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This study explores the differences in physical and mental health characteristics between US-born and foreign-born adults in the United States from 1997 to 2002. It examines various health measures such as perceived health status, risk factors for chronic diseases, and mental health status. The data shows that immigrants generally enjoy better health and have lower risks of certain health conditions compared to their US-born counterparts. However, the longer immigrants reside in the US, the more similar their health characteristics become to the native-born population.
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Physical and Mental Health Characteristics of US-born and Foreign-born Adults, 1997–2002 Achintya N. Dey Jacqueline Wilson Lucas Division of Health Interview Statistics
Background Immigrants comprise 11.5% of U.S. population, largest percentage since the 1930’s PRWORA (1996) restricted immigrants’ access to health benefits and care, placing their health at risk Status of immigrant health, particularly physical and mental health status, needs to be studied and monitored Data source: CDC/NCHS, National Health Interview Survey 1997- 2002 Preliminary Data
Purpose Research questions: Are there differences between the native born and foreign-born US population in health characteristics such as mental health status, perceived health status? Are there differences between the native born and foreign-born US population in risk factors for chronic diseases, such as obesity, smoking, diabetes, hypertension, and cardiovascular disease?
Methods Data came from Sample Adult component of the 1997- 2002 NHIS (n=196,101) Socio-demographic characteristics of US-born and Foreign-born adults 18 years old and over Odd ratios of selected physical and mental health measures of US-born and Foreign-born adults, adjusting for: Age, Sex, Race, Education, Income, Employment status, Family size, Marital status, MSA/Non-MSA, Region of residence
Measurement of Health Physical health: Self-assessed health Need help in activities of daily living (ADL) Need help in instrumental activities of daily living (IADL) Selected chronic diseases and health behaviors: Obesity ,smoking, hypertension, diabetes, cardiovascular diseases, coronary heart disease, heart disease, stroke, angina Mental health: Serious psychological distress (K6 battery)
Percent of Current Immigrants and Region of origin Data source: CDC/NCHS, National Health Interview Survey 1997-2002 Preliminary Data
Age Group by Nativity Status,1997 - 2002 Preliminary Data Data source: CDC/NCHS, National Health Interview Survey 1997-2002
Sex by Nativity Status, 1997 - 2002 Data source: CDC/NCHS, National Health Interview Survey 1997-2002 Preliminary Data
Education by Nativity Status, 1997 - 2002 Data Source: CDC/NCHS, National Health Interview Survey 1997-2002 Preliminary Data
Family Income by Nativity Status,1997 - 2002 Data source: CDC/NCHS, National Health Interview Survey 1997-2002 Preliminary Data
Employment Status by Nativity Status,1997 - 2002 Data source: CDC/NCHS, National Health Interview Survey 1997-2002 Preliminary Data
Place of Residence by Nativity Status, 1997 - 2002 Data source: CDC/NCHS, National Health Interview Survey 1997-2002 Preliminary Data
Region of residence by Nativity Status, 1997-2002 Data source: CDC/NCHS, National Health Interview Survey 1997-2002 Preliminary Data
Adjusted Odds Ratios and Confidence Intervals of Selected Chronic Diseases by Nativity Status, 1997-2002 Foreign-born living in US Data source: CDC/NCHS, National Health Interview Survey 1997-2002 Preliminary Data
Adjusted Odds Ratios and Confidence Intervals of Selected Health Status by Nativity, 1997-2002 Foreign-born living in US Data source: CDC/NCHS, National Health Interview Survey 1997-2002 Preliminary Data
Summary Immigrants adults enjoy better health than their US-born counterparts: Health behaviors, such as lower risk of smoking and obesity. Lower risk of diabetes Less likely to report having hypertension and cardiovascular diseases. Immigrants were more likely to rate their health positively Immigrants were less likely to have serious psychological distress The longer immigrants live in US, the more similar they become to the native born population