Is the consistently poorer health of Vietnamese refugees relative to whites due largely to differences in socioeconomic status, demographic characteristics, and health risk behaviors or the residual impact of the trauma of war and resettlement? Using data from a population-based household survey we use multinomial logistic regression to assess the self-rated health and activity limitations of Vietnamese refugees aged 55 and older compared to whites, adjusting for demographics, socioeconomic status, and lifestyle characteristics. Vietnamese refugees report poorer health and are more likely to report activity limitations than whites. While substantial differences in characteristics exist between the two groups, they explain little of the health differentials. Demographic and socioeconomic factors do not explain the health differential between older Vietnamese refugees and whites, although their lifestyle exerts a protective effect. The trauma of war and the stressful context of immigration likely contribute to the poorer health of Vietnamese refugees. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Immigrant health disparities Health Ethnic enclave Vietnamese-American Refugee

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