The effect of immigrant generation and duration on self-rated health among US adults 2003-2007

Dolores Acevedo-Garcia, Lisa M. Bates, Theresa L. Osypuk, Nancy McArdle

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

Global self-rated health (SRH) is increasingly a key indicator in the assessment of immigrant health. However, evidence of the impact on SRH of generational status, duration of residence in the US, and socioeconomic status (SES) among immigrants and their offspring is limited and inconsistent. We overcome limitations in existing research on this topic by using a uniquely large and diverse data source, the March Annual Social and Economic Supplement of the Current Population Survey (CPS; 2003-2007) (n = 637,209). As a result, we are able to disaggregate results by race/ethnicity, account for country of origin, and consider the role of multiple dimensions of SES. We find that overall first-generation immigrants in the US have lower odds of poor/fair SRH compared to the third-generation. This association is particularly strong for blacks and Hispanics but not significant for Asians. Among first-generation Asians and Hispanics, longer duration of residence is positively associated with poor/fair SRH. Finally, socioeconomic gradients in SRH tend to be less pronounced among the first-generation (versus the third) and, within the first-generation, among recent arrivals (versus those with longer durations). Our results highlight the importance of explicitly accounting for multiple immigration-related variables and their interactions with race/ethnicity and SES. Otherwise, studies may misestimate SRH differences by race/ethnicity and socioeconomic status. The continued growth of the US immigrant population and the second-generation underscore the need to examine patterns in immigrant health systematically.

Original languageEnglish (US)
Pages (from-to)1161-1172
Number of pages12
JournalSocial Science and Medicine
Volume71
Issue number6
DOIs
StatePublished - Sep 1 2010

Fingerprint

Cohort Effect
immigrant
Social Class
Health
first generation
health
social status
ethnicity
Hispanic Americans
Information Storage and Retrieval
Emigration and Immigration
third generation
Immigrants
country of origin
Population
Health Status
supplement
Economics
immigration
Growth

Keywords

  • Immigration
  • Race/ethnicity
  • Self-rated health
  • Socioeconomic gradients
  • USA

Cite this

The effect of immigrant generation and duration on self-rated health among US adults 2003-2007. / Acevedo-Garcia, Dolores; Bates, Lisa M.; Osypuk, Theresa L.; McArdle, Nancy.

In: Social Science and Medicine, Vol. 71, No. 6, 01.09.2010, p. 1161-1172.

Research output: Contribution to journalArticle

Acevedo-Garcia, Dolores ; Bates, Lisa M. ; Osypuk, Theresa L. ; McArdle, Nancy. / The effect of immigrant generation and duration on self-rated health among US adults 2003-2007. In: Social Science and Medicine. 2010 ; Vol. 71, No. 6. pp. 1161-1172.
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