A RWJ Workshop Series - icpsr.umich.edu · linguistic, cultural mores and ... immigrant families...

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HMCA/RCMD-ICPSR July, 2015 Organizer: John A. Garcia Immigration, Immigrants and Health Conditions, Health Status and Policies: Examining Multi-level and Multi-dimensional Models and Approaches A RWJ Workshop Series DATA USER WORKSHOP ON IMMIGRATION, IMMIGRANTS AND HEALTH STATUS/CONDITIONS AND PUBLIC POLICIES: MULTI-LEVEL AND MIX METHODS APPROACHES FIVE DAY WORKSHOP FOR AUGUST 3-7, 2015 LOCATION: ICPSR- UNIVERSITY OF MICHIGAN G150A/B PERRY BUILDING

Transcript of A RWJ Workshop Series - icpsr.umich.edu · linguistic, cultural mores and ... immigrant families...

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HMCA/RCMD-ICPSR

July, 2015

Organizer: John A. Garcia

Immigration, Immigrants and Health Conditions, Health Status and Policies: Examining Multi-level and

Multi-dimensional Models and Approaches

A RWJ Workshop Series

DATA USER WORKSHOP ON IMMIGRATION,

IMMIGRANTS AND HEALTH STATUS/CONDITIONS AND

PUBLIC POLICIES: MULTI-LEVEL AND MIX METHODS

APPROACHES

FIVE DAY WORKSHOP FOR AUGUST 3-7, 2015

LOCATION: ICPSR- UNIVERSITY OF MICHIGAN G150A/B PERRY BUILDING

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Immigration, Immigrants and Health Conditions,

Health Status and Policies: Examining

Multi-level and Multi-dimensional Models

and Approaches

A RWJ Health Workshop

Workshop Introduction

This workshop will be organized around the research issues of health conditions, health

statuses, and public policies among immigrants, especially families in the U.S. HMCA has a long

establish medical archive that includes some studies that capture immigration background, and

health. RCMD has worked to expand its archive holdings in the area of health with studies that

incorporate minority groups as respondents; and now expanding to include foreign –born

immigrants living in the U.S.

In the past (2012-2013), the Robert Wood Johnson Foundation has sponsored workshops have

focused on health disparities among vulnerable populations (i.e. racial and ethnic minorities and

LGBTQ). The previous workshops examined the topics of race, ethnicity, sexual orientations and

health disparity- as concepts, and measurement issues. Specific attention was directed on

particular group status relative to issues of health disparities and the application relevant data

sources for analysis and exploration. Health disparities was treated as multi-dimensional

measure. The workshop format included exchanges with the participants as to be most

beneficial in examining and sharing concepts, measures, and analytical approaches in order to

pursue health oriented research with vulnerable populations.

Workshop Objectives and Scope

Workshops organized by ICPSR, and sponsored by the Robert Wood Foundation have focused on

health status, conditions, and public policy domains and interactions with vulnerable populations in

the U.S. These populations have included racial and ethnic groups and LGBTQ communities in the

past. This summer’s workshop expands the scope to focus on immigrants and their status and

experiences and health care. What are the important characteristics, circumstances, legal status,

linguistic, cultural mores and values among immigrants that can affect their health status, access

and benefits of the American health care system? How do societal attitudes and behaviors and

public policies affect the immigrant – health interface? Does extant social science research on

health disparities, access, usage, etc., (i.e. analytical approaches, concepts, models, and

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techniques) completely transfer to the examination and understanding immigrants and their

health? What are the key concepts, measures, analytical techniques, and data sources to research

immigrants and health? The melding of extant research, noted scholars in this area, interested and

active researchers and ICPSR resources represent the underpinnings of this 2015 RWJ Immigrants

and Health Workshop.

Scope of 2015 Workshop

Backdrop and Aspects of Immigration and Immigrants For example, many officially recognized refugees come from the former Soviet Union, Cambodia, Laos, Thailand, and Vietnam; and immigrants from El Salvador, Guatemala, Nicaragua, and Haiti as having fled countries that are experiencing war or political instability. Two of these are small countries sending many migrants seeking unskilled work- Honduras and Guatemala. Mexico, which currently sends the largest number of both legal and illegal immigrants, has been a major source of unskilled labor for the U.S. economy throughout the twentieth century. The bases for migration includes economic pulls, family reunification, political instability and oppression, and desires to improve one’s future. Matters such as the “epidemiological paradox” or “Hispanic paradox” reflects contrary findings among immigrants in which their lower socioeconomic status and sometimes lower utilization of prenatal care (for example) would be expected to have worse birth outcomes than U.S.-born women. Yet their outcomes are the opposite. Along a number of important dimensions, children in immigrant families appear to experience better health and adjustment than do children in U.S.-born families. They have fewer specific acute and chronic health problems and have lower prevalence of accidents and injuries. Rates of low birthweight and infant mortality also are lower among children born to immigrant women than to U.S.-born women.

