Migration and Union Dissolution among Puerto Rican Women

This study examines the relationship between migration and union dissolution among Puerto Ricans, a Latino subgroup characterized by recurrent migration between Puerto Rico and the U.S. mainland. Based on pooled life-history data from comparable surveys undertaken in Puerto Rico and the United States, we find that: 1) Puerto Rican women who have lived on the U.S. mainland have markedly higher rates of union disruption than those with no U.S. experience; and 2) even net of a wide variety of possible explanatory factors, the relatively high rates of union instability among first and second generation U.S. residents and return migrants are strongly related to recent and lifetime migration experience. The results suggest that the weak social ties of migrants provide limited social support for their unions and few barriers to union disruption.

Parenting Strain among Mexican-origin Mothers: Differences by Parental Legal Status and Neighborhood

Despite increasing recognition of the critical importance of legal status for understanding the well-being of immigrants and their families, there has been scant research on this topic due to data limitations. Using Wave 1 of the Los Angles Family and Neighborhood Survey (2000-2002) and the 2000 decennial census, we investigate how parenting strain among Mexican-origin mothers varies by legal status and neighborhood context. We find significant differences in parenting strain by nativity and legal status, with undocumented mothers reporting the lowest level. Results from multilevel models with cross-level interactions reveal that the influence of neighborhood immigrant concentration differs by legal status. Percent foreign born in the neighborhood is associated with reduced parenting strain for documented Mexican-origin mothers while it is associated with heightened parenting strain for undocumented Mexican-origin mothers. Findings provide empirical support for the need to recognize legal status distinctions in studies of the well-being of immigrants and their families.

How does legal status matter for oral health care among Mexican-origin children in California?

This research examines the relationship between legal status and oral health care among Mexican-origin children. Using the 2001–2014 California Health Interview Surveys, the objectives are: (1) to demonstrate population-level changes in the legal statuses of parents, the legal statuses of children, and the likelihood of receiving dental care; (2) to reveal how the roles of legal status boundaries in dental care are changing; and (3) to determine whether the salience of these boundaries is attributable to legal status per se. The results reveal increases in the native-born share and dental care utilization for the total Mexican-origin population. Although dental care was primarily linked to parental citizenship early in this period, parental legal statuses are no longer a unique source of variation in utilization (despite the greater likelihood of insurance among citizens). These results imply that future gains in utilization among Mexican-origin children will mainly come from overcoming barriers to care among the native born.

•

Speculation exists on the importance of documentation status for dental care.

•

Parental documentation has not been uniquely important for dental care.

•

Parental citizenship predicted differences in child dental care in the early 2000s.

•

These differences subsequently decreased by 2014 when dental care rose for all children.

•

Increases were especially prominent among categories of non-citizens.

•

Declines in immigration imply that increasing attention to the native born is needed.

Experiencing discrimination in Los Angeles: Latinos at the intersection of legal status and socioeconomic status

Despite its recent slowdown, immigration from Latin America continues to be a controversial issue. Some scholars argue that the social climate is increasingly inhospitable to Latinos, potentially fueling discriminatory attitudes and behaviors. However, little research has examined Latinos' experiences with discrimination, especially variation by nativity and legal status. We address this issue with research on perceived discrimination among Mexican and Central American residents of Los Angeles County, a major destination for Latin American immigrants. Using data from the Los Angeles Family and Neighborhood Survey and the American Community Survey, the analyses consider immigrants' legal status, intersectionality, and competing perspectives on assimilation. The results show that undocumented immigrants do not report especially high levels of discrimination. Instead, young U.S.-born Latinos are the most likely to report mistreatment in interpersonal and institutional domains. Neighborhood ethnoracial and income diversity also have implications for perceived exposure to different types of discrimination.

SEARCHING FOR THE FAMILY LEGAL STATUS OF MEXICAN-ORIGIN CHILDREN: A PRIMER ON DIFFERENT MEASUREMENT STRATEGIES

Interest in the consequences of family legal status for children has grown in response to immigration-related changes in the ethnic composition of American society. However, few population-based empirical studies devote attention to family legal status due to data limitations. Using restricted data from the California Health Interview Survey (2009), the primary objectives of this research are to identify and evaluate strategies for measuring this important determinant of life chances among Mexican-origin children. The results indicate that measurement strategies matter. Estimates of the size of status-specific segments of this population and their risks of living in poverty are sensitive to how family legal status is operationalized. These findings provide the foundation for a discussion of how various "combinatorial" measurement strategies may rely on untenable assumptions that can be avoided with less reductionist approaches.

Legal Status and Health Care: Mexican-Origin Children in California, 2001-2014

Using restricted data from the 2001-2014 California Health Interview Surveys, this research illuminates the role of legal status in health care among Mexican-origin children. The first objective is to provide a population-level overview of trends in health care access and utilization, along with the legal statuses of parents and children. The second objective is to examine the nature of associations between children's health care and legal status over time. We identify specific status-based distinctions that matter and investigate how their importance is changing. Despite the continuing significance of child nativity for health care, the descriptive analysis shows that the proportion of Mexican-origin children who are foreign born is declining. This trend suggests a potentially greater role of parental legal status in children's health care. Logistic regression analyses demonstrate that the importance of parental legal status varies with the health care indicator examined and the inclusion of child nativity in models. Moreover, variation in some aspects of children's health care coalesced more around parents' citizenship than documentation status in the past. With one exception, the salience of such distinctions has dissipated over time.

