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Differences in Social Determinants of Health between Urban Indigenous Migrants and Non-Indigenous People in North-Eastern Mexico: An Analysis to Prioritize

The degree to which social determinants of health differ between indigenous migrants and non-indigenous people born and raised locally is currently unknown. We compared social determinants of health between indigenous migrants and non-indigenous people from urban north-eastern Mexico. Additionally,...

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Detalles Bibliográficos
Autores principales: Núñez-Rocha, Georgina Mayela, Esqueda-Eguía, Brenda Mayela, Salinas-Martínez, Ana María, Ávila-Ortiz, María Natividad, Castro-Sánchez, Ana Elisa, Zambrano-Moreno, Adriana, Hernández-Ruiz, Karina Janett
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8392500/
https://www.ncbi.nlm.nih.gov/pubmed/34444213
http://dx.doi.org/10.3390/ijerph18168464
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author Núñez-Rocha, Georgina Mayela
Esqueda-Eguía, Brenda Mayela
Salinas-Martínez, Ana María
Ávila-Ortiz, María Natividad
Castro-Sánchez, Ana Elisa
Zambrano-Moreno, Adriana
Hernández-Ruiz, Karina Janett
author_facet Núñez-Rocha, Georgina Mayela
Esqueda-Eguía, Brenda Mayela
Salinas-Martínez, Ana María
Ávila-Ortiz, María Natividad
Castro-Sánchez, Ana Elisa
Zambrano-Moreno, Adriana
Hernández-Ruiz, Karina Janett
author_sort Núñez-Rocha, Georgina Mayela
collection PubMed
description The degree to which social determinants of health differ between indigenous migrants and non-indigenous people born and raised locally is currently unknown. We compared social determinants of health between indigenous migrants and non-indigenous people from urban north-eastern Mexico. Additionally, we ranked priorities for addressing the negative social determinants of health. This was a population-based comparative cross-sectional study (n = 235 indigenous migrants and 168 non-indigenous people). A two-stage non-random sampling was carried out from June to August of 2019. Heads of households ≥18 years and those with the ability to communicate in Spanish were recruited house by house. Structural and intermediary determinants of health were identified according to the World Health Organization Conceptual Framework and priorities were ranked using Z-scores. Being a migrant indigenous increased 1.6 times the odds of low education (95% CI = 1.1, 2.4). In addition, the migrant indigenous status increased the odds of poor housing, unhealthy behaviour and low social cohesion (p < 0.05). Housing, behaviours and health service accessibility were top priorities for indigenous migrants and structural determinants for non-indigenous people. The findings show that the right to access the social determinants of health has not yet been guaranteed for indigenous communities.
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spelling pubmed-83925002021-08-28 Differences in Social Determinants of Health between Urban Indigenous Migrants and Non-Indigenous People in North-Eastern Mexico: An Analysis to Prioritize Núñez-Rocha, Georgina Mayela Esqueda-Eguía, Brenda Mayela Salinas-Martínez, Ana María Ávila-Ortiz, María Natividad Castro-Sánchez, Ana Elisa Zambrano-Moreno, Adriana Hernández-Ruiz, Karina Janett Int J Environ Res Public Health Article The degree to which social determinants of health differ between indigenous migrants and non-indigenous people born and raised locally is currently unknown. We compared social determinants of health between indigenous migrants and non-indigenous people from urban north-eastern Mexico. Additionally, we ranked priorities for addressing the negative social determinants of health. This was a population-based comparative cross-sectional study (n = 235 indigenous migrants and 168 non-indigenous people). A two-stage non-random sampling was carried out from June to August of 2019. Heads of households ≥18 years and those with the ability to communicate in Spanish were recruited house by house. Structural and intermediary determinants of health were identified according to the World Health Organization Conceptual Framework and priorities were ranked using Z-scores. Being a migrant indigenous increased 1.6 times the odds of low education (95% CI = 1.1, 2.4). In addition, the migrant indigenous status increased the odds of poor housing, unhealthy behaviour and low social cohesion (p < 0.05). Housing, behaviours and health service accessibility were top priorities for indigenous migrants and structural determinants for non-indigenous people. The findings show that the right to access the social determinants of health has not yet been guaranteed for indigenous communities. MDPI 2021-08-11 /pmc/articles/PMC8392500/ /pubmed/34444213 http://dx.doi.org/10.3390/ijerph18168464 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Núñez-Rocha, Georgina Mayela
Esqueda-Eguía, Brenda Mayela
Salinas-Martínez, Ana María
Ávila-Ortiz, María Natividad
Castro-Sánchez, Ana Elisa
Zambrano-Moreno, Adriana
Hernández-Ruiz, Karina Janett
Differences in Social Determinants of Health between Urban Indigenous Migrants and Non-Indigenous People in North-Eastern Mexico: An Analysis to Prioritize
title Differences in Social Determinants of Health between Urban Indigenous Migrants and Non-Indigenous People in North-Eastern Mexico: An Analysis to Prioritize
title_full Differences in Social Determinants of Health between Urban Indigenous Migrants and Non-Indigenous People in North-Eastern Mexico: An Analysis to Prioritize
title_fullStr Differences in Social Determinants of Health between Urban Indigenous Migrants and Non-Indigenous People in North-Eastern Mexico: An Analysis to Prioritize
title_full_unstemmed Differences in Social Determinants of Health between Urban Indigenous Migrants and Non-Indigenous People in North-Eastern Mexico: An Analysis to Prioritize
title_short Differences in Social Determinants of Health between Urban Indigenous Migrants and Non-Indigenous People in North-Eastern Mexico: An Analysis to Prioritize
title_sort differences in social determinants of health between urban indigenous migrants and non-indigenous people in north-eastern mexico: an analysis to prioritize
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8392500/
https://www.ncbi.nlm.nih.gov/pubmed/34444213
http://dx.doi.org/10.3390/ijerph18168464
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