Journal of Immigrant Health

, Volume 7, Issue 3, pp 205–212 | Cite as

Implications of Black Immigrant Health for U.S. Racial Disparities in Health

  • Jen’nan Ghazal Read
  • Michael O. Emerson
  • Alvin Tarlov
Article

Abstract

This paper contributes to a growing understanding of U.S. black-white health disparities by using national-level data to disaggregate the health status of black Americans into the following subgroups: U.S.-born blacks, black immigrants from Africa, black immigrants from the West Indies, and black immigrants from Europe. Using new data on the 2000 and 2001 National Health Interview Surveys (NHIS), the authors compare the status of U.S.- and foreign-born blacks to that of U.S.-born whites on three measures of health. The analysis finds that U.S.-born and European-born blacks have worse self-rated health, higher odds of activity limitation, and higher odds of limitation due to hypertension compared to U.S.-born whites. In contrast, African-born blacks have better health than U.S.-born whites on all three measures, while West Indian-born blacks have poorer self-rated health and higher odds of limitation due to hypertension but lower odds of activity limitation. These findings suggest that grouping together foreign-born blacks misses important variations within this population. Rather than being uniform, the black immigrant health advantage varies by region of birth and by health status measure. The authors conclude by exploring the implications of these findings for researchers, health professionals, and public policy.

Key words

blacks racial disparities immigrants ethnic groups 

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References

  1. 1.
    CDC. Influence of homocide on racial disparity in life expectancy—United States, 1998. J Am Med Assoc 2001; 22:2805–2807. Hyattsville, Maryland: US Department of Health and Human Services, CDC, Morbidity and Mortality Weekly Report.Google Scholar
  2. 2.
    Kington R, Nickens HW: Racial and ethnic differences in health: Recent trends, current patterns, and future directions. In: Smelser N, Wilson WJ, Mitchell F, eds. America Becoming: Racial Trends and Their Consequences, Vol. 2. Washington, DC: National Academy Press; 2001, pp. 253–310Google Scholar
  3. 3.
    CDC: Racial and Ethnic Approaches to Community Health (REACH 2010): Addressing disparities in health. Hyattsville, Maryland: U.S. Department of Health and Human Services, CDC, Division of Data Services, 2003. Available at http://www.cdc.gov/nccdphp/aag_reach.htm
  4. 4.
    Williams DR: Racial variations in adult health status: Patterns, paradoxes, and prospects. In: Smelser N, Wilson WJ, Mitchell F, eds. America Becoming: Racial Trends and Their Consequences, Vol. 2. Washington, DC: National Academy Press; 2001, pp. 371–410Google Scholar
  5. 5.
    Profile of the foreign-born population in the United States and decennial census data. Washington, DC: U.S. Bureau of the Census, 1980, 2001Google Scholar
  6. 6.
    David RJ, Collins JW: Differing birth weight among infants of U.S.-born blacks, African-born blacks, and U.S.-born whites. N Engl J Med 1997; 337(17):1209–1214CrossRefPubMedGoogle Scholar
  7. 7.
    Pallotto EK, Collins JW Jr, David RJ: Enigma of maternal race and infant birth weight: A population-based study of US-born Black and Caribbean-born Black women. Am J Epidemiol.2000; 151(11(1 June)):1080–1085PubMedGoogle Scholar
  8. 8.
    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; 74:83–109PubMedGoogle Scholar
  9. 9.
    Hummer RA, Rogers R, Nam CB, LeClere FB: Race/ ethnicity, nativity, and U.S. adult mortality. Soc Sci Q 1999; 80:136–154Google Scholar
  10. 10.
    Marmot MG, Syme SL: Acculturation and Coronary Heart Disease in Japanese-Americans. Am J Epidemiol 1976; 104:225–247PubMedGoogle Scholar
  11. 11.
    Idler E, Angel R: Self-rated health and mortality in the NHANES-I epidemiologic follow-up study. Am J Public Health 1990; 80:446–452PubMedGoogle Scholar
  12. 12.
    NCHS: Data file documentation, National Health Interview Survey, 2000 (machine readable data file and documentation). Hyattsville, Maryland: National Center for Health Statistics, 2002. Available on-line at http://www.cdc.gov/nchs/nhis.htm
  13. 13.
    Collins JW, Wu SY, David RJ: Differing intergenerational birth weights among the descendants of US-born and foreign-born whites and African Americans in Illinois. Am J Epidemiol 2002; 155:210–216CrossRefPubMedGoogle Scholar
  14. 14.
    McEwen B, Lasley E: The End of Stress As We Know It. Washington, DC: Joseph Henry Press; 2002Google Scholar
  15. 15.
    Greenberg M, Schneider D: Region of birth and mortality of blacks in the United States. Int J Epidemiol 1992; 21:324–328PubMedGoogle Scholar
  16. 16.
    Power C, Hertzman C: Health, wellbeing, and coping skills: In: Keating DP, Hertzman C, eds. Developmental Health and a Wealth of Nations: Social, Educational, and Biological Dynamics. New York: Guilford Press; 1999, pp. 41–63Google Scholar
  17. 17.
    Fang J, Madhavan S, Alderman MH: Influence of nativity on cancer mortality among black New Yorkers. Cancer 1997; 80:129–135CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Jen’nan Ghazal Read
    • 1
    • 5
  • Michael O. Emerson
    • 2
  • Alvin Tarlov
    • 3
    • 4
  1. 1.Department of SociologyUniversity of CaliforniaIrvine
  2. 2.Department of SociologyRice UniversityHouston
  3. 3.James Baker Institute for Public PolicyRice UniversityHouston
  4. 4.School of Public HealthUniversity of TexasHouston
  5. 5.4201 Social Science Plaza BUniversity of CaliforniaIrvine

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