Early cognitive skills of Mexican-origin children: The roles of parental nativity and legal status

Although one-third of children of immigrants have undocumented parents, little is known about their early development. Using data from the Los Angeles Family and Neighborhood Survey and decennial census, we assessed how children's cognitive skills at ages 3 to 5 vary by ethnicity, maternal nativity, and maternal legal status. Specifically, Mexican children of undocumented mothers were contrasted with Mexican children of documented mothers and Mexican, white, and black children with U.S.-born mothers. Mexican children of undocumented mothers had lower emergent reading skills than all other groups and lower emergent mathematics skills than all groups with U.S.-born mothers. Multilevel regression models showed that differences in reading skills are explained by aspects of the home environment, but the neighborhood context also matters. Cross-level interactions suggest that immigrant concentration boosts emergent reading and mathematics skills for children with undocumented parents, but does not similarly benefit children whose parents are native born.

Family legal status and health: Measurement dilemmas in studies of Mexican-origin children

Family legal status is a potentially important source of variation in the health of Mexican-origin children. However, a comprehensive understanding of its role has been elusive due to data limitations and inconsistent measurement procedures. Using restricted data from the 2011-2012 California Health Interview Survey, we investigate the implications of measurement strategies for estimating the share of children in undocumented families and inferences about how legal status affects children's health. The results show that inferences are sensitive to how this "fundamental cause" is operationalized under various combinatorial approaches used in previous studies. We recommend alternative procedures with greater capacity to reveal how the statuses of both parents affect children's well-being. The results suggest that the legal statuses of both parents matter, but the status of mothers is especially important for assessments of child health. The investigation concludes with a discussion of possible explanations for these findings.

Behavioral functioning among Mexican-origin children: does parental legal status matter?

Using data on 2,535 children included in the Los Angeles Family and Neighborhood Survey, we investigate how the legal status of immigrant parents shapes their children's behavioral functioning. Variation in internalizing and externalizing problems among Mexican youth with undocumented mothers, documented or naturalized citizen mothers, and U.S.-born mothers is analyzed using a comparative framework that contrasts their experience with that of other ethnoracial groups. Our findings reinforce the importance of differentiating children of immigrants by parental legal status in studying health and well-being. Children of undocumented Mexican migrants have significantly higher risks of internalizing and externalizing behavior problems than their counterparts with documented or naturalized citizen mothers. Regression results are inconsistent with simple explanations that emphasize group differences in socioeconomic status, maternal mental health, or family routines.

How Does the Context of Reception Matter? The Role of Residential Enclaves in Maternal Smoking During Pregnancy Among Mexican-Origin Mothers

This study investigated whether and how different patterns of group exposure within residential contexts (i.e., living in a Mexican immigrant enclave, a Mexican ethnic enclave, a pan-Hispanic enclave, or a non-Hispanic white neighborhood) are associated with smoking during pregnancy among Mexican-origin mothers. Using a hierarchical linear modeling approach, we found that Mexican-origin mothers' residential contexts are important for understanding their smoking during pregnancy. Residence in an ethnic enclave is associated with decreased odds of smoking during pregnancy, while residence in a non-Hispanic white neighborhood is associated with increased odds of smoking during pregnancy, above and beyond the mothers' individual characteristics. The magnitude of the associations between residence in an ethnic enclave and smoking during pregnancy is similar across the different types of ethnic enclaves examined. The important roles of inter- and intra-group exposures suggests that in order to help Mexican-origin women, policy makers should more carefully design place-based programs and interventions that target geographic areas and the specific types of residential contexts in which women are at greater risk.

Asthma in US Mexican-Origin Children in Early Childhood: Differences in Risk and Protective Factors by Parental Nativity

OBJECTIVE

Over 900,000 Mexican-origin children in the United States have asthma, but little is known about the extent to which development of this condition reflects early childhood exposure to social and environmental risks. The objectives of this research are to demonstrate the roles of risk and protective factors in the prevalence and severity of asthma in this population and provide comparisons with other racial/ethnic groups.

METHODS

Nationally representative data from the Early Childhood Longitudinal Study, Birth Cohort (n = 6900), with county-level ozone data appended to this file were analyzed using descriptive and multivariate regression methods.

RESULTS

The odds of asthma diagnosis by 60 months are approximately 50% higher among Mexican-origin children than for non-Hispanic whites (P < .05) in multivariate analyses. Compared to those with foreign-born parents, Mexican-origin children with native-born parents have a lower likelihood of being breast-fed and greater chances of having risks including a family history of asthma, having respiratory illnesses and allergies, living with a smoker, and attending center-based child care. Mexican-origin children live in counties with over 3 times more elevated ozone days annually than non-Hispanic whites.

CONCLUSIONS

Mexican-origin children experience a constellation of risk and protective factors, but those with US-born parents have elevated asthma risks compared to those with foreign-born parents. Asthma incidence and severity will likely increase as this population becomes increasingly integrated into US society.