At the same time, immigrants may be at increased risk for some adverse health conditions: children in immigrant families from specific countries of origin may experience elevated risks from malaria, helminthic infections, congenital syphilis, hepatitis B, and drug-resistant tuberculosis. Adults and children of migrant farmworkers may be exposed to damaging environmental toxins. And Mexican-origin children in immigrant families are considerably more likely to be reported by their parents as having poor health and dental problems, and have been found to exhibit elevated blood lead levels. First-generation immigrant adolescents are also less likely to report that they engage in risky behaviors, such as first sexual intercourse at an early age, delinquent or violent behaviors, and use of cigarettes and substance abuse. Yet, immigrant adolescents living in the U. S. for longer periods of time tend to be less healthy and to report increases in risk behaviors. During the five day workshop, we will cover important research topics and challenges to “capture”

the lived experiences of immigrants and their health statuses, health disparities regarding access,

treatment and support systems and stressors, and public policy impacts.

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The following represent research topics covered in this workshop:

High poverty and other socioeconomic and demographic risk factors among children in

immigrant families do or do not lead to negative outcomes, compared with children in U.S. -

born families? What role does socio-economic status play for these populations?

Why do the beneficial circumstances and outcomes for immigrants and children in

immigrant families appear to deteriorate over the life course and across generations?

How have recent and continuing changes in welfare and health care policy resulted in positive or negative consequences for immigrants, especially children in immigrant families?

Scrutiny of the “epidemiological paradox”, its measures, validation with specific health status/conditions, and explanatory conclusions.

Identification and measurement of those aspects of the immigrant experience, context, and culture that are unique to immigrants, as well as those factors that are relevant to their health status living in the U. S. (i.e. acculturation, language, culture, cultural competence, etc.). Such inferences would require sample sizes by generation, immigrant status, and country of origin sizeable enough to produce statistically reliable estimates.

The extent to which immigrant and their families experience healthy development and

successful adjustment depends on: (a) the assets and resources they bring from their

country of origin, (b) how they are officially categorized and treated by federal, state, and

local governments, (c) the social and economic circumstances and cultural environment in

which they reside in the United States, and (d) the treatment they receive from other

individuals and from health and social institutions in the receiving community. How have

models captured these dimensions?

Immigrant and their families who belong to racial and ethnic minorities may face more or

less discrimination depending on where they live; which can also affect their access to

medical and health resources. Concepts such as discrimination, racialization, racism,

stereotypes as measured and applied to different immigrant groups can have significant

impact on their mental and physical health conditions.

Multi-level approaches to incorporate intersection of individual, familial, social support

systems, geographic characteristics, and public attitudinal/behavioral environments, as well

as current public policies do represent methodological and analytical issues.

There is a need to identify and assess the adequacy of existing data and explore

recommendations for new data collection and research needed to inform and improve

public policy and programs.

As a result of these topics and issues, critical components included in the scope of this workshop

include: generational status, race and ethnicity; religion, acculturation, country of origin,

immigration status, cultural and linguistic isolation, language use/proficiency, transnationalism, and

social identity. Relevant data sources will be identified and used in the examination of these

research topics/questions. Evaluation and validation of primary operational measures will be

subjected to appropriateness, validity, and replicability. On hand data access and analysis with

appropriate data sets can be a regular part of the daily schedule. The data aspect of this workshop

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will involve identifying useful data sets (at ICPSR and elsewhere), potentials for constructing data

sets from multiple sources and data harmonization. There will also be discussions about the

development and components of useful data (in a variety of formats and modes) for future research

projects.

The workshop focuses on the health conditions and status of immigrant populations. This will

include examination of the prevailing factors affecting health disparities, explanatory

interpretations, concepts and measures, and variations by age, gender, immigrant status,

generational status, country of origin, and contextual/environmental factors. Dimensions of health –

include the following - health status, access, comorbidity, specific illnesses/diseases, life expectancy,

mortality rates, etc.). Particular attention will be directed toward prevailing models and analytical

techniques to explore the relationship between immigrants and health disparities outcomes and

access. Again, data file access will enable participants to develop measures and relationships

between health disparities and “minority group status.”

