Journal of Immigrant and Minority Health

, Volume 20, Issue 4, pp 841–847 | Cite as

Injuries Among School-aged Children of Immigrants

  • Jina ChangEmail author
  • Daniel P. Miller
Original Paper


In response to a dearth of research on injuries among children of immigrants, this study examined child injury rates by immigrant generation. We used generalized estimating equations and nationally representative data to estimate injury risk for school-aged children of immigrants of different generations compared to children of native, US-born parents. After controlling for multiple other factors including socioeconomic status, citizenship, and children’s general health, both 1st and 2nd generation school-aged children had significantly lower odds of having injuries compared to children of natives. Additional analyses also found lower odds of injuries among 1st and 2nd generation children relative to children of natives that persisted in both lower- and higher-income families. The findings suggest that 1st and 2nd generation immigrant families possess factors that protect children from injury independent of socioeconomic status. Policy and program development would benefit from a clearer understanding of these protective factors.


Children of immigrants Injuries School-aged children Immigrant health Acculturation 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All analyses were conducted with de-identified secondary data with no means to link information to individual respondents. The present study was considered to be not human subjects research and required no review by an institutional review board. This article does not contain any studies with human participants or animals performed by any of the authors.


  1. 1.
    Capps R et al. The new demography of America’s schools: Immigration and the no child left behind act. Urban Institute (NJ1). 2005.Google Scholar
  2. 2.
    Passel JS. Demography of immigrant youth: past, present, and future. Future Child. 2011;21(1):19–41.CrossRefPubMedGoogle Scholar
  3. 3.
    Passel JS, Cohn D. US population projections: 2005–2050. Pew Research Center. 2008.Google Scholar
  4. 4.
    Fortuny K, Chaudry A. Children of immigrants: Immigration trends. fact sheet no. 1. Urban Institute (NJ1). 2009.Google Scholar
  5. 5.
    Centers for Disease Control and Prevention. CDC childhood injury report. 2016. Retrieved 1 Mar 2016.
  6. 6.
    Centers for Disease Control and Prevention. 1 CDC childhood injury report: Patterns of unintentional injuries among 0–19 year old in the United States, 2000–2006. 2008. Retrieved 21 Feb 2016.
  7. 7.
    National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. National Action Plan for Child Injury Prevention. Atlanta (GA): CDC, NCIPC. 2012. Retrieved 1 Mar 2016.
  8. 8.
    Schwebel DC, Brezausek CM. Language acculturation and pediatric injury risk. J Immigr Minor Health. 2009;11(3):168–73.CrossRefPubMedGoogle Scholar
  9. 9.
    Vaughan E, et al. Cultural differences in young children’s vulnerability to injuries: a risk and protection perspective. Health Psychol. 2004;23(3):289.CrossRefPubMedGoogle Scholar
  10. 10.
    Schwebel DC, et al. Injury risk among children of low-income US-born and immigrant mothers. Health Psychol. 2005;24(5):501.CrossRefPubMedGoogle Scholar
  11. 11.
    Singh GK, Siahpush M. Ethnic-immigrant differentials in health behaviors, morbidity, and cause-specific mortality in the united states: an analysis of two national data bases. Hum Biol. 2002:83–109.Google Scholar
  12. 12.
    Sorenson SB, Shen H. Mortality among young immigrants to California: Injury compared to disease deaths. J Immigr Health. 1999;1(1):41–7.CrossRefPubMedGoogle Scholar
  13. 13.
    Acevedo-Garcia D, Bates LM. Latino health paradoxes: Empirical evidence, explanations, future research, and implications. In: Latinas/os in the united states: changing the face of America. New York: Springer; 2008. p. 101–113.Google Scholar
  14. 14.
    Perreira KM, Ornelas IJ. The physical and psychological well-being of immigrant children. Future Child. 2011;21(1).Google Scholar
  15. 15.
    Gordon-Larsen P, et al. Acculturation and overweight-related behaviors among Hispanic immigrants to the US: the national longitudinal study of adolescent health. Soc Sci Med. 2003;57(11):2023–34.CrossRefPubMedGoogle Scholar
  16. 16.
    Unger JB, et al. Acculturation, physical activity, and fast-food consumption among Asian-American and Hispanic adolescents. J Community Health. 2004;29(6):467–81.CrossRefPubMedGoogle Scholar
  17. 17.
    Gil AG, et al. Acculturation, familism, and alcohol use among Latino adolescent males: longitudinal relations. J Community Psychol. 2000;28(4):443–58.CrossRefGoogle Scholar
