Objectives. This research contributes to the "immigrant health paradox" debate by testing the hypothesis that older age at migration is associated with the increased risk of poor health in later life. Method. Using the 1992-2008 Health and Retirement Study, I construct linear random-intercept models to estimate self-rated health (SRH) trajectories after age 50 for the native and foreign born by age at migration. Results. At age 50, both Hispanic and non-Hispanic foreign born report better SRH compared with their native-born counterparts, net of race, gender, and education. Non-Hispanic foreign born who migrated after age 35 and Hispanic foreign born who migrated after age 18, however, experience steeper decline in SRH after age 50, which results in a health disadvantage vis-à-vis the native born in old age. Education has a smaller protective effect on SRH for the foreign born, especially those who migrated as adults. Discussion. Age at migration is an important factor for understanding health status of older immigrants. Steeper health decline in later life of the foreign born who migrated in advanced ages may be related to longer exposure to unfavorable conditions in home countries and limited opportunities for incorporation in the United States. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America.

Education aging demography Immigrant health health disparities self-rated health Health trajectories HRS Older immigrants

health disparity Health Status Disparities human middle aged statistics and numerical data health status Aged ethnology Hispanic Americans United States Humans migrant Hispanic male Emigrants and Immigrants female Aged, 80 and over very elderly migration age Age Factors Emigration and Immigration