Over the course of this workshop, time will be devoted to the exploration and evaluation of the

epidemiological paradox and its relevance for health status and conditions. In addition, the concept

of acculturation and other dimensions that attempt to capture an Immigrant’s culture will be

presented and evaluated. Operationalization and analytical approaches to model immigrants’ health

status and conditions and access/treatment is a critical area to explore. In this workshop, discussion

will be directed toward the composition of best study design with the necessary questions/items to

include for this research focus.

The structural dimension (i.e. socio-political and public policies) will be discussed in detail as to

measures, data sources, data file construction, multi-level modelling, and linkage models (i.e.

intersection of individuals nested in households, neighborhoods, regions, political jurisdictions, and

public attitudinal climates). The understanding of immigrants’ health status and conditions requires

consideration and inclusion of externalities and their effects. Extant public policies and public

attitudes represent the context and contributing factors affecting these populations. Throughout

the workshop schedule, there will be discussions on constructing studies utilizing multiple data

sources, mixed methods approaches, identifying data sources and collaborators, and data sharing

and transparency.

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Identified RCMD/RWJ Studies for Race

And Health Disparities Workshop

HMCA Study Holdings –Immigrants and Health

ICPSR 26001 Health Tracking Household Survey, 2007 [United States]( Variables on country of birth (BORNCITZ, USPAR, USSPPAR) Good number of health insurance and health condition variables.

ICPSR 21640 Evaluation of Children's Futures: Improving Health and Development Outcomes for Children in Trenton, New Jersey, 2001-2005 (Variables that ask whether respondent was born in US. I think the actual

countries were removed, though. Variables that ask about health insurance and health status)

ICPSR 34161 Evaluation of Children's Futures: Improving Health and Development Outcomes for Children in Trenton, New Jersey: Second Community Survey, 2008 and Third Community Survey, 2010 (Variable OUTRO asks whether respondent was born in US. Variable L3 asks in

what country respondents who answered "No" in OUTRO were born. Variables that ask about parent and child health status)

John F. Holahan and Sharon K. Long. Health Reform Monitoring Survey, First Quarter 2013 (ICPSR 35624), Second Quarter 2013 (ICPSR 35623), Third Quarter 2013 (ICPSR 35622), Fourth Quarter 2013 (ICPSR 35621), and First Quarter 2014 (ICPSR 35614). Immigration variables: Citizenship status.

(ICPSR 34161). Evaluation of Children's Futures: Improving Health and Development Outcomes for Children in Trenton, New Jersey: Second Community Survey, 2008 and Third Community Survey, 2010 Immigration variables: Country of birth, year entered U.S.

(ICPSR 21640). Evaluation of Children's Futures: Improving Health and Development Outcomes for Children in Trenton, New Jersey, 2001-2005 Immigration variables: Country of birth, year entered U.S.

(ICPSR 31622) Fragile Families and Child Wellbeing Study [Public Use Data]. Immigration variables: Citizenship status, country of birth, year entered U.S., parents’ country of birth.

(ICPSR 4216 Community Tracking Study Household Survey, 2003: [United States]). Immigration variables: Citizenship status, born a citizen, number of years in U.S.

(ICPSR 26001). Health Tracking Household Survey, 2007 [United States] Immigration variables: Citizenship status, born a citizen, number of years in U.S., parents born outside 50 states, spouse's parents born outside 50 states.

(ICPSR 34141). Health Tracking Household Survey, 2010 [United States] Immigration variables: Citizenship status, born a citizen, number of years in U.S.

Sharon K. Long. Massachusetts Health Reform Survey, 2006 (ICPSR 35026), 2007 (ICPSR 35027), 2008 (ICPSR 35028), 2009 (ICPSR 35029), 2010 (ICPSR 35030), and 2012 (ICPSR 35061). Immigration variables: Country of birth, number of years in U.S., citizenship status

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ICPSR Data Holdings- Immigrants and Health

ICPSR 3088

Alcohol and Drug Services Study (ADSS), 1996-1999.

