Abstract
Background
The US immigrant population has grown considerably in the last three decades, from 9.6 million in 1970 to 32.5 million in 2002. However, this unprecedented population rise has not been accompanied by increased immigrant health monitoring. In this study, we examined the extent to which US- and foreign-born blacks, whites, Asians, and Hispanics differ in their health, life expectancy, and mortality patterns across the life course.
Methods
We used National Vital Statistics System (1986-2000) and National Health Interview Survey (1992–1995) data to examine nativity differentials in health outcomes. Logistic regression and age-adjusted death rates were used to examine differentials.
Results
Male and female immigrants had, respectively, 3.4 and 2.5 years longer life expectancy than the US-born. Compared to their US-born counterparts, black immigrant men and women had, respectively, 9.4 and 7.8 years longer life expectancy, but Chinese, Japanese, and Filipino immigrants had lower life expectancy. Most immigrant groups had lower risks of infant mortality and low birthweight than the US-born. Consistent with the acculturation hypothesis, immigrants’ risks of disability and chronic disease morbidity increased with increasing length of residence. Cancer and other chronic disease mortality patterns for immigrants and natives varied considerably, with Asian Immigrants experiencing substantially higher stomach, liver and cervical cancer mortality than the US-born. Immigrants, however, had significantly lower mortality from lung, colorectal, breast, prostate and esophageal cancer, cardiovascular disease, cirrhosis, diabetes, respiratory diseases, HIV/AIDS, and suicide.
Interpretation
Migration selectivity, social support, socio-economic, and behavioural characteristics may account for health differentials between immigrants and the US-born.
Résumé
Contexte
La population immigrante des États-Unis a enregistré une croissance sans précédent au cours des trois dernières décennies, passant de 9,6 millions de personnes en 1970 à 32,5 millions en 2002. Cette hausse ne s’est toutefois pas accompagnée d’une surveillance accrue de la santé des immigrants. La présente étude examine la mesure dans laquelle les tendances en matière de santé, d’espérance de vie et de mortalité diffèrent, au cours de la vie, chez les Noirs, les Blancs, les Asiatiques et les Hispaniques nés aux États-Unis et à l’étranger.
Méthode
Grâce aux données du National Vital Statistics System (1986-2000) et de la National Health Interview Survey (1992–1995), nous avons examiné les différences dans les résultats sanitaires selon le lieu de naissance. Ces différences ont ensuite été analysées par régression logistique et à la lumière des taux de mortalité rajustés selon l’âge. Résultats: L’espérance de vie des immigrants, hommes et femmes, était plus longue de 3,4 et de 2,5 ans, respectivement, que celle de la population née aux États-Unis. Comparés à leurs homologues nés aux États-Unis, les immigrants noirs, hommes et femmes, avaient une espérance de vie plus longue de 9,4 et de 7,8 ans, respectivement, mais l’espérance de vie des immigrants chinois, japonais et philippins était plus courte. Dans la plupart des groupes d’immigrants, les risques de mortalité infantile et d’insuffisance de poids à la naissance étaient plus faibles que dans la population née aux États-Unis. Conformément à l’hypothèse de l’acculturation, les risques d’incapacité et de maladies chroniques chez les immigrants augmentaient avec la durée de leur établissement aux États-Unis. Les tendances de mortalité liée au cancer et à d’autres maladies chroniques chez les immigrants et les Américains de naissance variaient considérablement; par exemple, les taux de mortalité liés aux cancers de l’estomac, du foie et du col utérin étaient considérablement plus élevés chez les immigrants asiatiques que dans la population née aux États- Unis. Toutefois, chez les immigrants, les taux de mortalité liés aux cancers du poumon, du côlon et du rectum, du sein, de la prostate et de l’oesophage, aux maladies cardiovasculaires, à la cirrhose, au diabète, aux maladies respiratoires, au VIH/sida et au suicide étaient beaucoup plus faibles. Interprétation: La sélection des immigrants, le soutien social et les caractéristiques socioéconomiques et comportementales pourraient expliquer les différences de santé entre les immigrants et la population née aux États-Unis.