  18. 18.
    Rogler LH. International migrations: a framework for directing research. Am Psychol. 1994;49(8):701.CrossRefPubMedGoogle Scholar
  19. 19.
    Guilamo-Ramos V, et al. Binge drinking among Latino youth: role of acculturation-related variables. Psychol Addict Behav. 2004;18(2):135.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Portes A, Rumbaut RG. Legacies: the story of the immigrant second generation. Berkeley: University of California Press; 2001.Google Scholar
  21. 21.
    Singh GK, et al. Disparities in obesity and overweight prevalence among US immigrant children and adolescents by generational status. J Community Health. 2009;34(4):271–81.CrossRefPubMedGoogle Scholar
  22. 22.
    Burgos AE, et al. Importance of generational status in examining access to and utilization of health care services by Mexican American children. Pediatrics. 2005;115(3):e322–e30. pii].CrossRefPubMedGoogle Scholar
  23. 23.
    Brugge D, et al. Native and foreign born as predictors of pediatric asthma in an Asian immigrant population: a cross sectional survey. Environ Health. 2007;6(1):13.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Smithson J, et al. Barriers to, and facilitators of, the prevention of unintentional injury in children in the home: a systematic review and synthesis of qualitative research. Inj Prev. 2011;17(2):119–26. doi: 10.1136/ip.2010.026989. [doi].CrossRefPubMedGoogle Scholar
  25. 25.
    Schwebel DC, Plumert JM. Longitudinal and concurrent relations among temperament, ability estimation, and injury proneness. Child Dev. 1999;70(3):700–12.CrossRefPubMedGoogle Scholar
  26. 26.
    Sridharan L, Crandall M. Injury and health among children in vulnerable families. J Trauma. 2011;70(6):1539–45. doi: 10.1097/TA.0b013e3182190b94.CrossRefPubMedGoogle Scholar
  27. 27.
    Peterson L, Stern BL. Family processes and child risk for injury. Behav Res Ther. 1997;35(3):179–90.CrossRefPubMedGoogle Scholar
  28. 28.
    Morrongiello BA, Sedore L. The influence of child attributes and social-situational context on school-age children’s risk taking behaviors that can lead to injury. J Appl Dev Psychol. 2005;26(3):347–61.CrossRefGoogle Scholar
  29. 29.
    Ramsay L, et al. Unintentional home injury in preschool-aged children: looking for the key—an exploration of the inter-relationship and relative importance of potential risk factors. Public Health. 2003;117(6):404–11.CrossRefPubMedGoogle Scholar
  30. 30.
    Bramlett MD, Blumberg SJ. Family structure and children’s physical and mental health. Health Aff (Millwood). 2007;26(2):549–58. doi: 10.1179/0024363914Z.00000000087.CrossRefGoogle Scholar
  31. 31.
    Alba R, Nee V. Remaking the American mainstream: Assimilation and contemporary immigration. Cambridge: Harvard University Press; 2009.Google Scholar
  32. 32.
    Ra CK, et al. Is acculturation always adverse to Korean immigrant health in the united states? J Immigr Minor Health. 2013;15(3):510–6.CrossRefPubMedGoogle Scholar
  33. 33.
    Miller DP, et al. Longitudinal trajectories of food insecurity among children of immigrants. J Immigr Minor Health. 2016:1–9.Google Scholar
  34. 34.
    Mull DS, et al. Injury in children of low-income Mexican, Mexican American, and non-Hispanic white mothers in the USA: a focused ethnography. Soc Sci Med. 2001;52(7):1081–91.CrossRefPubMedGoogle Scholar
  35. 35.
    Radloff LS. The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRefGoogle Scholar
  36. 36.
    Zeger SL, et al. Models for longitudinal data: A generalized estimating equation approach. Biometrics. 1988:1049–1060.Google Scholar
  37. 37.
    Singh GK, Siahpush M. All-cause and cause-specific mortality of immigrants and native born in the United States. Am J Public Health. 2001;91(3):392–9.CrossRefPubMedPubMedCentralGoogle Scholar
  38. 38.
    Acevedo-Garcia D, et al. The differential effect of foreign-born status on low birth weight by race/ethnicity and education. Pediatrics. 2005;115(1):e20–e30.CrossRefPubMedGoogle Scholar
  39. 39.
    Acevedo-Garcia D, et al. The effect of immigrant generation on smoking. Soc Sci Med. 2005;61(6):1223–42.CrossRefPubMedGoogle Scholar
  40. 40.
    Van Hook J, Balistreri KS. Immigrant generation, socioeconomic status, and economic development of countries of origin: a longitudinal study of body mass index among children. Soc Sci Med. 2007;65(5):976–89.CrossRefPubMedGoogle Scholar
  41. 41.
    Portes A. The new second generation. New York: Russell Sage Foundation; 1996.Google Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Boston University School of Social WorkBostonUSA

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