Journal of Immigrant and Minority Health

, Volume 18, Issue 2, pp 468–478 | Cite as

The Relationship Between Self-Rated Health and Acculturation in Hispanic and Asian Adult Immigrants: A Systematic Review

  • Lisa L. LommelEmail author
  • Jyu-Lin Chen
Review Paper


We systematically reviewed studies to identify the association between acculturation and self-rated health (SRH) and the impact of nativity and language use in Asian and Hispanic adult immigrants. Six electronic databases were searched. Data on nativity and limited English proficiency (LEP) was extracted and analyzed. Nine studies met review criteria. A positive association between acculturation and fair/poor SRH among Asians and Hispanics was found. For both Asians and Hispanics, six out of eight studies showed nativity and all three studies reporting LEP were associated with worse SRH compared to whites. Nativity and LEP were found to be risk factors for reporting worse SRH in Hispanics compared to Asians. The degree of association between nativity and LEP and worse SRH was found to vary by Asian and Hispanic subgroup. Further studies are needed to accurately assess the health status of these populations, which will be essential to eliminating disparities.


Health disparities Self-rated health Acculturation Asian Hispanic 


  1. 1.
    Dowd JB, Zajacova A. Does the predictive power of self-rated health for subsequent mortality risk vary by socioeconomic status in the US? Int J Epidemiol. 2007;36(6):1214–21.CrossRefPubMedGoogle Scholar
  2. 2.
    Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38(1):21–37.CrossRefPubMedGoogle Scholar
  3. 3.
    Idler EL, Hudson SV, Leventhal H. The meanings of self-ratings of health: a qualitative and quantitative approach. Res Aging. 1999;21(3):458–76.CrossRefGoogle Scholar
  4. 4.
    Benyamini Y. Why does self-rated health predict mortality? An update on current knowledge and a research agenda for psychologists. Psychol Health. 2011;26(11):1407–13.CrossRefPubMedGoogle Scholar
  5. 5.
    Fayers PM, Sprangers MAG. Understanding self-rated health. Lancet. 2002;359(9302):187–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Kawada T. Self-rated health and life prognosis. Arch Med Res. 2003;34(4):343–7.CrossRefPubMedGoogle Scholar
  7. 7.
    de Bruin A, Picavet HS, Nossikov A. Health interview surveys. Towards international harmonization of methods and instruments. WHO regional publications. European series. 1996;58:i,xiii, 1–161.Google Scholar
  8. 8.
    Hennessy CH, Moriarty DG, Zack MM, Scherr PA, Brackbill R. Measuring health-related quality of life for public health surveillance. Public Health Rep. 1994;109(5):665–72.PubMedPubMedCentralGoogle Scholar
  9. 9.
    Kramers PGN. The ECHI project: health indicators for the European community. Eur J Public Health. 2003;13(3 Suppl):101–6.CrossRefPubMedGoogle Scholar
  10. 10.
    Liao Y, Bang D, Cosgrove S, Dulin R, Harris Z, Stewart A, et al. Surveillance of health status in minority communities—racial and ethnic approaches to community health across the U.S. (REACH U.S.) risk factor survey, United States, 2009. Morb Mortal Weekly Rep. 2011;60((SS-6)):1–41.Google Scholar
  11. 11.
    U.S. Census Bureau. U.S. Census Bureau Projections Show a Slower Growing, Older, More Diverse Nation a Half Century from Now. [Internet]. 2012:August 8, 2014.Google Scholar
  12. 12.
    Berry JW. Acculturation: living successfully in two cultures. Int J Intercult Relat. 2005;29(6):697–712.CrossRefGoogle Scholar
  13. 13.
    Carter-Pokras O, Bethune L. Defining and measuring acculturation: a systematic review of public health studies with Hispanic populations in the United States. A commentary on Thomson and Hoffman-Goetz. Soc Sci Med. 2009;69(7):992–5.CrossRefPubMedGoogle Scholar
  14. 14.
    Alegria M. The challenge of acculturation measures: what are we missing? A commentary on Thomson & Hoffman-Goetz. Soc Sci Med. 2009;69(7):996–8.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Bostean G. Does selective migration explain the Hispanic paradox? A comparative analysis of Mexicans in the U.S. and Mexico. J Immigr Minor Health. 2013;15(3):624–35.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Ruiz JM, Steffen P, Smith TB. Hispanic mortality paradox: a systematic review and meta-analysis of the longitudinal literature. Am J Public Health. 2013;103(3):e52–60.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Viruell-Fuentes E. Beyond acculturation: immigration, discrimination, and health research among Mexicans in the United States. Soc Sci Med. 2007;65(7):1524–35.CrossRefPubMedGoogle Scholar
