Why do Hispanics in the USA report poor health?

Bzostek, Sharon; Goldman, Noreen; Pebley, Anne R.

doi:10.1016/j.socscimed.2007.04.028

Cited by 137 publications

(143 citation statements)

References 25 publications

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“…Contrary to other studies (Dunn and Dyck 2000;Bzostek et al, 2007), ours shows that immigrants declare a negative perception of their health in a smaller proportion (14%) than Spaniards (17%). These results fit the Epidemiologic Paradox anales de psicología, 2012, vol.…”

Section: Discussioncontrasting

confidence: 99%

“…Previous studies have explored this aspect attending to differences related to the meaning of the self-reported health's categories or the cultural dimension that could influence a certain choice of response. Thus, for example, while 'Regular' in Spanish could mean 'Okay' or 'Fine' (but also 'So-so') whereas its equivalent in English, 'Fair', clearly implies a negative perception of health (Bzostek et al, 2007). Furthermore, it has been found that Hispanics, for instance, have been described as having a more pessimistic view of their health than other cultures (Angel and Guarnaccia 1989;Franzini and FernandezEsquer, 2004).…”

Section: Introductionmentioning

confidence: 99%

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Migration and Health. The relationship between self-assessment of health and diagnosed morbidity in young adults

Juárez

2012

analesps

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Título: Inmigración y salud. La relación entre la salud autopercibida y las morbilidades diagnosticadas en adultos jóvenes. Resumen: Los estudios procedentes de la salud pública y la epidemiología consideran a la salud percibida como un indicador de salud general, por su capacidad predictiva sobre la mortalidad. Evidencias empíricas en esta dirección han justificado el uso generalizado en las encuestas de salud y su aplicación por lo tanto a la población general. Sin embargo, es importante evaluar si es extensible a diferentes poblaciones y contextos. En la actualidad, existen estudios que confirman el mismo efecto en países menos desarrollados. No obstante, está lejos de ser exhaustivo y, lo más importante, todavía está pendiente explorar las diferencias culturales existentes en distintas poblaciones residiendo en un mismo contexto. El presente estudio precisamente trata de cubrir este vacío estudiando comparativamente dos aspectos concretos relacionados con esta medida de salud en la población española y extranjera residiendo en España. Por un lado, este estudio estudiará aspectos vinculados a la escala de medición de la respuesta sobre la percepción de la salud. Por otro lado, se evalúa el impacto y la composición de las morbilidades diagnosticadas que se asociadas a una mala percepción de la salud. Los datos proceden de la Encuesta de Salud de la Ciudad de Madrid 2005. Palabras clave: salud autopercibida; encuesta; morbilidades; inmigrantes. Abstract:Studies from the public health and epidemiologic fields consider self-assessment of health as a solid measure of general health due to its predictive ability in relation to mortality. Empirical evidence in this direction have justified the generalized use of this measure in health surveys as well as its application to the general population. However, it is important to evaluate whether these findings can be extended to different populations and contexts. Some studies have confirmed the existence of the same effect in some less developed countries but they are far from being exhaustive and it is still necessary to explore the possible cultural differences existing in diverse populations residing in a certain context. This study precisely contributes to fill this gap by exploring comparatively two specific aspects of self-assessment of health in both Spaniards and immigrants residing in Spain. On the one hand, the present research addresses a measurement aspect linked to the scale used to answer the question about self-assessment health, that is, the comparability of the answer as function of migratory status. On the other hand, this study evaluates the impact and composition of the morbidities associated to a poor self-assessment health. The data used for this study comes from the 2005 General Heath Care survey for the city of Madrid.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Migration and Health. The relationship between self-assessment of health and diagnosed morbidity in young adults

Juárez

2012

analesps

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“…Furthermore, depression as a comorbidity with physical illnesses tended to negatively affect Latinos with type 2 diabetes more than their counterparts in other ethnic groups (Mier et al, 2008). In addition, although depressed Latinos tended to have lower SRH, Bzostek et al (2007) failed to support somatization as an explanation. Others have related increased rates of psychiatric disorders and substance abuse to U.S.-born, English language-proficient and third-generation Latinos with higher levels of acculturation Ortega et al, 2000).…”

Section: Introductionmentioning

confidence: 89%

Overall Health and Health Care Utilization Among Latino American Men in the United States