Measuring early childhood health and health disparities: a new approach

Efforts to improve the health of U.S. children and reduce disparities have been hampered by lack of a rigorous way to summarize the multi-dimensional nature of children's health. This research employed a novel statistical approach to measurement to provide an integrated, comprehensive perspective on early childhood health and disparities. Nationally-representative data (n = 8,800) came from the Early Childhood Longitudinal Study, Birth Cohort. Latent class analysis was used to classify health at 48 months, incorporating health conditions, functioning, and aspects of physical, cognitive, and emotional development. Health disparities by gender, poverty, race/ethnicity, and birthweight were examined. Over half of all children were classified as healthy using multidimensional latent class methodology; others fell into one of seven less optimal health statuses. The analyses highlighted pervasive disparities in health, with poor children at increased risk of being classified into the most disadvantaged health status consisting of chronic conditions and a cluster of developmental problems including low cognitive achievement, poor social skills, and behavior problems. Children with very low birthweight had the highest rate of being in the most disadvantaged health status (25.2 %), but moderately low birthweight children were also at elevated risk (7.9 vs. 3.4 % among non-low birthweight children). Latent class analysis provides a uniquely comprehensive picture of child health and health disparities that identifies clusters of problems experienced by some groups. The findings underscore the importance of continued efforts to reduce preterm birth, and to ameliorate poverty's effects on children's health through access to high-quality healthcare and other services.

Immigration and the Family Circumstances of Mexican-Origin Children: A Binational Longitudinal Analysis

Using data from the birth cohort of the Early Childhood Longitudinal Study (n = 1,200) and the Mexican Family Life Survey (n = 1,013), this study investigated the living arrangements of Mexican-origin preschool children. The analysis examined children's family circumstances in both sending and receiving countries, used longitudinal data to capture family transitions, and considered the intersection between nuclear and extended family structures. Between ages 0-1 and 4-5, Mexican children of immigrants experienced significantly more family instability than children in Mexico. They were more likely to transition from 2-parent to single-parent families and from extended family households to simple households. There were fewer differences between U.S. children with immigrant versus native parents, but the higher level of single parenthood among children of natives at ages 0-1 and the greater share making transitions from a 2-parent to a single-parent family suggest ongoing erosion of children's family support across generations in the United States.

Profiles of Risk: Maternal Health, Socioeconomic Status, and Child Health

Child health is fundamental to well-being and achievement throughout the life course. Prior research has demonstrated strong associations between familial socioeconomic resources and children's health outcomes, with especially poor health outcomes among disadvantaged youth who experience a concentration of risks, yet little is known about the influence of maternal health as a dimension of risk for children. This research used nationally representative U.S. data from the National Health Interview Surveys in 2007 and 2008 (N = 7,361) to evaluate the joint implications of maternal health and socioeconomic disadvantage for youth. Analyses revealed that maternal health problems were present in a substantial minority of families, clustered meaningfully with other risk factors, and had serious implications for children's health. These findings support the development of health policies and interventions aimed at families.

Health and development among Mexican, black and white preschool children: An integrative approach using latent class analysis

BACKGROUND

Building on an emerging scientific consensus that the concept of child health should encompass chronic conditions, functional abilities, and developmental domains, we delineate the multidimensional health statuses of Mexican, non-Hispanic black, and non-Hispanic white preschool children in the United States. This integrative approach provides the foundation for an in-depth analysis of health disparities.

OBJECTIVE

The research objectives are: (1) to demonstrate a new methodological approach to identifying the major child health statuses; (2) to document differences in the prevalence of those health statuses among children in the largest ethnoracial groups in the U.S.; and (3) to assess whether key sources of disadvantage account for ethnoracial disparities in children's health.

METHODS

With data from a nationally representative sample, we use latent class analysis to estimate a set of latent health statuses that capture the nature of health at age four. The latent class membership of children is predicted using multinomial logistic regression.

RESULTS

Mexican and non-Hispanic black children are more likely than non-Hispanic white children to fall into health statuses distinguished by low cognitive achievement and multiple developmental problems. Mexican children are the most likely to be classified into these problematic health statuses. This pattern persists in multivariate models that incorporate potential explanatory factors, including health at birth, socio-demographic characteristics, home environment, well-child care and center-based child care.

CONCLUSIONS

Latent class analysis is a useful method for incorporating measures of physical conditions, functional problems, and development into a single analysis in order to identify key dimensions of childhood health and locate ethnoracial health disparities.

Academic achievement of legal immigrants' children: the roles of parents' pre- and postmigration characteristics in origin-group differences

Using data from the New Immigrant Survey, a study based on a nationally representative sample of legal immigrants, the present study extends prior research on the academic outcomes of immigrants' children by examining the roles of pre- and postmigration parental characteristics and the home environment. An analysis of 2,147 children aged 6-12 shows that parents' premigration education is more strongly associated with children's academic achievement than any other pre- or postmigration attribute. Premigration parental attributes account for the test score disadvantage of Mexican-origin children of legal immigrants, relative to their non-Latino counterparts. The findings reveal continuities and discontinuities in parental socioeconomic status and demonstrate that what parents bring to the United States and their experiences after arrival influence children's academic achievement.

