Annals of Epidemiology
Volume 17, Issue 11, 2007, Pages 889-898

Behavioral Risk Factors and Unintentional Injuries Among U.S. Immigrant Adults (Article)

Xiang H.* , Yu S. , Zhang X. , Scurlock C. , Smith G.A. , Stallones L.
  • a Center for Injury Research and Policy, College of Medicine, Ohio State University, Columbus, OH, United States, Columbus Children's Research Institute, Department of Pediatrics, College of Medicine, Columbus, OH, United States
  • b Center for Injury Research and Policy, College of Medicine, Ohio State University, Columbus, OH, United States
  • c Center for Injury Research and Policy, College of Medicine, Ohio State University, Columbus, OH, United States
  • d Center for Injury Research and Policy, College of Medicine, Ohio State University, Columbus, OH, United States
  • e Center for Injury Research and Policy, College of Medicine, Ohio State University, Columbus, OH, United States, Columbus Children's Research Institute, Department of Pediatrics, College of Medicine, Columbus, OH, United States
  • f Colorado Injury Control Research Center, Department of Psychology, Colorado State University, Fort Collins, CO, United States

Abstract

Purpose: This study compared 10 risk-taking behaviors generally considered to be risk factors for injuries and unintentional nonfatal injuries between immigrant and U.S.-born adults. Methods: Data from the 2001 to 2002 National Epidemiologic Survey on Alcohol and Related Conditions were analyzed. The prevalence of unintentional injuries that occurred in the past 12 months was calculated for foreign-born and U.S.-born respondents by major sociodemographic characteristics. The proportion of respondents who were involved in risk-taking behaviors was compared between immigrants and U.S.-born adults using a χ2 test. Negative binominal Poisson regression models were used to study the association among immigrant status, total number of risk-taking behaviors, and injuries while controlling for the confounding effects of sociodemographic variables. Results: Of 43,093 adult respondents, 13.3% (95% confidence intervals [CI] = 12.5%-14.1%) of immigrants reported injuries compared with 19.1% (95% CI = 18.7%-19.5%) of U.S.-born respondents. Immigrants had a significantly lower risk of unintentional injuries than U.S.-born adults by most sociodemographic characteristics, but there was no statistically significant association between years of U.S. residence and injuries. Immigrants were less likely than their U.S.-born counterparts to be involved in all 10 risk-taking behaviors (p < 0.05 from χ2 test). However, when immigrants engaged in more than four risk-taking behaviors, the difference in injury prevalence between the two groups was not statistically significant (p > 0.05). Conclusions: Immigrant and U.S.-born adults involved in high-risk behaviors face similar risks for unintentional injuries. Targeting risk-taking behaviors among immigrants warrants special attention in injury-control programs. © 2007 Elsevier Inc. All rights reserved.

Author Keywords

Emigration and immigration Wounds and Injuries risk factors Adult

Index Keywords

statistical analysis immigrant demography Wounds and Injuries human injury middle aged priority journal United States health program Humans male female risk factor Risk Factors prevalence Article high risk behavior accident unintentional injury major clinical study adult Accident Prevention Emigration and Immigration Poisson distribution social class citizenship
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-35348835420&doi=10.1016%2fj.annepidem.2007.05.008&partnerID=40&md5=1fb836f085f2f0aa234559b171bb22a7
DOI: 10.1016/j.annepidem.2007.05.008
ISSN: 10472797
Cited by: 8
Original Language: English