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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Chau Trinh-Shevrin, MS1, Jo Wiederhorn, MS1, Mariano Rey, MD1, Francesca Gany, MD2, William B. Bateman, MD3, Allen Keller, MD4, Andre-Jacques Neusy, MD5, and Mack Lipkin, MD6. (1) Institute for Urban and Global Health, NYU School of Medicine, 550 First Avenue, New York, NY 10016, 212-263-3072, trinhc01@popmail.med.nyu.edu, (2) NYU School of Medicine, Center for Immigrant Health, 550 First Avenue, New York, NY 10016, (3) NYU School of Medicine/Bellevue Hospital, 550 1st Avenue, New York, NY 10016, (4) Bellevue/NYU Program for Survivors of Torture, NYU School of Medicine, 462 First Avenue, 7th Floor, C & D Building, New York, NY 10016, (5) New York University School of Medicine, Center for Global Health, 550 First Avenue, New York, NY 10016, (6) Center for Communication and Healing, NYU School of Medicine, 550 First Avenue, New York, NY 10016
Introduction: Annually, the foreign-born comprises nearly half of all live births, one-third of deaths, and an estimated 40-48% of the population in New York City (NYC). Limited access to appropriate and adequate health services for many immigrant communities due to financial constraints, language barriers, fears of deportation, and cultural beliefs/attitudes, and institutional constraints have been documented. However, scant data exists on the health priorities of foreign-born populations in urban areas by country of origin and gender. Objective: We sought to determine health priorities for NYC’s foreign-born. Methods: We conducted a quantitative analysis of NYC health statistics to compare foreign-born and United States-born NYC residents. Mortality comparisons between 1995 and 1997 were stratified by region of birth (United States, Asia/Western Pacific, Central America, Africa, Europe, Dominican Republic and Puerto Rico), gender, age and select causes of death (ICD-9 codes). Results: Cardiovascular diseases represent the leading causes of death in men and women among all racial and ethnic groups. However, the mortality risk for cancer, infectious diseases, cerebrovascular disease, suicide, and accidents/injuries were significantly greater for the foreign-born compared to US-born by specific region. Data by select causes of disease, the odds ratio and 95% confidence intervals will be presented by region of origin, gender, and age group. Conclusion: Significant health disparities exist for specific immigrant and foreign-born communities. Community-based and targeted efforts must be conducted to reach out to these communities to eliminate health disparities.
Learning Objectives: At the end of this session, the participant will
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.