The living arrangements of children of immigrants

Children of immigrants are a rapidly growing part of the U.S. child population. Their health, development, educational attainment, and social and economic integration into the nation's life will play a defining role in the nation's future. Nancy Landale, Kevin Thomas, and Jennifer Van Hook explore the challenges facing immigrant families as they adapt to the United States, as well as their many strengths, most notably high levels of marriage and family commitment. The authors examine differences by country of origin in the human capital, legal status, and social resources of immigrant families and describe their varied living arrangements, focusing on children of Mexican, Southeast Asian, and black Caribbean origin. Problems such as poverty and discrimination may be offset for children to some extent by living, as many do, in a two-parent family. But the strong parental bonds that initially protect them erode as immigrant families spend more time in the United States and are swept up in the same social forces that are increasing single parenthood among American families. The nation, say the authors, should pay special heed to how this aspect of immigrants' Americanization heightens the vulnerability of their children. One risk factor for immigrant families is the migration itself, which sometimes separates parents from their children. Another is the mixed legal status of family members. Parents' unauthorized status can mire children in poverty and unstable living arrangements. Sometimes unauthorized parents are too fearful of deportation even to claim the public benefits for which their children qualify. A risk factor unique to refugees, such as Southeast Asian immigrants, is the death of family members from war or hardship in refugee camps. The authors conclude by discussing how U.S. immigration policies shape family circumstances and suggest ways to alter policies to strengthen immigrant families. Reducing poverty, they say, is essential. The United States has no explicit immigrant integration policy or programs, so policy makers must direct more attention and resources toward immigrant settlement, especially ensuring that children have access to the social safety net.

Adolescent overweight, social relationships and the transition to first sex: gender and racial variations

CONTEXT

Being overweight influences adolescents' relationships by increasing their likelihood of experiencing social alienation and discrimination. Its role in sexual development is relatively understudied, as are potential mechanisms through which weight may influence early sexual activity.

METHODS

Data from the National Longitudinal Study of Adolescent Health were used in discrete-time event history analyses investigating the association between body weight, social relationships and timing of sexual debut among 8,197 respondents who were in grades 7-12 in 1994-1995 (Wave 1) and were young adults in 2001-2002 (Wave 3). Subgroup analyses explored gender and racial and ethnic variations in the association.

RESULTS

Overweight adolescents were less likely than their normal-weight peers to report first intercourse between Waves 1 and 3 (odds ratio, 0.9). Characteristics reflecting social alienation, including having relatively few close friends and no experience with romantic relationships, were negatively associated with first intercourse among overweight youths. Results differed by gender and race and ethnicity. Overweight females had a lower likelihood than normal-weight females of experiencing first intercourse (0.8), but no such association was evident among males. Similarly, overweight white youths--but not those from other racial and ethnic groups--had reduced odds of sexual debut (0.7).

CONCLUSIONS

Future studies should seek to understand the broader implications of adolescent weight status for social relationships and subsequent development, and practitioners should apply this knowledge to prevention programs. Postponement of sexual activity may benefit youths, but potential benefits and risks may depend upon the social processes involved.

Adolescent Precursors of Early Union Formation among Asian Americans and Whites

Using a framework that emphasizes independent vs. interdependent self-construals, this study investigates the relatively low rates of early marriage and cohabitation among Asian Americans compared to Whites. Data from Waves 1 and 3 of Add Health are used to test five hypotheses that focus on family value socialization and other precursors measured in adolescence. Analyses of early marriage indicate that the Asian-White difference is driven primarily by differences in adolescent sexual and romantic relationship experiences, and several measures of family values play a stronger role among Asian Americans than Whites. Asian-White differences in cohabitation persist net of SES and other adolescent precursors, but differences are attenuated when parental value socialization, intimate relationship experiences, and educational investments are controlled. These results are interpreted within a culturally sensitive conceptual framework that emphasizes interdependent construals of the self among Asian Americans.

Early Family Formation among White, Black and Mexican American Women

Using data from Waves I and III of Add Health, we examine early family formation among 6,144 White, Black, and Mexican American women. Drawing on cultural and structural perspectives, we estimate models of the first and second family transitions (cohabitation, marriage, or childbearing) using discrete time multinomial logistic regression. Complex differences by race/ethnicity and generation are partially explained by differences in attitudes and values in adolescence and family SES; marriage values are especially important in first-generation Mexican women's early entry into marriage. Examination of sequential family transitions sheds light on race/ethnic differences in the meaning and consequences of early cohabitation and pre-union births.

Longitudinal predictors of change in number of sexual partners across adolescence and early adulthood

PURPOSE

Although sexual risk behavior has negative consequences in adolescence and early adulthood, little is known about pathways of sexual risk across development and their correlates. Study goals were to examine trajectories of number of sexual partners across adolescence and into early adulthood, and to investigate hypothesized individual and family-level predictors.

METHODS

A subset of 8,707 white, black, and Mexican American participants in the National Longitudinal Study of Adolescent Health reported on their motivations to have sex, family warmth, and perceptions of maternal attitudes about sex at Wave 1 and on their sexual relationships at each year of age across the three waves of the study.