Similar content being viewed by others
References
Schmidley D. The Foreign-Born Population in the United States: March 2002. Current Population Reports, P20-539. Washington, DC: US Census Bureau, 2003.
Lollock L. The Foreign-Born Population in the United States: March 2000. Current Population Reports, P20-534. Washington, DC: US Census Bureau, 2001.
Schmidley AD, Gibson C. Profile of the Foreign-Born Population in the United States: 1997. Current Population Reports, P23-195. Washington, DC: US Census Bureau, 1999.
Jasso G, Rosenzweig M. The New Chosen People: Immigrants in the United States. New York: Russell Sage Foundation, 1990.
Camarota, SA. Immigrants in the United States–1998: A Snapshot of America’s Foreign-Born Population. Washington, DC: Center for Immigration Studies, 1999.
Singh GK, Siahpush M. All-cause and cause-specific mortality of immigrants and native-born in the United States. Am J Public Health 2001;91:392–99.
Singh GK, Siahpush M. Ethnic-immigrant differentials in health behaviors, morbidity, and cause-specific mortality in the United States: An analysis of two national data bases. Hum Biol 2002;74:83–109.
Singh GK, Yu, SM. Adverse pregnancy outcomes: Differences between US- and foreign-born women in major US racial and ethnic groups. Am J Public Health 1996;86:837–43.
Minino AM, Arias E, Kochanek KD, Murphy SL, Smith, BL. Deaths: Final data for 2000. Natl Vital Stat Rep 2002;50(15):1–120.
US Bureau of the Census. Nativity of Population, by Age, Race, and Hispanic Origin: 1990. Census of Population CPH-L-153. Washington, DC: U.S. Government Printing Office, 1993.
US Bureau of the Census. Asians and Pacific Islanders in the United States. 1990 Census of Population, 1990 CP3-5. Washington, DC: U.S. Government Printing Office, 1993.
US Bureau of the Census. Persons of Hispanic Origin in the United States. 1990 Census of Population, 1990 CP3-3. Washington, DC: U.S. Government Printing Office, 1993.
Namboodiri K, Suchindran, CM. Life Table Techniques and Their Applications. Orlando, FL: Academic Press, 1987.
Martin JA, Hamilton BE, Ventura SJ, Menacker F, Park MM. Births: Final data for 2000. Natl Vital Stat Rep 2002;50(5):1–104.
Mathews TJ, Menacker F, MacDorman, MF. Infant mortality statistics from the 2000 period linked birth/infant death data set. Natl Vital Stat Rep 2002;50(12):1–28.
Shah BV, Barnwell BG, Bieler, GS. SUDAAN User’s Manual Release 7.5. Research Triangle Park, NC: Research Triangle Institute, 1997.
National Center for Health Statistics. 1992 National Health Interview Survey CD ROM Series 10, No. 6. Hyattsville, MD: Public Health Service, 1995.
National Center for Health Statistics. 1993 National Health Interview Survey CD ROM Series 10, No. 7. Hyattsville, MD: Public Health Service, 1996.
National Center for Health Statistics. 1994 National Health Interview Survey CD ROM Series 10, No. 9. Hyattsville, MD: Public Health Service, 1997.
National Center for Health Statistics. 1995 National Health Interview Survey CD ROM Series 10, No. 10C. Hyattsville, MD: Public Health Service, 1998.
Adams PF, Marano, MA. Current estimates from the National Health Interview Survey, 1994. Vital Health Stat 1995;10(193):1–428.
Hoyert DL, Singh GK, Rosenberg, RM. Sources of data on socioeconomic differential mortality in the United States. J Off Stat 1995;11(3):233–60.
Kestenbaum B. Mortality by nativity. Demography 1986;23:87–90.
Hummer RA, Biegler M, De Turk PB, Forbes D, Frisbie WP, Hong Y, et al. Race/ethnicity, nativity and infant mortality in the United States. Soc Forces 1999;77:1083–118.
Fang J, Madhavan S, Alderman, MH. Influence of nativity on cancer mortality among black New Yorkers. Cancer 1997;80:129–35.
Fang J, Madhavan S, Alderman, MH. Nativity, race, and mortality: Favorable impact of birth outside the United States on mortality in New York City. Hum Biol 1997;69:689–701.