ICPSR (665)

Children of Immigrants Longitudinal Study (CILS), 1991-2006

ICPSR (15232) Collaborative Psychiatric Epidemiology Surveys (CPES), 2001-2003 [United

States]

ICPSR (475, 443,475, 417, 363)

Hispanic Established Populations for Epidemiologic Studies of the Elderly, Wave II, III, IV, V, VI 1995-1996; 1998-1999; 2000-2001: 2004-2005; 2006-2007

ICPSR (487) Hispanic Established Populations for the Epidemiologic Studies of the Elderly,

1993-1994: [Arizona, California, Colorado, New Mexico, and Texas]

ICPSR (657)

Immigration and Intergenerational Mobility in Metropolitan Los Angeles

(IIMMLA), 2004

ICPSR (1121)

Midlife Development in the United States (MIDUS): Survey of Minority Groups

[Chicago and New York City], 1995-1996

National Health and Nutrition Examination Survey series

ICPSR (5323)

National Survey of Family Growth, Cycle VI, 2002

ICPSR (70, 193)

New York City Community Health Survey, 2009 ; 2010

ICPSR (874) New York City Health and Nutrition Examination Survey (NYC HANES), 2004

ICPSR (9750) Sacramento Area Latino Study on Aging (SALSA Study), 1996-2008

ICPSR (157)

Suburban Immigrant Koreans in Bergen County, New Jersey, 2004

ICPSR (229, 208, 190)

Transatlantic Trends: Immigration, 2009; 2010; 2011

ICPSR (26037)

Welfare, Children, and Families: A Three-City Study

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We have listed a number of specific studies located at ICPSR which includes the Robert Wood

Johnson’s Health and Medical Care archive (HMCA) and Resource for Minority Data archive

(RCMD). A subset of these studies will be used in this workshop. The combination of closer

scrutiny of these studies in terms of existing variables highlighting the foci of the workshop and

anticipated interests of the participants will serve as key considerations. Both the staffs of

HMCA and RCMD will work on this “reduction” of utilized studies and training portions related

to data and workshop foci.

Targeted Participants

This workshop is the third ICPSR health oriented workshop supported by funding of the Robert

wood Johnson Foundation. We looked for researchers (i.e. faculty, professionals, as well as

advanced graduate students) in the social sciences who are skilled in quantitative analysis, with a

substantive experience in the area of health disparities, minority and immigrant populations.

Participants from all disciplines were encouraged to apply. The range of previous research efforts

and experience was an important factor as well as a demonstrated interest in this general

research area of immigration and health. Participants are expected to have some understanding of

secondary data, basic data analysis skills in SPSS, Stata, R, and/or SAS, and a substantive interest

on race and ethnicity, immigration, and health status/conditions and health policy.

The application process was competitive and more competitive applicants were present than

available space for this workshop. It was a competitive process. Applicants had to submit a

Curriculum Vitae and a one to two page statement of their research interests that include

prospective plans for any of the targeted ICPSR data sets. Graduate students had to submit a

letter of support from their faculty advisor. There would not be tuition fees for participants. The

RWJ will offer travel stipends for virtually all of the accepted participants ($500 maximum) to

attend the workshop. The targeted capacity of this workshop is twenty-four.

The RCMD has established an ongoing relationship with the RWJ Centers for Health Policy at the

University of New Mexico and Meharry Medical College (i.e. five day workshop on race, ethnicity

and health disparities at UNM and ICPSR and Health policy related data at Meharry). As a result,

directed efforts will be made to attract pre- and post-doctoral fellows to the proposed workshop.

The ICPSR Summer Program will oversee the management and operationalization of this

workshop. RCMD will assume primary responsibility for the advertisement, communication, and

review of the applicant “pool” for this workshop. The Summer Program handles the administrative

aspects related to processing applications and provide transportation and lodging assistance. The

HMCA and RCMD used its research contacts to promote the workshop.

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Instructional Staff

The staff for this workshop will include a combination of RCMD, HMCA-ICPSR staff and outside

researchers with extensive research experience in the areas of health disparities, immigration and

immigrant populations. John Garcia, Archive Director of RCMD serves as the organizer of this

workshop and has organized the previous two RWJ workshops. The remainder of the RCMD and

HMCA staff has extensive experience with secondary data sets, file construction, and using

analytical tools. With the identified files in the RCMD collection, this archive expertise will prove to

be quite useful for advancing the participants’ knowledge about the studies.

We have identified several research instructors as instructors. They are Gilbert C. Gee,

(UCLA); Carmela Alcantara, (Columbia University ) ; Krista Perreira (University of North Carolina –

Chapel Hill); and Gabriel Sanchez (Director- RWJ Center for Health Policy-University of New

Mexico). This five day workshop will involve 4 outside instructors, and 2-3 ICPSR researchers and

2-3 ICPSR staff members. The participating instructors will focus upon their primary research areas

within the immigration and health status/equity “domain”. The curriculum vitae of all of the

instructors are included in this workshop’s C-tools site.