RESULTS

Multilevel growth curves of number of sexual partners between ages 11 and 27 showed increases in sexual risk across adolescence and deceleration in early adulthood, but differed somewhat as a function of demographic characteristics. As expected, adolescent motivations to have sex and perceptions of permissive maternal attitudes about sex predicted more sexual partners in adolescence, whereas family warmth predicted fewer sexual partners across gender and racial/ethnic groups. Predictors did not differentiate youth as strongly in early adulthood. Interactions between predictors supported a cumulative risk framework, such that perceived permissive maternal attitudes or low family warmth combined with high adolescent motivations to have sex predicted the highest number of sexual partners in adolescence.

CONCLUSIONS

This study advances our understanding of change in sexual behavior across development and the individual and contextual correlates of such change. Findings document the cumulative implications of individual cognitions, family experiences, and social contexts for adolescent and young adult sexual experiences.

WHY DO IMMIGRANT YOUTH WHO NEVER ENROLL IN U.S. SCHOOLS MATTER? AN EXAMINATION OF SCHOOL ENROLLMENT AMONG MEXICANS AND NON-HISPANIC WHITES

Using data from the 2000 Public Use Sample of the U.S. Census, this research examines how estimates of school enrollment and school-work patterns among Mexican-origin adolescents are affected by including or excluding young immigrants who never enrolled in U.S. schools. The analysis demonstrates that a non-trivial share of adolescents who were born in Mexico almost certainly never enrolled in U.S. schools; these youth most likely migrated to the United States for work. Excluding these adolescents from analyses substantially reduces gaps in school enrollment between Mexicans and Whites and between native and foreign-born Mexicans. Excluding never-enrolled immigrant youth also changes the relationship between duration of U.S. residence and idleness among Mexican immigrant youth, revealing that additional years of residence in the United States increase the likelihood of being out of school and not working compared to in school and not working. Overall, inferences about the level of school enrollment and intra-ethnic differences in school enrollment by duration of residence depend on how those who are likely to have never enrolled in U.S. schools are treated. Inferences about interethnic differences also are affected, although they are somewhat less sensitive to this issue.

Precursors of Young Women's Family Formation Pathways

We used latent class analysis to create family formation pathways for women between the ages of 18 and 23. Input variables included cohabitation, marriage, parenthood, full-time employment, and attending school. Data (n = 2,290) came from Waves I and III of the National Longitudinal Study of Adolescent Health (Add Health). The analysis revealed seven latent pathways: college-no family formation (29%), high school-no family formation (19%), cohabitation without children (15%), married mothers (14%), single mothers (10%), cohabiting mothers (8%), and inactive (6%). Three sets of variables distinguished between the groups: personal and social resources in adolescence, family socioeconomic resources and adolescent academic achievement, and conservative values and behavior in adolescence.

Family transitions in Young Adulthood

Using the first (1995) and third (2001–2002) waves of the Add Health survey, we examine women’s family transitions up to age 24. Only a third of all women marry, and a fifth of those marriages dissolve before age 24. Three out of eight women have a first birth, with a substantial majority of those births outside of marriage: 66% for whites, 96% for blacks, and 72% for Mexican Americans. Cohabitation is the predominant union form; 59% of women cohabit at least once by age 24. Most cohabitations are short lived, with approximately one in five resulting in a marriage. We summarize the family and relationship experience of women up to age 24 in terms of four categories, each accounting for roughly a quarter of all women. Category 1 has the women who remain single nonparents. Category 2 has the early marriers, women whose marriage is not preceded by a first birth. Category 3 has those who become single parents. Category 4 has the women who cohabit at least once, but who do not marry or have a birth by age 24. The strictly ordered transitions of the 1950s are long gone and have been replaced by a variety of paths to adulthood.

Selective migration and infant mortality among Puerto Ricans

OBJECTIVE

This study examines the implications of migration to the United States for infant mortality among Puerto Rican mothers born in Puerto Rico. The roles of selective migration and duration of US residence are assessed.

METHOD

Using survey data collected from mothers of infants sampled from computerized birth and infant death records of six US vital statistics reporting areas and Puerto Rico, we estimate logistic regression models of infant mortality among the sampled infants. These models provide a baseline for comparison with fixed-effects models based on all births within each mother's history.

RESULTS

Logistic regression models for sampled infants show that the risk of infant mortality is lower for migrant women than for nonmigrant women in Puerto Rico until the migrants have lived in the United States for a substantial period of time. Fixed-effects models indicate that once unmeasured stable characteristics of the mother are controlled, early migrants do not differ from nonmigrants with respect to the risk of infant death. Both sets of models demonstrate that as mothers' exposure to the US mainland increases, the risk of infant mortality rises.

CONCLUSIONS

Selective migration plays a role in the relatively low risk of infant mortality among recent Puerto Rican migrants to the United States. Migrants appear to be selected on qualities that contribute to favorable health outcomes for their offspring, but those qualities are later lost with exposure to life in the United States.

What does skin color have to do with infant health? An analysis of low birth weight among mainland and island Puerto Ricans

This study investigates the relationship between maternal skin tone and low birth weight among Puerto Ricans, a group with a complex ancestry and skin tones that range from very light to very dark. Using data from a representative sample of Puerto Rican mothers, we assess whether skin tone has different implications for low birth weight in three geographic areas (Puerto Rico; New York City; other eastern states). The analysis shows that skin tone is unrelated to low birth weight in Puerto Rico and New York City. However, in the other eastern states in our sample, mothers with dark skin have a high risk of bearing a low birth-weight infant, relative to mothers with light skin. We interpret our findings in light of differences in the social meaning of phenotypic differences across locales.

