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

Eileen E.S. Bjornstrom and Danielle C. Kuhl

Social Science & Medicine, 2014, vol. 120, issue C, 118-125

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.

Keywords: Los Angeles County; USA; Race; Ethnicity; Immigrants; Cohesion; Neighborhoods; Self-rated health (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (8)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:120:y:2014:i:c:p:118-125

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DOI: 10.1016/j.socscimed.2014.09.015

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