Peace in Guatemala and Immigrant Health in the United States

Background: The civil war between the indigenous Mayans and other Guatemalans lasted for 36 years, killed civilians, decimated villages, and resulted in many refugees. The Guatemalan Peace Agreement of 1996 aimed to alleviate the ongoing conflict. Studies of peace agreements more typically evaluate...

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Autores principales:	Jeremy C. Green, Eric Adjei Boakye, Amanda Schoening, Michael G. Vaughn
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2018
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/bcd80bc7bbee45c4b946f6ded1de0390
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spelling	oai:doaj.org-article:bcd80bc7bbee45c4b946f6ded1de03902021-12-02T01:29:16ZPeace in Guatemala and Immigrant Health in the United States2214-999610.29024/aogh.2380https://doaj.org/article/bcd80bc7bbee45c4b946f6ded1de03902018-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2380https://doaj.org/toc/2214-9996Background: The civil war between the indigenous Mayans and other Guatemalans lasted for 36 years, killed civilians, decimated villages, and resulted in many refugees. The Guatemalan Peace Agreement of 1996 aimed to alleviate the ongoing conflict. Studies of peace agreements more typically evaluate local political outcomes while neglecting global health outcomes. Objective: Our research quantified associations between pre-migration exposure to the peace agreement in Guatemala and the post-migration health status of Guatemalan immigrants in the United States. Methods: We used chi-square tests to compare the distribution of health status before and after peace. We used ordered probit regressions to estimate associations between peace in Guatemala and health in the United States, conditional on the observed distributions of age, age squared, age cubed, and linear time trends before and after peace. Findings: The study sample included 4,115 female and 5,282 male Guatemalan immigrants between the ages of 15 and 85. The mean age was 38.8 years for females (standard deviation, 14.2) and 35.4 years for males (standard deviation, 12.6). Chi-square tests found statistically significant differences in the distribution of health status before and after the peace agreement, for females (P < .001) and males (P < .001). In unadjusted results, the peace agreement was associated with a 7.3 percentage point increase in excellent post-migration health for females (95% confidence interval, 4.9 to 9.8) and a 6.0 percentage point increase for males (95% confidence interval, 3.8 to 8.2). In adjusted results, we found that the peace agreement was associated with a 6.1 percentage point increase in excellent post-migration health for females (95% confidence interval, 0.8 to 11.4) and a 5.5-percentage point increase for males (95% confidence interval, 1.0 to 10.0). Conclusions: The peace agreement in Guatemala was associated with statistically significant improvements in the health status of Guatemalan immigrants to the United States.Jeremy C. GreenEric Adjei BoakyeAmanda SchoeningMichael G. VaughnUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 84, Iss 4, Pp 704-709 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Jeremy C. Green Eric Adjei Boakye Amanda Schoening Michael G. Vaughn Peace in Guatemala and Immigrant Health in the United States
description	Background: The civil war between the indigenous Mayans and other Guatemalans lasted for 36 years, killed civilians, decimated villages, and resulted in many refugees. The Guatemalan Peace Agreement of 1996 aimed to alleviate the ongoing conflict. Studies of peace agreements more typically evaluate local political outcomes while neglecting global health outcomes. Objective: Our research quantified associations between pre-migration exposure to the peace agreement in Guatemala and the post-migration health status of Guatemalan immigrants in the United States. Methods: We used chi-square tests to compare the distribution of health status before and after peace. We used ordered probit regressions to estimate associations between peace in Guatemala and health in the United States, conditional on the observed distributions of age, age squared, age cubed, and linear time trends before and after peace. Findings: The study sample included 4,115 female and 5,282 male Guatemalan immigrants between the ages of 15 and 85. The mean age was 38.8 years for females (standard deviation, 14.2) and 35.4 years for males (standard deviation, 12.6). Chi-square tests found statistically significant differences in the distribution of health status before and after the peace agreement, for females (P < .001) and males (P < .001). In unadjusted results, the peace agreement was associated with a 7.3 percentage point increase in excellent post-migration health for females (95% confidence interval, 4.9 to 9.8) and a 6.0 percentage point increase for males (95% confidence interval, 3.8 to 8.2). In adjusted results, we found that the peace agreement was associated with a 6.1 percentage point increase in excellent post-migration health for females (95% confidence interval, 0.8 to 11.4) and a 5.5-percentage point increase for males (95% confidence interval, 1.0 to 10.0). Conclusions: The peace agreement in Guatemala was associated with statistically significant improvements in the health status of Guatemalan immigrants to the United States.
format	article
author	Jeremy C. Green Eric Adjei Boakye Amanda Schoening Michael G. Vaughn
author_facet	Jeremy C. Green Eric Adjei Boakye Amanda Schoening Michael G. Vaughn
author_sort	Jeremy C. Green
title	Peace in Guatemala and Immigrant Health in the United States
title_short	Peace in Guatemala and Immigrant Health in the United States
title_full	Peace in Guatemala and Immigrant Health in the United States
title_fullStr	Peace in Guatemala and Immigrant Health in the United States
title_full_unstemmed	Peace in Guatemala and Immigrant Health in the United States
title_sort	peace in guatemala and immigrant health in the united states
publisher	Ubiquity Press
publishDate	2018
url	https://doaj.org/article/bcd80bc7bbee45c4b946f6ded1de0390
work_keys_str_mv	AT jeremycgreen peaceinguatemalaandimmigranthealthintheunitedstates AT ericadjeiboakye peaceinguatemalaandimmigranthealthintheunitedstates AT amandaschoening peaceinguatemalaandimmigranthealthintheunitedstates AT michaelgvaughn peaceinguatemalaandimmigranthealthintheunitedstates
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Peace in Guatemala and Immigrant Health in the United States

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