  18. 18.
    Zsembik BA, Fennell D. Ethnic variation in health and the determinants of health among Latinos. Soc Sci Med. 2005;61(1):53–63.CrossRefPubMedGoogle Scholar
  19. 19.
    Sorkin D, Tan AL, Hays RD, Mangione CM, Ngo-Metzger Q. Self-reported health status of Vietnamese and non-Hispanic white older adults in California. J Am Geriatr Soc. 2008;56(8):1543–8.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Benjamins MR, Hirschman J, Hirschtick J, Whitman S. Exploring differences in self-rated health among Blacks, Whites, Mexicans, and Puerto Ricans. Ethn Health. 2012;17(5):463–76.CrossRefPubMedGoogle Scholar
  21. 21.
    Zsembik BA, Fennell D. Ethnic variation in health and the determinants of health among Latinos. Soc Sci Med. 2005;61(1):53–63.CrossRefPubMedGoogle Scholar
  22. 22.
    Borrell LN, Dallo FJ. Self-Rated health and race among Hispanic and non-Hispanic adults. J Immigr Minor Health. 2008;10(3):229–38.CrossRefPubMedGoogle Scholar
  23. 23.
    Dubard CA, Gizlice Z. Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. Am J Public Health. 2008;98(11):2021–8.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Franzini L, Fernandez-Esquer ME. Socioeconomic, cultural, and personal influences on health outcomes in low income Mexican-origin individuals in Texas. Soc Sci Med. 2004;59(8):1629–45.CrossRefPubMedGoogle Scholar
  25. 25.
    Finch BK, Hummer RA, Reindl M, Vega WA. Validity of self-rated health among Latino(a)s. Am J Epidemiol. 2002;155(8):755–9.CrossRefPubMedGoogle Scholar
  26. 26.
    Johnson KL, Carroll JF, Fulda KG, Cardarelli K, Cardarelli R. Acculturation and self-reported health among Hispanics using a socio-behavioral model: the North Texas Healthy Heart Study. UK: BMC Public Health; 2010. p. 10.Google Scholar
  27. 27.
    Lee S, Schwarz N, Goldstein LS. Culture-sensitive question order effects of self-rated health between older Hispanic and non-Hispanic adults in the United States. J Aging Health. 2014;26(5):860–83.CrossRefPubMedGoogle Scholar
  28. 28.
    Liang J, Quiñones AR, Bennett JM, Ye W, Xu X, Shaw BA, et al. Evolving self-rated health in middle and old age: how does it differ across black, Hispanic, and White Americans? J Aging Health. 2010;22(1):3–26.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Shetterly SM, Baxter J, Mason LD, Hamman RF. Self-rated health among Hispanic vs non-Hispanic White adults: the San Luis Valley health and aging study. Am J Public Health. 1996;86(12):1798–801.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Su D, Wen M, Markides KS. Is self-rated health comparable between non-Hispanic whites and Hispanics? Evidence from the health and retirement study. J Gerontol Ser B Psychol Sci Soc Sci. 2013;68(4):622–32.CrossRefGoogle Scholar
  31. 31.
    Viruell-Fuentes EA, Morenoff JD, Williams DR, House JS. Language of interview, self-rated health, and the other Latino health puzzle. Am J Public Health. 2011;101(7):1306–13.CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Kandula NR, Lauderdale DS, Baker DW. Differences in self-reported health among Asians, Latinos, and non-Hispanic Whites: the role of language and nativity. Ann Epidemiol. 2007;17(3):191–8.CrossRefPubMedGoogle Scholar
  33. 33.
    De Castro AB, Rue T, Takeuchi DT. Associations of employment frustration with self-rated physical and mental health among Asian American immigrants in the U.S. labor force. Public Health Nurs. 2010;27(6):492–503.CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Erosheva E, Walton EC, Takeuchi DT. Self-rated health among foreign-and U.S.-born Asian Americans: a test of comparability. Med Care. 2007;45(1):80–7.CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Frisbie WP, Cho Y, Hummer RA. Immigration and the health of Asian and Pacific Islander adults in the United States. Am J Epidemiol. 2001;153(4):372–80.CrossRefPubMedGoogle Scholar
