Social Science and Medicine
Volume 120, 2014, Pages 118-125

A different look at the epidemiological paradox: Self-rated health, perceived social cohesion, and neighborhood immigrant context (Article)

Bjornstrom E.E.S.* , Kuhl D.C.
  • a Department of Sociology, University of Missouri, United States
  • b Department of Sociology, Bowling Green State University, United States

Abstract

We use data from Waves 1 and 2 of the Los Angeles Family and Neighborhood Survey to examine the effects of neighborhood immigrant concentration, race-ethnicity, nativity, and perceived cohesion on self-rated physical health. We limit our sample to adults whose addresses do not change between waves in order to explore neighborhood effects. Foreign-born Latinos were significantly less likely to report fair or poor health than African Americans and U.S.-born whites, but did not differ from U.S.-born Latinos. The main effect of immigrant concentration was not significant, but it interacted with nativity status to predict health: U.S.-born Latinos benefited more from neighborhood immigrant concentration than foreign-born Latinos. Perceived cohesion predicted health but immigrant concentration did not moderate the effect. Finally, U.S.-born Latinos differed from others in the way cohesion is associated with their health. Results are discussed within the framework of the epidemiological paradox. © 2014 Elsevier Ltd.

Author Keywords

immigrants los angeles county Cohesion neighborhoods Ethnicity race self-rated health USA

Index Keywords

perception immigrant health care planning Caucasian health care policy demography population density human self assessment epidemiology birthplace social aspect health status Logistic Models Humans African American Hispanic Americans neighborhood Residence Characteristics epidemiological data United States Los Angeles County social status migrant Diagnostic Self Evaluation Hispanic Epidemiological Monitoring California male Emigrants and Immigrants self evaluation female psychology self concept population research race Article social adaptation adult ethnicity statistical model health care system Los Angeles epidemiological paradox Social Adjustment attitude to health neighborhood immigrant concentration health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907518317&doi=10.1016%2fj.socscimed.2014.09.015&partnerID=40&md5=cd0c0ba11f02ac6eb5590ee4a8dc6edd

DOI: 10.1016/j.socscimed.2014.09.015
ISSN: 02779536
Cited by: 12
Original Language: English