Explaining obesity disparities by urbanicity, 2006 to 2016: A decomposition analysis

OBJECTIVE

A large, and potentially growing, disparity in obesity prevalence exists between large central metros and less urban United States counties. This study examines its key predictors.

METHODS

Using a rich county-year data set spanning 2006 to 2016, the authors conducted a Gelbach decomposition to examine the relative importance of demographic, socioeconomic, environmental, and behavioral factors in shaping the baseline obesity gap and the growth rate over time between large central metros and other counties.

RESULTS

Predictors included in this model explain almost the entire obesity gap between large central metros and other counties in the baseline year but can explain only ~32% of the growing gap. At baseline, demographic predictors explain more than half the obesity gap, and socioeconomic and behavioral predictors explain the other half. Behavioral and socioeconomic predictors explain more than half the growing gap over time whereas controlling for environmental and demographic predictors decreases the obesity gap by urbanicity over time.

CONCLUSIONS

Results suggest policy makers should prioritize interventions targeting health behaviors of residents in non-large central metros to slow the growth of the obesity gap between large central metros and other counties. However, to fundamentally eliminate the obesity gap, in addition to improving health behaviors, policies addressing socioeconomic inequalities are needed.

Network resources and educational outcomes among Mexican-origin youth

Despite schooling gains over the last two decades, Mexican-origin adults complete fewer years of schooling than adults from other ethnic backgrounds. Explanations emphasizing network resources suggest Mexican-origin adolescents have social ties that are more likely to be "closed" from adults with experience in higher education-and this, in turn, inhibits the transition to college. In this study, we draw on unusual network data measuring characteristics of students' peers and friends, as well as the socioeconomic background of peers' and friends' parents. We demonstrate that Mexican-origin adolescents are much less likely to have friends whose parents have college educations. 83% of non-Hispanic Asian students and 72% of non-Hispanic white students have nominated friends with college-educated mothers; about half of Mexican-origin students do. These patterns are the result of socioeconomic segregation in social networks both across and within schools. Within schools, we observe that the educational background of friends is predictive of schooling outcomes for non-Mexican students. We find evidence that this network resource shapes non-Mexican students' educational expectations in high school and longer-run completed schooling as adults more so than it shapes the outcomes among Mexican-origin students.

Citizenship Status and Mortality Among Young Latino Adults in the U.S., 1998‒2015

INTRODUCTION

Although Latino immigrants, especially noncitizens, endure structural factors that may increase their risk of death at younger ages, little is known about their risk of death in young adulthood. This study evaluates mortality differences across citizenship status among young Latino adults (aged 18-44 years) in the U.S.

METHODS

This study used the National Health Interview Survey (1998-2014) with mortality follow-up through 2015. Cox regression models adjusted for age and sex were used to determine baseline differences in mortality. Models adjusted for socioeconomic factors (i.e., English proficiency, education, poverty, and health insurance) were used to determine whether socioeconomic conditions attenuate mortality differences.

RESULTS

Participants included noncitizens (n=48,388), naturalized citizens (n=16,241), and U.S.-born citizens (n=63,388). Noncitizens (hazard ratio [HR]=1.40, 95% CI=1.31, 1.51), but not naturalized citizens (HR=1.04, 95% CI=0.94, 1.16), were at greater risk of all-cause death than U.S.-born citizens. Both noncitizens (HR=2.46, 95% CI=2.07, 2.92) and naturalized citizens (HR=1.76, 95% CI=1.40, 2.21) were more likely to die of cancer. Noncitizens were also at a greater risk of death because of cardiometabolic diseases (HR=1.46, 95% CI=1.20, 1.78) and accidents (HR=1.33, 95% CI=1.14, 1.55). Socioeconomic factors attenuated differences in all-cause, cardiometabolic, and accidental deaths, but not differences in cancer mortality.

CONCLUSIONS

Contrary to the long-held notion of the healthy migrant, young Latino immigrants, especially noncitizens, are at increased risk of death than their U.S.-born counterparts. Efforts to reduce these disparities should focus on improving their socioeconomic conditions and healthcare access early in adulthood.

Aging and undocumented: The sociology of aging meets immigration status

Being undocumented is strongly correlated with low wages, employment in high risk occupations, and poor healthcare access. We know surprisingly little about the social lives of older undocumented adults despite the vast literature about youth and young undocumented migrants. Literature about the immigrant health paradox casts doubts on the argument that unequal social conditions translate to poorer self-reported health and mortality, but few of these studies consider immigration status as the dynamic variable that it is. Reviewing research about older migrants and minorities, I point to the emergence of undocumented older persons as a demographic group that merits attention from researchers and policymakers. This nexus offers important lessons for understanding stratification and inequality. This review offers new research directions that take into account multilevel consequences of growing old undocumented. Rather than arguing that older-aged undocumented migrants are aging into exclusion, I argue that we need careful empirical research to examine how the continuity of exclusion via policies can magnify inequalities on the basis of immigration status and racialization in older age.

Calloused hands, shorter life? Occupation and older-age survival in Mexico

BACKGROUND

Inequalities in mortality are often attributed to socioeconomic differences in education level, income, and wealth. Low socioeconomic status (SES) is generally related to worse health and survival across the life course. Yet, disadvantaged people are also more likely to hold jobs requiring heavy physical labor, repetitive movement, ergonomic strain, and safety hazards.

