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Do health selection effects last? A comparison of morbidity rates for elderly adult immigrants and US-born elderly persons

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Abstract

This paper uses the Assets and Health Dynamics of the Oldest Old(AHEAD) data set to examine the influence of nativity on the healthstatus, measured by self-reported presence of chronic diseases, ofthe elderly US-resident population. In particular, age at time ofmigration is used to examine the potential lingering influence ofself-selection for good health among immigrants who entered the USAas adults. Bivariate analyses and logistic regression models arepresented. The results of these analyses show that the influence ofpositive selection for health varies depending on the diseasestudied. Self-selection for good health is maintained for cancer,heart disease, stroke, and lung disease. This self-selection effectis seen after controlling for socioeconomic factors and healthbehaviors. While these latter factors are more influential, thisstudy indicates that good health in a population at young ages ismaintained throughout the lifespan.

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References

  • Ayanian, J. Z., Kohler, B. A., Abe, T. & Epstein, A. M. (1993). The relations between health insurance coverage and clinical outcomes among women with breast cancer, New England Journal of Medicine329(5): 326–331.

    Google Scholar 

  • Hopkins, R. S. (1993). Insurance coverage and usage of preventive health services, Journal of the Florida Medical Association80(8): 529–532.

    Google Scholar 

  • Jordan Jr., C. W. (1975). Life Contingencies(pp. 25–28). Chicago: The Society of Actuaries.

    Google Scholar 

  • Juster, F. T. & Suzman, R. (1995). An overview of the Health and Retirement Survey, The Journal of Human Resources30 (supplement): S8–S56.

    Google Scholar 

  • Kassab, C., Luloff, A. E., Kelsey, T. W. & Smith, S. M. (1996). The influence of insurance status and income on health care use among the nonmetropolitan elderly, Journal of Rural Health12(2): 89–99.

    Google Scholar 

  • Kestenbaum, B. (1986). Mortality by nativity, Demography23(1): 87–90.

    Google Scholar 

  • Marmot, M. G., Adelstein, A. M. & Bulusu, L. (1984). Lessons from the study of immigrant mortality, Lancet1984(i): 1455–1457.

    Google Scholar 

  • Moy, E., Bartman, B. A. & Weir, M. R. (1995). Access to hypertensive care. Effects of income, insurance, and source of care, Archives of Internal Medicine155(14): 1497–1502.

    Google Scholar 

  • Parakulam, G., Krishnan, V. & Odynak D. (1992). Health status of Canadian-born and foreign-born residents, Canadian Journal of Public Health83(4): 311–314.

    Google Scholar 

  • Rogot, E., Sorlie, P. D., Johnson, N. J. & Schmitt, C. (1992). A Mortality Study of 1.3 Million Persons by Demographic, Social and Economic Factors: 1979–1985 Follow-Up. National Institute of Health, Publication No. 923297.

  • Rosenwaike, I. (1987). Mortality differentials among persons born in Cuba, Mexico, and Puerto Rico residing in the United States, 1979–81, American Journal of Public Health77(5): 603–606.

    Google Scholar 

  • Rosenwaike, I. & Hempstead, K. (1990). Differential mortality by ethnicity and nativity: foreign-and native-born Irish, Italians, and Jews in New York City, 1979–1981, Social Biology37(1–2): 11–25.

    Google Scholar 

  • Stephen, E. H., Foote, K., Hendershot, G. E. & Schoenborn, C. A. (1994). Health of the foreign-born population: United States, 1989–1990, Advance Data241: 1–11.

    Google Scholar 

  • Swallen, K. C. (1996). Morbidity, mortality and nativity: the influence of early-life effects and health selection on health at old age. Doctoral Dissertation, Department of Demography, University of California, Berkeley, California.

    Google Scholar 

  • Treas, J. (1996). Older Americans in the 1990s and beyond, Population Bulletin50(2): 1–46.

    Google Scholar 

  • Van Nostrand, J., Zappola, A., Hing, F. et al. (1979). The National Nursing Home Survey: 1977 summary, Vital Health Statistics43: 28–29.

    Google Scholar 

  • Verbrugge, L. M. & Patrick, D. L. (1995). Seven chronic conditions: Their impact on US adults’ activity levels and use of medical services, American Journal of Public Health 85(2): 173–182.

    Google Scholar 

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Swallen, K.C. Do health selection effects last? A comparison of morbidity rates for elderly adult immigrants and US-born elderly persons. Journal of Cross-Cultural Gerontology 12, 317–339 (1997). https://doi.org/10.1023/A:1006527615599

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  • DOI: https://doi.org/10.1023/A:1006527615599

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