ICPSR Workshop services include the following: a) facilities: 23/25 seat classroom; b)

computer equipment-laptops, printer; miscellaneous supplies, and software; c) computer support-

computer related services - computer lab equipment set up and tear down; software acquisition,

installation, and support; onsite support during workshop; d) website and portal system; d)

workshop promotion and information; e) workshop registration; f) administrative support-

including communications with workshop applicants, participant travel and housing information,

instructor travel and housing services, stipend processing, workshop evaluations, hosting services,

etc.; g) course reading materials; h) general supplies; and i) hosting.

The remaining pages of this workshop syllabus will provide a detailed account of each day’s

sessions including topics, data presentations, and workshop exercises.

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Monday, August 3rd: Qualitative Approaches to Understanding Migration and Health

Learning Objectives:

After completing this day’s workshop, you should be able to: Explain acculturation theory and apply it to understanding changes in health and health

behavior Compare and contrast different theories of assimilation and methods for evaluation

assimilation on health and health behaviors Design a qualitative interview protocol and conduct a qualitative interview to understand

topics in immigrant health Develop a plan for analyzing qualitative data, reporting results to your community, and

publishing results Practice analyzing an existing ICPSR qualitative dataset to understand migration

experiences and their role in health

Time Topics Presenter Objectives and Resources

9:00- 9:15 Welcome John A. Garcia

9:15- 9:40 Introduction of Participants /ICPSR Staff/Instructor

TBD

9:40-10:00 Overview of Migration and Health Workshop

Krista Perreira & John Garcia

Perreira, K., Ornelas, I., 2011. “The Physical and Psychological Well-being of Immigrant Children.” The Future of Children, “21(1):195-218.

Viruell-Fuentes, Edna A., Patricia Y. Miranda, and Sawsan Abdulrahim. "More than culture: structural racism, intersectionality theory, and immigrant health." Social science & medicine 75.12 (2012): 2099-2106.

10:00-11:45

Conceptual Frameworks for Studies in Health and Migration – Acculturation, Assimilation, and Selection

Krista Perreira Sam DL, Berry JW. 2010. “Acculturation: When individuals and groups of cultural backgrounds meet.” Perspectives on Psychological Science, 5(4): 472–481

Portes A, Rivas A. 2011. “The Adaptation of Migrant Children.” The Future of Children, 21(1):219-246.

11:45-1:00 Lunch

1:00 – 2:30 Learning through Listening:

Krista Perreira Learning From Strangers: The Art and Method of Qualitative Interview Studies by

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Designing and Conducting In-Depth Interviews and Focus Groups

Robert S. Weiss

2:30-2:45 Break

2:50-4:30 Learning through Listening: Analyzing Qualitative Data and Sharing What You’ve Learned

Krista Perreira Ko, L., Perreira, K. 2009. “It Turned My World Upside Down:” Latino Youths’ Perspectives on Immigration. Journal of Adolescent Research, 25(3): 465-493.

Perreira K, et al. 2012. Barriers to Immigrants’ Access to Health and Human Services. Washington, DC: Urban Institute. [Online] http://aspe.hhs.gov/hsp/11/ImmigrantAccess/Barriers/rb.pdf

4:30-5:30 Examining “Latino National Survey Focus Group Studies”

RCMD Staff Using Atlas.ti, participants will have an opportunity for Hands-on Analysis of new Qualitative Dataset available through ICPSR

Fraga, L. et al. 2011. Latino Lives in America: Making it Home. Temple University Press.

5:00- 6:00 Informal Exchanges w/Participants and Instructors/Staff

Krista Perreira/ John Garcia

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Tuesday, August 4th : Transnational Ties, Immigrant Health, and Health Behavior Learning Objectives:

Learning Objectives: After completing this workshop, you should be able to: * Articulate key challenges in studying immigrant health * Critically evaluate assumptions related to the measurement of “acculturation” * Discuss the role of racial discrimination among immigrants * Identify key features related to the study design of immigrant health

Time Topics Presenter Objectives and Resources

9:00-

10:00

Welcome Gilbert C.

Gee/

John A.