OBJECTIVE

We examine the link between primary lifetime occupation, together with education and net worth, on survival among older adults in Mexico.

METHODS

We use data from four waves (2001, 2003, 2012, and 2015) of the Mexican Health and Aging Study (MHAS). We estimate age-specific mortality rates for ages 50 and over using a hazards model based on a two-parameter Gompertz function.

RESULTS

Primary lifetime occupations have a stronger association with survival for women than men. Women with higher socioeconomic status have significantly lower mortality rates than lower status women, whether SES is assessed in terms of schooling, wealth, or occupation. Occupational categories are not jointly related to survival among men, even without controls for education and wealth. There are significant survival differences by wealth among men, but no disparities in mortality by education.

CONCLUSIONS

Consistent with recent studies of the Mexican population, we fail to find the expected gradient in the association between some measures of SES and better survival among men.

CONTRIBUTION

Our estimates extend this anomalous pattern among Mexican men to another dimension of SES, occupation. SES differentials in mortality are substantially larger for Mexican women, highlighting an important gender disparity.

Primary lung cancer in Mexico city: a report of 1019 cases

A retrospective study was performed in patients diagnosed with primary lung cancer, and admitted to the Instituto Nacional de Enfermedades Respiratorias between 1984 to 1992. One thousand and nineteen patients were studied, 636 males and 383 females. We found a higher incidence in the group among 61-70 years of age in both sexes. The highest percentage of tumors were from the adenocarcinoma variety, followed by the epidermoid carcinoma, while the small-cell carcinoma presented a lower incidence. Smoking has been associated with the development of lung cancer. Many of our patients were smokers. The highest frequency was in smokers with a smoking habit of more than 30 years and a rate of more than 10 cigarettes per day. However, an important part of the patients with cancer did not have a smoking habit, which led us to believe that there are other etiological possibility factors (genetic or environmental) that could be involved. Most of the cases of cancer were staged as stage IIIb and stage IV and the patients had an ECOG of 1-2. The main symptoms were coughing, sputum, dyspnea and thoracic pain. This data shows an increasing frequency of lung cancer in Mexico city as well as other countries, it also shows that it is going to be a serious health problem in the future. We consider that in order to improve the prognosis, it is necessary to increase the educational and orientation campaigns among the adult population with or without a smoking history.

Use of a mammalian interspersed repetitive (MIR) element in the coding and processing sequences of mammalian genes

The mammalian interspersed repetitive (MIR) element was amplified in mammals 130 million years ago. The MIR element is at least 260 bp in length and is found in approximately 105 copies in the mammalian genome. We analyzed copies of the MIR element in the DNA of various mammals to determine its relationship to the structure and function of genes, in an attempt to identify specific uses of the MIR element within the mammalian genome. We found that alternative splicing within the acetylcholine receptor gene in humans takes place within the MIR element and results in the incorporation of part of the MIR element into the coding sequence of this gene. Furthermore, the polyadenylation signal (AATAAA) at the 3' end of four different mammalian genes is derived from the MIR element. These uses of the MIR element suggest that other regulatory sequences found within the mammalian genome originated from ancient transposable elements, many of which may no longer be recognizable.

[Evaluation of phagocytosis, bactericidal effect, and cytotoxicity of Pasteurella haemolytica and Pasteurella multocida in bovine alveolar macrophages]

Evaluation of phagocytosis and bactericidal effect of Pasteurella haemolytica and P. multocida was conducted on bovine alveolar macrophages freshly obtained through bronchioalveolar washings from live animals. Cytotoxic activity of these bacteria on the alveolar macrophages was evaluated through the simple visual assay in microplates, using bovine blood leukocytes as a comparative target cell. In order to evaluate phagocytosis the following variables were considered P. haemolytica and P. multocida (independently) in contact with alveolar macrophages, P. haemolytica and P. multocida in suspension as a positive control of bacterial growth, and RPMI-1640 medium alone, as a negative control of bacterial growth. To measure bactericidal capacity, bacteria were incubated with plastic adhered alveolar macrophages at 30 minutes and 3 hours intervals. Samples incubated 30 minutes were taken as phagocytosis-base readings and at the 3 h interval to evaluate bactericidal capacity of the alveolar macrophages on phagocytized bacteria. Reading of the samples of each evaluation was conducted in a spectrophotometer a 380 nm. Phagocytosis results indicated that bacterial proliferation was higher when bacteria were alone as compared when they were with alveolar macrophages (p < 0.05). Bactericidal capacity of the macrophages was efficient because bacterial numbers were higher in the first evaluation as compared to the second (p < 0.05). It was demonstrated that the cytotoxic effect of P. haemolytica was more severe on blood leukocytes as compared to alveolar macrophages (p < 0.05). There was no evidence of P. multocida cytotoxicity on the evaluated cells. With the development of this technique for the obtention of alveolar macrophages and using spectrophotometry for the phagocytosis and bactericidal effect evaluations, numerous variables and samples can be tested, such as opsonized bacteria or to measure the behaviour of alveolar macrophages infected with different agents involved in the bovine pneumonic complex.