Noël

Appel

et al. 2012

Am J Mens Health

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Although the Latino American male population is increasing, the subgroup Latino men's health remains underinvestigated. This study examined the overall pattern of Latino male health and health care utilization in major subgroups, using a nationally representative sample (N = 1,127) from the National Latino and Asian American Study. The authors evaluated rates of chronic, behavioral, and mental health service utilization in this first nationally representative survey. The results identified significant cross-subgroup differences in most physical and chronic conditions with Puerto Rican American men having high rates in 8 of 15 physical ailments, including life-altering conditions such as cardiovascular diseases. Despite differences in racial/ethnic, socioeconomic, and cultural factors, Cuban American men shared similar rates of heart diseases and cancer with Puerto Rican American men. In addition, Puerto Rican American men had higher rates of substance abuse than other Latinos. For health providers, the authors' findings encourage awareness of subgroup differences regarding overall health issues of Latino American men to provide culturally appropriate care. KeywordsLatino American men, chronic, behavioral and mental health, service seeking, health care utilization, National Latino and Asian American Study, NLAAS

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“…However, Brian Finch and William Vega (2003) found that, controlling for acculturation status, Mexican immigrants reporting higher levels of acculturative stress report poorer self-rated health, suggesting that it is not necessarily those who are most or least acculturated who report the poorest self-rated health, but rather those most affected by the stress associated with the acculturation process. Sharon Bzostek, Noreen Goldman, and Anne Pebley (2007) offer an alternative explanation, suggesting that there may be two distinct processes occurring simultaneously: (1) increasing acculturation leads Latinos to rate their health more positively, and (2) the adoption of negative health behaviors more prevalent in U.S. society results in Latinos rating their health worse, and these two processes counteract and effectively cancel out one another. With regard to Asians, much less attention has been paid to the relationship between self-rated health and acculturation, and a need exists for documenting potential differences across Asian ethnic groups.…”

Section: Acculturation and Self-rated Physical Healthmentioning

confidence: 99%

“…This "healthy immigrant effect" is all the more surprising given that the socioeconomic profile of many immigrant groups is quite low, and research has repeatedly linked poorer health outcomes to lower socioeconomic status (SES) (House and Williams 2000). Research on self-rated health has further complicated our understanding of immigrant health status, as some studies find better selfrated health among recent immigrants, while others find the reverse (Zsembik and Fennell 2005), a pattern surely complicated by research indicating that the understanding of the actual self-rated health question by immigrant groups may differ from the native born, due to language and interpretation issues (Angel and Guarnaccia 1989;Bzostek, Goldman, and Pebley 2007). Therefore, a need exists for research that both compares self-rated health across immigrant groups, and attempts to disentangle relationships among acculturation, language, and self-rated health (Lopez-Class et al 2011).…”

mentioning

confidence: 99%

Acculturation and Self-Rated Health among Latino and Asian Immigrants to the United States

2012

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JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org.. The ways in which immigrant health profiles change with shifts in acculturation is of increasing interest to scholars and policy makers in the United States, but little is known about the mechanisms that may link acculturation and self-rated health, particularly for Asians. Utilizing the National Latino and Asian American Study (NLAAS) and its data on foreign-born Latinos (N = 1,199) and Asians (N = 1,323) (Pennell et al. 2004), we investigate and compare the associations between acculturation and self-rated health for immigrants to the United States from six major ethnic subgroups (Chinese, Filipino, Vietnamese, Mexican, Cuban, and Puerto Rican). Using comprehensive measures of acculturation, we demonstrate that across ethnic groups, and despite the widely varying contexts of the sending countries and receiving communities, native-language dominance is associated with worse self-rated health relative to bilingualism, and measures of lower acculturation-coethnic ties and remittances-are associated with better self-rated health; and moreover, these associations are only partially mediated by socioeconomic status, and not mediated by acculturative stress, discrimination, social support, or health behaviors. We speculate that immigrants who maintain a native language while also acquiring English, as has been shown for other immigrant outcomes, attain a bicultural fluency, which also enables good health. Surprisingly, we do not find strong associations between duration of time in the United States or age at migration-measures frequently used to proxy acculturation-with self-rated health. Our findings illustrate the complexity of measuring acculturation and its influence on health for immigrants. University of California Press and

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Why do Hispanics in the USA report poor health?

Cited by 137 publications

References 25 publications

Migration and Health. The relationship between self-assessment of health and diagnosed morbidity in young adults

Migration and Health. The relationship between self-assessment of health and diagnosed morbidity in young adults

Overall Health and Health Care Utilization Among Latino American Men in the United States

Acculturation and Self-Rated Health among Latino and Asian Immigrants to the United States

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