Garcia

Catch up on past developments, questions,

announcements, introduction

10:00-

11:45

Health

trajectories of

immigrants

Gilbert C. Gee

Siddiqi A, Ornelas I, Quinn K, Zuberi D, Nguyen QC. (2013). “Societal Context and the Production of Immigrant-Status Based Health Inequalities: A Comparative Study of the United States and Canada”. Journal of Public Health Policy 34(2): 330-344. Singh G, Hunt RA. (2006). “Trends and Disparities in Socioeconomic and Behavioural Characteristics, Life Expectancy, and Cause-Specific Mortality of Native-Born and Foreign-Born Populations in the United States, 1979-2003”. International Journal of Epidemiology. 35:903-919. Optional Gong F, Takeuchi DT (2014). “Mental Health and Immigrant Status.” The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society. 1479-1485. Ro A, Gee G.C. (2012). Disability status differentials among Asian Immigrants in the United States: The Added Dimensions of Duration and Age. Race and Social Problems, 4(2):83-92

11:45-

1:00

Lunch

1:00-

2:30

A critical view of “acculturation”

Gilbert C.

Gee

Hunt L.M., Schneider S., Comer B. (2004). “Should

“Acculturation” Be a Variable in Health Research? A

Critical Review of Research on U.S. Hispanics”. Social

Science and Medicine. 59(5): 973-86.

Gee G.C., Walsemann K.M., Takeuchi D.T. (2010).

“English Proficiency and Language Preference: Testing

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the Equivalence of Two Measures.” American Journal

of Public Health, 100(3):563-569

Optional

Salant T, Lauderdale DS. (2003). “Measuring Culture. A

Critical Review of Acculturation and Health in Asian

Immigrant Populations”. Social Science and Medicine,

57(1): 71-90.

Casteneda H, Holmes SM, Madriga DS, Young ME,

Beyeler N, Quesada J. (2015). “Immigration as a Social

Determinant of Health”. Annual Review of Public

Health 36:375-92.

Gee G.C., Spencer M., Chen J., Yip T., Takeuchi D.T.

(2007). “The Association between Self-Reported

Discrimination and 12-month DSM-IV Mental Disorders

among Asian Americans Nationwide”. Social Science &

Medicine, 64(10):1984-1996.

2:45-

3:00

Break

3:00 –

4:30

Study design considerations

Gilbert C.

Gee

Gee G.C., de Castro A.B., Wang M.C., Crespi C.M., Morey B.N., Fujishiro K. (2015). “Feasibility of Conducting a Longitudinal, Transnational Study of Filipino Migrants to the United States: A Dual-Cohort Design”. Journal of Health Care for the Poor and Underserved, 26(2):488-504. Acevedo-Garcia D, Sanchez-Vaznaugh EV, Viruell-Fuentes EA, Almeida J. (2012). “Integrating Social Epidemiology into Immigrant Health Research: A Cross-National Framework”. Social Science & Medicine, 75(12):2060-2068. Optional Gee G.C., Ro A., Gavin A., Takeuchi D.T. (2008). “Disentangling the Effects of Racial and Weight Discrimination on Body Mass Index and Obesity among Asian Americans.” American Journal of Public Health, 98(3):493-500.

4:30-

5:30

Examining

Potential Data

Sources

RCMD

Staff

ICPSR National Latino and Asian American Survey (NLAAS) http://www.icpsr.umich.edu/icpsrweb/CPES/files/nlaas Non-ICPSR

5:00-

6:00

Informal Exchanges w/Participants and Instructors/Staff

Gilbert C.

Gee

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Wednesday, August 5th : The Relationship Between Immigration Policy and Health Outcomes:

The Integration of Legislation into Survey Research Designs Learning Objectives:

Brief Summary: This day of the workshop will focus on methodological approaches to the investigation of the relationship between immigration policy and health outcomes. In addition to being introduced to the growing literature in this area, we will work through the challenge of coding state laws, and merging state law data with survey data. This component of the workshop will introduce you to the Collaborative Multi-Racial Political Study (2008), a survey recently made public through ICPSR that includes perceptions of immigration policy and self-rated health. We will also discuss cutting edge approaches to studying the implications of the recent surge in punitive immigration policy enactment, as well as the socio-political climate surrounding immigration.

Time Topics Presenter Objectives and Resources

9:00- 9:15 Welcome John A. Garcia

9:15- 10:00 Introduction of

Participants /ICPSR

Staff/Instructor

Gabriel Sanchez & John Garcia,

Catch up on progress of workshop,

announcements, and introduction to today’s

topics

10:00-

11:00

Conceptual/Theore

tical Framework for

Studies in

Immigration

Politics/Policy and

Health Outcomes

Gabriel Sanchez

Berk, Marc L., and Claudia L. Schur. 2001.

“The Effect of Fear on Access to Care Among

Undocumented Latino Immigrants”. Journal

of Immigrant Health, 3 (3), pp. 151-156.