Structure, process, and satisfaction with obstetricians: an analysis of mainland Puerto Ricans

This study examines various dimensions of satisfaction with obstetricians among mainland Puerto Ricans using data from a survey administered to a representative sample of 1,219 Puerto Rican mothers. The results indicate that the majority of Puerto Rican women are satisfied with their obstetricians, but they are not typically "extremely" satisfied. Moreover, satisfaction is influenced by the structure of care, the process of care, and the outcome of care. Two aspects of process that are especially important are the continuity and content of care. Although satisfaction is not generally associated with the ethnicity or the gender of physicians, some evidence suggests that patients who utilize public facilities or lack continuity of care tend to be more satisfied if they have a female physician.

Poverty, prenatal care, and infant health in Puerto Rico

Using data from a survey administered to a representative sample of mothers who gave birth in Puerto Rico in 1994-95, we investigate whether prenatal care and infant health outcomes are associated with family poverty and neighborhood poverty. The results show that infant health outcomes are unrelated to both family poverty and neighborhood poverty, despite the association of family poverty with the adequacy of prenatal care and the content of prenatal care. However, the poverty paradigm does receive some support using measures of participation in government programs that serve the low-income population. Women who rely on the government to fund their medical care are more likely than women who rely on private health insurance to have an infant death. They are also less likely to receive the highest levels of prenatal care. Nonetheless, targeted government programs can have an ameliorative impact. The analysis shows that participants in the Women, Infants, and Children (WIC) program are more likely than non-participants to receive superior levels of prenatal care and are less likely to have negative infant health outcomes.

Poverty, insurance, and well-baby care among mainland Puerto Rican children

Using data from the Puerto Rican Maternal and Infant Health Study, we investigate the implications of family income and insurance status for well-baby care among mainland Puerto Ricans. Given the socioeconomic disadvantage of Puerto Ricans, it is critical to understand the extent to which low income and lack of health insurance create barriers to well-baby care and result in low utilization. The analysis shows that the income-to-needs ratio is related to barriers to well-baby care, and a key intervening factor is insurance status. The odds of reporting any barriers to care are lowest among those with both adequate income and private health insurance. Access to insurance is also vital in achieving adequate well-baby care. Uninsured children receive inadequate care more often than children with public or private insurance, especially when their income is also low. Children with public insurance are as likely as children with private insurance to receive an adequate number of well-baby visits, despite the fact that their mothers report more barriers to care.

Nonresponse in follow-back surveys of ethnic minority groups: an analysis of the Puerto Rican Maternal and Infant Health Study

OBJECTIVES

This study documents the levels and sources of nonresponse in the first large-scale maternal-infant health survey administered to representative samples of Puerto Rican mothers on both the U.S. mainland and the island of Puerto Rico.

METHODS

The data source is the Puerto Rican Maternal and Infant Health Study, which was administered to a vital records-based sample of 2763 mothers of infants. An additional 805 women were nonrespondents. Nonresponse is examined as a function of several characteristics measured from vital records using logistic regression.

RESULTS

The response rate for this survey compares favorably to response rates for similar surveys. Although nonresponse is not associated with most characteristics measured from vital records, it is higher among mainland residents and mothers of infants who died. The absence of significant associations is due to opposite relationships between several covariates and the failure to locate and refusal. For example, nonresponse in the birth sample is not associated with migration, despite the difficulty of locating migrants. The lower likelihood of locating migrants is offset by their willingness to participate.

CONCLUSIONS

Selectivity due to nonresponse is minimal. Nevertheless, researchers who design "binational" surveys should be aware of setting-specific circumstances that affect the ability to locate sampled individuals and secure their cooperation.

Migration, social support and perinatal health: an origin-destination analysis of Puerto Rican women

Using pooled origin-destination data from the Puerto Rican Maternal and Infant Health Study, we investigate linkages between migration, social support, and perinatal health. We document differences in social support between three groups of Puerto Rican women: non-migrant women in Puerto Rico, first-generation migrants to the U.S. mainland, and mainland-born women. The role of social support in producing differences in perinatal health outcomes between the groups is assessed. The analysis shows striking differences in social support between island and mainland women, but little systematic variation among mainland women by generation of U.S. residence. The lower level of social support available to mainland women is not reflected in the health outcomes examined, which do not generally worsen with migration to the United States (with the exception of maternal smoking). Nonetheless, we show that social support has important implications for stress, which in turn increases the risk of poor health behavior and compromised infant health.

Prenatal care among Puerto Ricans on the United States mainland

Recent public health initiatives in the USA identify the improvement of maternal and infant health outcomes among ethnic minorities as a national priority. Prenatal care is emphasized in these initiatives as a crucial intervention for reducing the risks of adverse outcomes. We investigate the barriers to prenatal care and the adequacy of prenatal care among mainland Puerto Ricans using data from a follow-back survey of a representative sample of mothers. The results show that barriers to prenatal care and the adequacy of prenatal care cannot be reduced solely to financial problems or problems associated with migration. Rather, attention to the social and the psychological circumstances surrounding the pregnancy (e.g. pregnancy wantedness) is required.

