Journal of Immigrant and Minority Health

, Volume 13, Issue 2, pp 232–238 | Cite as

English Language Use, Health and Mortality in Older Mexican Americans

Original Paper

Abstract

The purpose of this study is to determine if English language use is associated with smoking, diabetes, hypertension, limitations in Activities of Daily Living (ADL), and 12-year mortality in older Mexican Americans. Using data from a cohort of 3,050 Mexican Americans aged 65 years and older, we examined prevalence of 4 health indicators and survival over 12 years of follow-up by English language use. English language use is associated with increased odds of hypertension in men, independent of nativity and sociodemographic control variables. Among women, English language use is associated with lower odds of ADL limitations and increased odds of smoking. The associations for women were partially explained by occupational status and nativity. After adjusting for health conditions, sociodemographics, and nativity, English language use was associated with increased mortality among men. Interaction terms revealed that for both men and women, higher English language use was associated with mortality for respondents with the highest level of income only. English language use is a predictor of health and mortality in older Mexican Americans separate from country of birth.

Keywords

English Chronic illness Death and dying Latinos Gender 

References

  1. 1.
    Markides KS, Eschbach K. Aging, migration, and mortality: current status of research on the Hispanic paradox. J Gerontol Soc Sci. 2005;60:S68–75.Google Scholar
  2. 2.
    Lansdale NS, Oropesa RS, Gorman BK. Migration and infant death: assimilation or selective migration among Puerto Ricans. Am Sociol Rev. 2000;65:888–909.CrossRefGoogle Scholar
  3. 3.
    Cho Y, Frisbie WP, Hummer RA, Rogers RG. Nativity, duration of residence, and health of Hispanic adults. Int Migr Rev. 2006;38:184–211.CrossRefGoogle Scholar
  4. 4.
    Williams DE. Racial/ethnic discrimination and health: findings from community studies. Am J Public Health. 2003;93:200–8.PubMedCrossRefGoogle Scholar
  5. 5.
    McDonald JT, Kennedy S. Insights into the healthy immigrant effect: health status and health service use of immigrants to Canada. Soc Sci Med. 2004;59:1613–27.PubMedCrossRefGoogle Scholar
  6. 6.
    Jasso G, Massey DS, Rosenzweig MR. Immigrant health: selectivity and acculturation. In: Anderson NB, Bulatao RA, Cohen B, et al., editors. Critical perspectives on racial and ethnic differences in health in late life. Washington DC: National Academies Press; 2004. p. 227–66.Google Scholar
  7. 7.
    Bean FD, Stevens G. America’s newcomers and the dynamic of diversity. USA: Russell Sage Foundation; 2005.Google Scholar
  8. 8.
    Abraido-Lanza AF, Chao MT, Florez KR. Do healthy behaviors decline with greater acculturation?: implications for the Latino mortality paradox. Soc Sci Med. 2005;61:1243–55.PubMedCrossRefGoogle Scholar
  9. 9.
    Lara M, Gamboa C, Kahramanian MI, et al. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Ann Rev Public Health. 2005;26:367–97.Google Scholar
  10. 10.
    Ayala GX, Baquero B, Klinger A. systematic review of the relationship between acculturation and diet among Latinos in the United States: implications for future research. J Am Diet Assoc. 2008;108(8):1330–44.PubMedCrossRefGoogle Scholar
  11. 11.
    Hazuda HP, Haffner SM, Stern MP, Eifler CW. The effects of acculturation and socioeconomic status on obesity and diabetes in Mexican Americans: the San Antonio heart study. Am J Epidemiol. 1988;128(6):1289–301.PubMedGoogle Scholar
  12. 12.
    STATA 10 SE. College Station: StataCorp; 2007.Google Scholar
  13. 13.
    Khan LK, Sobal J, Martorell R. Acculturation, socioeconomic status, and obesity in Mexican Americans, Cuban Americans, and Puerto Ricans. Int J Obes. 1997;21(2):91–6.CrossRefGoogle Scholar
  14. 14.
    Eamranond PP, Patel KV, Legedza AT, Marcantonio ER, Leveille SG. The association of language with the prevalence of undiagnosed hypertension among older Mexican Americans. Ethn Dis. 2007;17(4):699–706.PubMedGoogle Scholar
  15. 15.
    Amr S, Wolpert B, Loffredo CA, Zheng YL, Shields PG, Jones R, et al. Occupation, gender, race, and lung cancer. J Occup Environ Med. 2008;50(10):1167–75.PubMedCrossRefGoogle Scholar
  16. 16.
    Tirodkar MA, Song J, Chang RW, Dunlop DD, Chang HJ. Racial and ethnic differences in activities of daily living disability among the elderly: the case of Spanish speakers. Arch Phys Med Rehabil. 2008;89(7):1262–6.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.University of Texas School of Public Health, Brownsville Regional CampusUniversity of Texas BrownsvilleBrownsvilleUSA
  2. 2.Preventive Medicine and Community HealthUniversity of Texas Medical BranchGalvestonUSA

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