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Edberg Trajectory Model Reading - Coggle Diagram

- - - - In this article they talk about how Immigrants/refugees tend to have worse outcomes after living in the U.S for ~10 years; it made me think about how this goes against tthe salmon bias we've learned about in Latine communities. Obviously there is more nuance to this issue depending on where the immigrants/refugees are coming from
    - - "Following the trajectory model, the factors listed above may, over time, increase or decrease the ‘‘distance’’ between a population trajectory and the mainstream health-related system—which can be understood as marginalization—as well as factors that may operate within a context of marginality yet serve as protective (e.g., social cohesion). Thus marginalization in itself may include positive and negative aspects. We can therefore hypothesize that an increase IN negative marginality, represented by the presence or degree of negative factors in the above domains, will be associated with a decrease in health status in general and with respect to the two specific health issue clusters measured."
        
        I say this is connected to what we learned about in the AAPI Health disparities because I think it hightlights how "Positive marginalization" can potentially contribute to negative outcomes and it made me think back to the discussion we had on the harms of the model minority myth
- - - - Trajectory of Health
        
        "includes their vulnerability and exposure to disease, and the systems of knowledge, attitude and practice related to health that developed in response to their vulnerability and historical experience within a larger society—or, one could say, a larger environment. This combination of vulnerability, circumstance and response forms the larger set of forces that, together, create the differences in health status referred to as health disparities."
        
        Factors observed:
        
        Migration experience
        
        Social Adjustment
        
        SES
        
        Social Support
        
        Neighborhood Characteristics
        
        Health status (Self Reported)
        
        Health knowledge
        
        Access to care
        
        Perceived discrimination
  - - - Model is multilevel, so any analysis of the data must be multi-leveled as well
        
        There are several challenges in collecting longitudinal data
        
        Constantly changing population
        
        Unwillingness to participate