| Literature DB >> 31963406 |
Matthias Robert Kern1, Andreas Heinz1, Helmut Erich Willems1.
Abstract
Although the school-class is known to be an important setting for adolescent risk behavior, little is known about how the ethnic composition of a school-class impacts substance use among pupils with a migration background. Moreover, the few existing studies do not distinguish between co-ethnic density (i.e., the share of immigrants belonging to one's own ethnic group) and immigrant density (the share of all immigrants). This is all the more surprising since a high co-ethnic density can be expected to protect against substance use by increasing levels of social support and decreasing acculturative stress, whereas a high immigrant density can be expected to do the opposite by facilitating inter-ethnic conflict and identity threat. This study analyses how co-ethnic density and immigrant density are correlated with smoking among pupils of Portuguese origin in Luxembourg. A multi-level analysis is used to analyze data from the Luxembourg Health Behavior in School-Aged Children study (N = 4268 pupils from 283 classes). High levels of co-ethnic density reduced current smoking. In contrast, high levels of immigrant density increased it. Thus, in research on the health of migrants, the distinction between co-ethnic density and immigrant density should be taken into account, as both may have opposite effects.Entities:
Keywords: HBSC; acculturative stress; adolescence; ethnic composition; ethnic density; migration; multilevel analysis; school-class; smoking; substance use
Year: 2020 PMID: 31963406 PMCID: PMC7013819 DOI: 10.3390/ijerph17020598
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Analyses for the subgroup of students of Portuguese descent: Direct effects of co-ethnic and immigrant density.
| Variable | Odds Ratio (95% Confidence Interval) |
|---|---|
| Log (% Co-Ethnic Density) | 0.60 (0.39–0.92) * |
| Log (% Immigrant Density) | 3.89 (1.61–9.41) ** |
| Mean Age in Class | 1.47 (1.31–1.65) *** |
| Relative Age a | 1.19 (0.93–1.52) |
| Gender (Reference = Male) | 1.42 (1.04–1.96) * |
| Socio-Economic Status | 0.98 (0.91–1.06) |
| First Generation | 1.07 (0.72–1.59) |
| Luxembourgish Spoken at Home | 1.53 (1.06–2.19) * |
| Portuguese Spoken at Home | 1.46 (0.73–2.9) |
| Disliking School | 1.52 (1.24–1.88) *** |
| Meet Friends after 8 p.m. | 1.4 (1.2–1.63) *** |
| Educational Track (Reference = High) | |
| Middle | 1.82 (1.06–3.11) * |
| Low | 2.71 (1.29–5.68) ** |
| Intraclass Correlation (Class) b | 0.16 |
| Var. random intercept b,c | 0.62 (0.32–1.19) ** |
a Centered around the class mean, b For the null model, c One-tailed adjusted Wald test, * p < 0.5; ** p < 0.01; *** p < 0.001 (two-tailed test).
Figure 1(a) Predicted mean probability of current smoking by co-ethnic density in school-class with 95% confidence intervals; (b) predicted mean probability of current smoking by immigrant density in class with 95% confidence intervals. Note: All other variables held at their observed values in the data.
Analyses for the whole sample: Interaction between being of Portuguese descent and co-ethnic and immigrant density.
| Variable | Odds Ratio (95% Confidence Interval) |
|---|---|
| Portuguese X Log (% Portuguese Ethnic Density) | 0.54 (0.41–0.72) *** |
| Portuguese X Log (% Immigrant Density) | 4.07 (1.58–10.48) ** |
| Mean Age in Class | 1.42 (1.33–1.52) *** |
| Relative Age a | 1.42 (1.27–1.59) *** |
| Gender (Reference = Male) | 1.16 (0.95–1.41) |
| Socio-Economic Status | 1 (0.96–1.04) |
| First Generation | 1.05 (0.78–1.42) |
| Country of Origin (Reference = Native) | |
| Portuguese | 0.017 (0–0.65) * |
| Other | 0.38 (0.05–2.89) |
| Disliking School | 1.57 (1.41–1.75) *** |
| Meet Friends after 8 p.m. | 1.62 (1.48–1.79) *** |
| Luxembourgish Spoken at Home | 1.28 (0.99–1.65) |
| Portuguese Spoken at Home | 1.11 (0.74–1.68) |
| Educational Track (Reference = High) | |
| Middle | 2.18 (1.67–2.85) *** |
| Low | 3.11 (2.16–4.48) *** |
| Log (% Portuguese Ethnic Density) | 1.01 (0.86–1.18) |
| Log (% Immigrant Density) | 1.03 (0.71–1.5) |
| Other X Log (% Portuguese Ethnic Density) | 0.87 (0.73–1.05) |
| Other X Log (% Immigrant Density) | 1.4 (0.78–2.5) |
| Intraclass Correlation (Class) b | 0.18 |
| Var. random intercept (Class) b,d | 0.59 (0.44–0.78) *** |
| Var. random slope Portuguese (Class) c,d | 0.13 (0–4.35) |
| Intraclass Correlation (School) b | 0.03 |
| Var. random intercept (School) b,d | 0.11 (0.05–0.29) * |
a Centered around the class mean, b For the null model, c For the model omitting immigrant- and Portuguese ethnic density and their cross-level interactions, d One-tailed adjusted Wald test, * p < 0.5; ** p < 0.01; *** p < 0.001 (two-tailed test).
Figure 2(a) Average marginal effect of being of Portuguese descent by Portuguese ethnic density in school-class with 95% confidence intervals; (b) average marginal effect of being of Portuguese descent by immigrant density in school-class with 95% confidence intervals. Reference category: Native. Note all other variables are held at their observed values in the data.