Hacker, Karen, Chu, Jocelyn, Leung, Carolyn,

Marra, Robert, Pirie, Alex, Brahimi,

Mohamed, & Robert Marlin. 2011. “The

Impact of Immigration and Customs

Enforcement on Immigrant Health:

Perceptions of immigrants in Everett,

Massachusetts, USA.” Journal of Social

Science and Medicine 73(4): 586-594.

Salas, Loraine, Cecilia Ayon, and Maria

Gurrola. 2013. “Estamos Traumados: The

Effect of Anti-Immigrant sentiment and

policies on the mental health of Mexican

immigrant families.” Journal of Community

Psychology 41(8): 1005-1020.

Navarro, Vicente, Muntaner, Carles, Borrell,

Carme, Benach, Joan, Quiroga, Agueda,

Rodriguez-Sanz, Maica, … and Maria Pasarin.

2006. “Politics and Health Outcomes.”

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Lancet 368: 1033-1037.

11:00-

12:00

Overview of Survey Method Approach to Studying Immigration and Health Connection /Introduction to CMPS dataset

Gabriel

Sanchez /

ICPSR Staff

See link below for CMPS data-set which is

available through

ICPSR:forhttp://www.icpsr.umich.edu/icpsr

web/RCMD/studies/35163

12:00-1:15 Lunch

1:15 – 2:45 Mini-Workshop on Coding Policies and Laws

Gabriel

Sanchez

We will be utilizing the publically available immigration law data provided by the National Conference of State Legislators:http://www.ncsl.org/research/immigration/state-laws-related-to-immigration-and-immigrants.aspx Meyer, Brooke, Segreto, Joy, Carter, April, and Ann Morse. 2011. “2011 Immigration-Related Laws and Resolutions in the States (Jan. 1–Dec. 7, 2011).” Immigrant Policy Project. National

Conference of State Legislatures. Retrieved

from:http://www.ncsl.org/research/immigra

tion/stateimmigration-legislation-report-

dec-2011.aspx

2:45-3:00 Break

3:00-5:00 Merging Law Data With individual Level Survey Data/Examples of Findings with CMPS and More Recent Research Approaches

Gabriel

Sanchez

Ybarra, Sanchez and Sanchez (working paper). “Anti-Immigrant Anxieties in State Policy: The Great Recession and Punitive Immigration Policy in the American States, 2005-2012” Sanchez, Vargas, Juarez (working paper). “The Impact of Punitive Immigration Laws on the Health of Latinos” Vargas, Sanchez, Juarez, Livaudais (working

paper). “The Impact of Knowing a Deportee

on the Health of Latinos.”

5:00- 6:00 Informal Exchanges

w/Participants and

Instructors/Staff

Gabriel

Sanchez/ John

Garcia

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Thursday, August 6th : Transnational Ties, Immigrant Health, and Health Behavior Learning

Objectives:

Learning Objectives: After completing this workshop, you should be able to: • Summarize the contemporary health literature on Latino and Asian US immigrant adults • Review popular explanations for the immigration paradox (psychosocial and behavioral,

sociological, and methodological explanations) • Evaluate interdisciplinary perspectives on transnationalism and its measurement • Review literature on transnational ties, health behavior, and mental health outcomes • Discuss important trends and implications of transnational ties for immigrant health

promotion and disease prevention

Time Topics Presenter Objectives and Resources

9:00-

10:00

Welcome John A. Garcia

/Carmela Alcantara

Catch up on past developments, questions,

announcements, introduction

10:00-

11:45

Latino and Asian

Immigrant Adult

Health:

Paradoxes and

Explanations

Carmela Alcantara Argeseanu Cunningham, S., Ruben, J. D., & Narayan, K. M. (2008).” Health of foreign-born people in the United States: a review.” Health Place, 14(4), 623-635. doi: 10.1016/j.healthplace.2007.12.002

Ruiz, J. M., Steffen, P., & Smith, T. B. (2013). “Hispanic mortality paradox: a systematic review and meta-analysis of the longitudinal literature.” Am J Public Health, 103(3), e52-60. doi: 10.2105/ajph.2012.301103

11:45-1:00 Lunch

1:00-2:30 Interdisciplinary Perspectives on Transnationalism and its Measurement

Carmela Alcantara Portes, A. (2007). “Migration, development, and segmented assimilation: A conceptual review of the evidence.” Annals of the American Academy of Political and Social Science, 610, 73–97. Levitt, P. (1998). “Social remittances: Migration driven local-level forms of cultural diffusion”. International Migration Review, 32, 926–948. doi: 10.2307/2547666 Viruell-Fuentes, E. A., Morenoff, J. D., Williams, D. R., & House, J. S. (2013). “Contextualizing nativity status, Latino social ties, and ethnic enclaves: an