From austerity to prosperity? Migration and child poverty among mainland and island Puerto Ricans

Analyses of migrants' economic circumstances typically use the native-born in the destination as a comparison group. We use the 1990 Census Public Use Microdata Samples for the United States and Puerto Rico to demonstrate the benefits of a comparative approach that includes data from both the origin and the destination. Specifically, the primary objective is to determine how and why the risk of child poverty is associated with migration from Puerto Rico to the United States. The results show that migration reduces the risk of child poverty, partly because better jobs are available on the mainland. Employment, human capital, family structure, and public assistance cannot completely explain observed differences. The results also show that the economic benefits of migration continue for the native-born on the mainland and that return migration to Puerto Rico is associated with impoverishment.

From austerity to prosperity? Migration and child poverty among mainland and island Puerto Ricans

Analyses of migrants’ economic circumstances typically use the native-born in the destination as a comparison group. We use the 1990 Census Public Use Microdata Samples for the United States and Puerto Rico to demonstrate the benefits of a comparative approach that includes data from both the origin and the destination. Specifically, the primary objective is to determine how and why the risk of child poverty is associated with migration from Puerto Rico to the United States. The results show that migration reduces the risk of child poverty, partly because better jobs are available on the mainland. Employment, human capital, family structure, and public assistance cannot completely explain observed differences. The results also show that the economic benefits of migration continue for the native-born on the mainland and that return migration to Puerto Rico is associated with impoverishment.

Migration and premarital childbearing among Puerto Rican women

This paper examines the relationship between migration and premarital childbearing in a highly migratory Latino subgroup, Puerto Rican women. Using pooled origin-destination data from surveys conducted in Puerto Rico and in the New York metropolitan area, we find that first- and second-generation migrants to the u.s. mainland face substantially higher risks of conceiving and bearing a first child before marriage than do nonmigrants in Puerto Rico. This pattern is due largely to the relatively early transition to sexual activity among mainland women. Given the negative long-term consequences of premarital childbearing for women and their children, our findings call into question the assumption that migrants necessarily experience only positive outcomes as a result of the assimilation process.

Migration and premarital childbearing among Puerto Rican Women

This paper examines the relationship between migration and premarital childbearing in a highly migratory Latino subgroup, Puerto Rican women. Using pooled origin-destination data from surveys conducted in Puerto Rico and in the New York metropolitan area, we find that first- and second-generation migrants to the U.S. mainland face substantially higher risks of conceiving and bearing a first child before marriage than do nonmigrants in Puerto Rico. This pattern is due largely to the relatively early transition to sexual activity among mainland women. Given the negative long-term consequences of premarital childbearing for women and their children, our findings call into question the assumption that migrants necessarily experience only positive outcomes as a result of the assimilation process.

Migration and the Latino family: the union formation behavior of Puerto Rican women

This study examines the transition to first union among Puerto Rican women. I argue that understanding the behavior of mainland Puerto Ricans requires attention to family patterns in Puerto Rico and to the dynamics of migration between Puerto Rico and the United States. The study therefore is based on pooled data from comparable surveys undertaken in the two settings. These data allow for event history analyses that compare the union formation behavior of migrants with that of nonmigrants, and consider the role of migration in producing the observed union patterns. Multivariate models show that migrants are more likely than nonmigrants to form unions early and to enter informal unions. Additional analyses show that selective migration plays a role in producing this pattern. Overall the findings demonstrate the importance of using data from both origin and destination locales for understanding the behavior of migrant groups.

Migration and the Latino Family: The Union Formation Behavior of Puerto Rican Women

This study examines the transition to first union among Puerto Rican women. I argue that understanding the behavior of mainland Puerto Ricans requires attention to family patterns in Puerto Rico and to the dynamics of migration between Puerto Rico and the United States. The study therefore is based on pooled data from comparable surveys undertaken in the two settings. These data allow for event history analyses that compare the union formation behavior of migrants with that of nonmigrants, and consider the role of migration in producing the observed union patterns. Multivariate models show that migrants are more likely than nonmigrants to form unions early and to enter informal unions. Additional analyses show that selective migration plays a role in producing this pattern. Overall the findings demonstrate the importance of using data from both origin and destination locales for understanding the behavior of migrant groups.

Generation, ethnicity, and marriage: Historical patterns in the Northern United States

Immigration was a prominent feature of American life during the early decades of the twentieth century. About 40% of the white population was of foreign birth or parentage, and immigrants were increasingly from diverse national origins. Using data from the Public Use Microdata Sample of the 1910 U.S. Census, we examine generational and ethnic differences in marital timing. The analysis reveals a striking pattern of delayed marriage among native whites with foreign parents, but marked ethnic variation in the extent of marriage delay within the second generation. We hypothesize that locational factors, especially diverse economic opportunities, were important in shaping this marriage pattern. Separate multilevel analyses are conducted for females and for males living in urban and in rural places. Although significant effects for a variety of contextual factors are found, generational and ethnic differences in nuptial timing persist in multivariate models.

