-1.51), higher in children of Mexican-born immigrants who were raised in the United States (OR, 4.12; 95% CI, 1.47-11.52), and higher still in Mexican-American children of US-born parents (OR, 7.64; 95% CI, 3.20-18.27). The association with migration was markedly weaker for aggressive than for nonaggressive symptoms. CONCLUSIONS: The prevalence of CD increases dramatically across generations of the Mexican-origin population after migration to the United States. This increase is of larger magnitude for nonaggressive than for aggressive symptoms, consistent with the suggestion that nonaggressive symptoms are more strongly influenced by environmental factors than are aggressive symptoms.
Assuntos
Transtorno da Conduta/epidemiologia , Emigrantes e Imigrantes/psicologia , Aculturação , Adolescente , Adulto , Fatores Etários , Agressão/psicologia , Transtorno da Conduta/etnologia , Transtorno da Conduta/genética , Emigrantes e Imigrantes/estatística & dados numéricos , Feminino , Humanos , Modelos Logísticos , Masculino , Americanos Mexicanos/psicologia , Americanos Mexicanos/estatística & dados numéricos , México/etnologia , Prevalência , Fatores Sexuais , Estados Unidos/epidemiologia , Adulto JovemRESUMO
OBJECTIVES: We tested whether positive selection on childhood predictors of adult mental and physical health contributed to health advantages of Mexican-born immigrants to the United States relative to U.S.-born Mexican Americans. METHODS: We combined data from surveys conducted during 2000-2003 in Mexico and the U.S. with the same structured interview. We examined retrospective reports of childhood (i.e., < 16 years of age) predictors of adult health--education, height, childhood physical illness, childhood mental health, early substance use, and childhood adversities--as predictors of migration from Mexico to the U.S. at > or = 16 years of age. We estimated overall selection by comparing migrants to all non-migrants. We also examined selection at the family (members of families of migrants vs. members of families without a migrant) and individual (migrants vs. non-migrants within families of migrants) levels. RESULTS: Distinguishing between family and individual selection revealed evidence of positive health selection that is obscured in the overall selection model. In particular, respondents in families with migrants were more likely to have > or = 12 years of education (odds ratio [OR] = 1.60) and be in the tallest height quartile (OR = 1.72) than respondents in families without migrants. At both the family and individual levels, migrants are disadvantaged on mental health profiles, including a higher prevalence of conduct problems, phobic fears, and early substance use. CONCLUSIONS: Positive health selection may contribute to physical health advantages among Mexican immigrants in the U.S. relative to their U.S.-born descendants. Mental health advantages likely reflect a lower prevalence of psychiatric disorders in Mexico, rather than protective factors that distinguish migrants.
Assuntos
Nível de Saúde , Transtornos Mentais/epidemiologia , Americanos Mexicanos/estatística & dados numéricos , Migrantes , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estatura , Criança , Comorbidade , Demografia , Escolaridade , Feminino , Inquéritos Epidemiológicos , Disparidades em Assistência à Saúde , Humanos , Masculino , Transtornos Mentais/etnologia , Americanos Mexicanos/psicologia , México/etnologia , Pessoa de Meia-Idade , Modelos Estatísticos , Prevalência , Estudos Retrospectivos , Fatores de Risco , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Migrantes/psicologia , Estados Unidos/epidemiologiaRESUMO
CONTEXT: Migration is suspected to increase risk for depressive and anxiety disorders. OBJECTIVE: To test the hypothesized increase in risk for depressive and anxiety disorders after arrival in the United States among Mexican migrants. DESIGN: We combined data from surveys conducted separately in Mexico and the United States that used the same diagnostic interview. Discrete time survival models were specified to estimate the relative odds of first onset of depressive disorders (major depressive episode and dysthymia) and anxiety disorders (generalized anxiety disorder, social phobia, panic disorder, and posttraumatic stress disorder) among migrants after their arrival in the United States compared with nonmigrant Mexicans who have a migrant in their immediate family. SETTING: Population surveys in the United States and Mexico. PARTICIPANTS: Two thousand five hundred nineteen nonmigrant family members of migrants in Mexico and 554 Mexican migrants in the United States. MAIN OUTCOME MEASURES: First onset of any depressive or anxiety disorder. RESULTS: After arrival in the United States, migrants had a significantly higher risk for first onset of any depressive or anxiety disorder than did nonmigrant family members of migrants in Mexico (odds ratio, 1.42; 95% confidence interval, 1.04-1.94). Associations between migration and disorder varied across birth cohorts. Elevated risk among migrants relative to nonmigrants was restricted to the 2 younger cohorts (those aged 18-25 or 26-35 years at interview). In the most recent birth cohort, the association between migration and first onset of any depressive or anxiety disorder was particularly strong (odds ratio, 3.89; 95% confidence interval, 2.74-5.53). CONCLUSIONS: This is, to our knowledge, the first study to compare risk for first onset of psychiatric disorder between representative samples of migrants in the United States and nonmigrants in Mexico. The findings are consistent with the hypothesized adverse effect of migration from Mexico to the United States on the mental health of migrants, but only among migrants in recent birth cohorts.