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examination of the 'immigrant social ties hypothesis'.” Ethnic Health. doi: 10.1080/13557858.2013.814763

2:45-2:45 Break

2:50 –

4:30

Transnational Ties and Immigrant Health and Health Behavior

Carmela Alcantara Alcántara, C., C-N. Chen, and M. Alegria. 2014a. “Transnational ties and past-year major depressive episodes among Latino immigrants." Cultural Diversity and Ethnic Minority Psychology [ePub ahead of print]. Grzywacz, Joseph G., Sara A. Quandt, Julie Early, Janeth Tapia Christopher A. Graham, and Thomas A. Arcury. 2006. “Leaving Family for Work: Ambivalence and Mental Health Among Mexican Migrant Farmworker Men." Journal of Immigrant & Minority Health 8(1):85-97. Alcántara, C., K. M. Molina, and I. Kawachi. 2014. “Transnational, social, and neighborhood ties and smoking among Latino immigrants: Does gender matter?" American Journal of Public Health 105(4).

4:30-5:30 Examining

Potential Data

Sources

RCMD Staff ICPSR Latino National Survey (LNS) http://doi.org/10.3886/ICPSR20862.v6 National Latino and Asian American Survey (NLAAS) http://www.icpsr.umich.edu/icpsrweb/CPES/files/nlaas Non-ICPSR Hispanic Community Health Survey/Survey of Latinos https://www2.cscc.unc.edu/hchs/front-page-news?destination=front-page-news

5:00-6:00 Informal Exchanges w/Participants and Instructors/Staff

Carmela Alcantara /

John Garcia

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Friday, August 7th: Comparative Research on Migration and Health : Issues , Resources and

Projects

Learning Objectives:

After completing this workshop, you should be able to: Examine cross national data on older adults and explore research findings on migration

and health, especially developing nations Compare and contrast different approaches to capture the country of origin effects on

migration experiences and statuses as indicators of contributing factors involving migration and health research

Introduction to Health and Medical Care Archive- design, resources, studies Group discussions of ongoing or future projects and collaborative input.

Time Topics Presenter Objectives and Resources

9:00- 9:15 Welcome-touching base.

Atlas-ti raffle

John A. Garcia

9:15- 10:00 HMCA Archive

Presentation

Alon Axelrod

10:00-10:15 Break

10:00-11:45 Cross-national data on older adults and examination of research findings regarding immigration/migration and health

Mary McEniry McEniry, Mary 2014 Early Life

Conditions and Rapid

Demographic Changes in the

Developing World: Consequences

for Older Adult Health

RELATE (#34241) Research on

Early Life and Aging Trends and

Effects. (ICPSR Study)

11:45-1:00 Lunch

1:00 – 1:20 Workshop Evaluations ICPSR Summer

Program Staff

In class evaluation

1:25-3:00 Country of Origin:

Approaches, Measures

and Utility for Research

on Migration and Health

John A. Garcia Irene Bloemraad “The promise and pitfalls of comparative research design in the study of migration” Migration Studies Vol. 1 NUMBER 1 2013 pp. 27–46.

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Catherine Simpson Bueker “Political Incoporation Among Immigrants from Ten Areas of Origin: The Persistence of Source Country Effects” IMR Volume 39 Number 1 (Spring 2005):103-140.

Tim Huijts and Gerbert Kraaykamp “Immigrants’ Health in Europe: A Cross-Classified Multilevel Approach to Examine Origin Country, Destination Country, and Community Effects” IMR Volume 46 Number 1 (Spring 2012):101–137

Karen M. Kobayashia*, Steven Prusb and Zhiqiu Linb “Ethnic differences in self-rated and functional health: does immigrant status matter?” Ethnicity & Health Vol. 13, No. 2, April 2008, 129-147.

Karien Stronksa*, Isik Kulu-Glasgowb and Charles Agyemang “The utility of ‘country of birth’ for the classification of ethnic groups in health research: the Dutch experience” Ethnicity & Health Vol. 14, No. 3, June 2009, 255-269

3:00-3:15 Break

3:15-4:30 Discussion of Current and

Future Research Projects

among RWJ Participants

John Garcia

4:30- 5:00 Wrap- up. Informal

Exchanges w/Participants

and Instructors/Staff

MaryMcEniry

& John Garcia