Generation, ethnicity, and marriage: historical patterns in the northern United States

Immigration was a prominent feature of American life during the early decades of the twentieth century. About 40% of the white population was of foreign birth or parentage, and immigrants were increasingly from diverse national origins. Using data from the Public Use Microdata Sample of the 1910 U.S. Census, we examine generational and ethnic differences in marital timing. The analysis reveals a striking pattern of delayed marriage among native whites with foreign parents, but marked ethnic variation in the extent of marriage delay within the second generation. We hypothesize that locational factors, especially diverse economic opportunities, were important in shaping this marriage pattern. Separate multilevel analyses are conducted for females and for males living in urban and in rural places. Although significant effects for a variety of contextual factors are found, generational and ethnic differences in nuptial timing persist in multivariate models.

Patterns of Entry into Cohabitation and Marriage Among Mainland Puerto Rican Women

This paper adds to our limited knowledge of racial and ethnic variation in union formation by describing and analyzing the first unions of mainland Puerto Rican women. Retrospective history data show that Puerto Ricans have shared in the post-l970 shift toward cohabitation. Puerto Rican women, however, are much more likely to enter informal first unions than the general population, and have a low propensity to transform informal unions into legal marriages. The paper examines the influence of family background and current activities on union timing and type. The relationship between partner attributes and the choice between formal and informal coupling is also considered.

Patterns of entry into cohabitation and marriage among mainland Puerto Rican women

This paper adds to our limited knowledge of racial and ethnic variation in union formation by describing and analyzing the first unions of mainland Puerto Rican women. Retrospective history data show that Puerto Ricans have shared in the post-1970 shift toward cohabitation. Puerto Rican women, however, are much more likely to enter informal first unions than the general population, and have a low propensity to transform informal unions into legal marriages. The paper examines the influence of family background and current activities on union timing and type. The relationship between partner attributes and the choice between formal and informal coupling is also considered.

Agricultural Opportunity and Marriage: The United States at the Turn of the Century

This article focuses on the marriage behavior of rural white males in the United States at the turn of the century. The principal goal of the analysis is to assess the role of agricultural opportunity in determining nuptial timing and prevalence. The major issue addressed is whether restricted opportunity in farming retarded entry into marriage. Overall, the findings suggest that rural young men were less likely to enter marriage when local opportunity in agriculture was poor. One mechanism through which the local opportunity structure influenced nuptiality was occupational choice. Young men who entered nonagricultural pursuits or who were employed as farm laborers were far less likely to have married than young men who became farmers.

Agricultural opportunity and marriage: the United States at the turn of the century

This article focuses on the marriage behavior of rural white males in the United States at the turn of the century. The principal goal of the analysis is to assess the role of agricultural opportunity in determining nuptial timing and prevalence. The major issue addressed is whether restricted opportunity in farming retarded entry into marriage. Overall, the findings suggest that rural young men were less likely to enter marriage when local opportunity in agriculture was poor. One mechanism through which the local opportunity structure influenced nuptiality was occupational choice. Young men who entered nonagricultural pursuits or who were employed as farm laborers were far less likely to have married than young men who became farmers.

The effect of marital status at first birth on marital dissolution among adolescent mothers

The sequencing of marriage and first birth was expected to play an important role in the stability of marriage among adolescent mothers. We hypothesized that adolescent women who married prior to conception would have the lowest rates of marital disruption, followed by those who married between conception and birth. Adolescent women who gave birth prior to marriage were expected to suffer the highest rates of marital dissolution. The results provide partial support for our hypotheses. There is little difference in the probability of separation between adolescent mothers who had a postmarital conception and those who had a premarital conception but married before the birth. Having a premarital birth, however, significantly increases the probability of marital dissolution. We also hypothesized that marital status at first birth would have less effect on the probability of marital dissolution for blacks than for whites. This, too, is generally supported by our findings. Among black females, those with a premarital birth are the first to suffer a marital disruption, but by the end of ten years there is little difference in the probability of separation among the three marital status groups. In contrast, among white females, those with a premarital birth are the first to experience a disruption, and this differential persists over all subsequent marriage duration intervals. Thus, the sequencing of marriage relative to birth has similar short term effects for whites and blacks, but the effect for blacks is evident only in the short term. Ten years after the marriage, black adolescent mothers have similar rates of marital stability regardless of the sequencing of marriage. This is consistent with the findings of previous research and with our hypothesis; with the black family pattern of lower rates of marriage, higher rates of illegitimacy and higher divorce rates, the sequencing of marriage has no long lasting consequences on marital stability. Finally, our predicted decline in the effect of marital status at first birth over historical time also finds partial support. For white females there has been a change in the effect of marriage-first birth sequencing on separation over time. In the period encompassed by the women in our study, white adolescent mothers who married subsequent to the birth have been the most likely to experience a separation at all marriage duration intervals, but this differential narrows as age at interview declines. Among black females there has been no change in the effect of a premarital birth over time.(ABSTRACT TRUNCATED AT 400 WORDS)

The effect of marital status at first birth on marital dissolution among adolescent mothers

The effect of the sequencing of marriage and first birth on marital dissolution among adolescent mothers is investigated. We compare three groups who had a first live birth before age 20: those married before becoming pregnant, those married between conception and birth, and those who did not marry before the birth. The analysis demonstrates that teenage mothers are less likely to experience a separation if they marry before rather than after the birth. Among those marrying before the birth, there is little difference between those who marry before or after becoming pregnant. The effects of marital status at first birth are shown to vary by race, marital duration, and historical time.