  36. 36.
    Gomez SL, Kelsey JL, Glaser SL, Lee MM, Sidney S. Immigration and acculturation in relation to health and health-related risk factors among specific Asian subgroups in a health maintenance organization. Am J Public Health. 2004;94(11):1977–84.CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Maty SC, Leung H, Lau C, Kim G. Factors that influence self-reported general health status among different Asian ethnic groups: evidence from the roadmap to the new horizon: linking Asians to improved health and wellness study. J Immigr Minor Health. 2011;13(3):555–67.CrossRefPubMedGoogle Scholar
  38. 38.
    Sorkin D, Tan AL, Hays RD, Mangione CM, Ngo-Metzger Q. Self-reported health status of Vietnamese and non-Hispanic white older adults in California. J Am Geriatr Soc. 2008;56(8):1543–8.CrossRefPubMedPubMedCentralGoogle Scholar
  39. 39.
    Miller AM, Birman D, Zenk S, Wang E, Sorokin O, Connor J. Neighborhood immigrant concentration, acculturation, and cultural alienation in former Soviet immigrant women. J Community Psychol. 2009;37(1):88–105.CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Bowleg L. The problem with the phrase women and minorities: intersectionality-an important theoretical framework for public health. Am J Public Health. 2012;102(7):1267–73.CrossRefPubMedPubMedCentralGoogle Scholar
  41. 41.
    Cummings G, Lee H, Macgregor T, Davey M, Wong C, Paul L, et al. Factors contributing to nursing leadership: a systematic review. J Health Serv Res Policy. 2008;13(4):240–8.CrossRefPubMedGoogle Scholar
  42. 42.
    Cummings GG, MacGregor T, Davey M, Lee H, Wong CA, Lo E, et al. Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. Int J Nurs Stud. 2010;47(3):363–85.CrossRefPubMedGoogle Scholar
  43. 43.
    Huh J, Prause JA, Dooley CD. The impact of nativity on chronic diseases, self-rated health and comorbidity status of Asian and Hispanic immigrants. J Immigr Minor Health. 2008;10(2):103–18.CrossRefPubMedGoogle Scholar
  44. 44.
    Min J, Rhee S, Lee S, Rhee J, Tran T. Comparative analysis on determinants of self-rated health among non-Hispanic White, Hispanic, and Asian American older adults. J Immigr Minor Health. 2014;16(3):365–72.CrossRefPubMedGoogle Scholar
  45. 45.
    Kimbro RT, Bzostek S, Goldman N, Rodríguez G. Race, ethnicity, and the education gradient in health. Health Aff. 2008;27(2):361–72.CrossRefGoogle Scholar
  46. 46.
    Acevedo-Garcia D, Bates LM, Osypuk TL, McArdle N. The effect of immigrant generation and duration on self-rated health among US adults 2003–2007. Soc Sci Med. 2010;71(6):1161–72.CrossRefPubMedGoogle Scholar
  47. 47.
    Gorman BK, Ecklund EH, Heard HE. Nativity differences in physical health: the roles of emotional support, family, and social integration. Sociol Spectr. 2010;30(6):671–94.CrossRefGoogle Scholar
  48. 48.
    Sentell T, Braun KL. Low health literacy, limited English proficiency, and health status in Asians, Latinos, and other racial/ethnic groups in California. J Health Commun. 2012;17((Suppl 3)):82–99.CrossRefPubMedPubMedCentralGoogle Scholar
  49. 49.
    Seo S, Chung S, Shumway M. How good is “very good”? Translation effect in the racial/ethnic variation in self-rated health status. Qual Life Res. 2014;23(2):593–600.CrossRefPubMedGoogle Scholar
  50. 50.
    Kim G, Worley CB, Allen RS, Vinson L, Crowther MR, Parmelee P, et al. Vulnerability of older Latino and Asian immigrants with limited English proficiency. J Am Geriatr Soc. 2011;59(7):1246–52.CrossRefPubMedGoogle Scholar
  51. 51.
    Kimbro RT, Gorman BK, Schachter A. Acculturation and self-rated health among Latino and Asian immigrants to the United States. Soc Probl. 2012;59(3):341–63.CrossRefGoogle Scholar
  52. 52.
    Portes A, Rumbaut RG. Legacies: the story of the immigrant second generation. Oakland: Univ of California Press; 2001.Google Scholar
  53. 53.
    Ghosh C. A national health agenda for Asian Americans and Pacific Islanders. JAMA, J Am Med Assoc. 2010;304(12):1381–2.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Family Health Care Nursing, School of Nursing, N411YUniversity of California, San FranciscoSan FranciscoUSA

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