Hummer RA, Rogers RG, Nam CB, LeClere FB. Race/ethnicity, nativity and US adult mortality. Soc Sci Q 1999;80:136–53.
Frisbie WP, Cho Y, Hummer, RA. Immigration and the health of Asian and Pacific Islander adults in the United States. Am J Epidemiol 2001;153:372–80.
Hendershot, GE. Health of the foreign-born population: United States, 1985–86. Advance Data Vital Health Stat 1988;157:1–8.
Perez, CE. Health status and health behavior among immigrants. Health Rep 2002;13(Suppl):1–12.
Chen J, Ng E, Wilkins R. The health of Canada’s immigrants in 1994–95. Health Rep 1996;7(4):33–45.
Chen J, Wilkins R, Ng E. Health expectancy by immigrant status, 1986 and 1991. Health Rep 1996;8(3):29–38.
Ali J. Mental health of Canada’s immigrants. Health Rep 2002;13(Suppl):1–11.
Hyman I. Immigration and Health. Health Policy Working Paper Series. Working Paper 01-05. Ottawa, ON: Health Canada, September 2001.
Kaplan MS, Chang C, Newsom JT, McFarland BH. Acculturation status and hypertension among Asian immigrants in Canada. J Epidemiol Community Health 2002;56:455–56.
Dunn JR, Dyck I. Social determinants of health in Canada’s immigrant population: Results from the National Population Health Survey. Soc Sci Med 2000;51:1573–93.
Kliewer EV, Smith, KR. Breast cancer mortality among immigrants in Australia and Canada. J Natl Cancer Inst 1995;87:1154–61.
Trovato F. Suicide and ethnic factors in Canada. Int J Soc Psychiatry 1986;32:55–64.
Trovato F, Jarvis, GK. Immigrant suicide in Canada: 1971 and 1981. Soc Forces 1986;65:433–57.
Strachan J, Johansen H, Nair C, Nargundkar M. Canadian suicide mortality rates: First generation immigrants versus Canadian-born. Health Rep 1990;2(4):327–41.
King G, Polednak AP, Bendel R, Hovey D. Cigarette smoking among native and foreignborn Blacks. Ann Epidemiol 1999;9:236–44.
Black SA, Markides, KS. Acculturation and alcohol consumption in Puerto Rican, Cuban-American, and Mexican-American women in the United States. Am J Public Health 1993;83:890–93.
Singh GK, Kposowa, AJ. Occupation-specific earnings attainment of Asian Indians and Whites in the United States: Gender and nativity differentials across class strata. Appl Behav Sci Rev 1996;4(2):137–75.
Mills, RJ. Health Insurance Coverage: 2000. Current Population Reports, P60-215. Washington, DC: US Census Bureau, 2001.
Thamer M, Richard C, Casebeer AW, Ray, NF. Health insurance coverage among foreign-born US residents: The impact of race, ethnicity, and length of residence. Am J Public Health 1997;87:96–102.
Swan J, Breen N, Coates RJ, Rimer BK, Lee, NC. Progress in cancer screening practices in the United States. Cancer 2003;97:1528–40.
Rogot E, Sorlie PD, Johnson NJ, Schmitt C. A Mortality Study of 1.3 Million Persons by Demographic, Social, and Economic Factors, 1979–85 Follow-Up: U.S. National Longitudinal Mortality Study. NIH publication No. 92–3297. Washington, DC: Public Health Service, 1992.
Sorlie PD, Backlund E, Keller, JB. US mortality by economic, demographic, and social characteristics: The National Longitudinal Mortality Study. Am J Public Health 1995;85:949–56.
Arcia E, Skinner M, Bailey D, Correa V. Models of acculturation and health behaviors among Latino immigrants to the, US. Soc Sci Med 2001;53:41–53.
Gans, HJ. Toward a reconciliation of “assimilation” and “pluralism”: The interplay of acculturation and ethnic retention. Int Migr Rev 1997;31(4):875–92.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Singh, G.K., Miller, B.A. Health, Life Expectancy, and Mortality Patterns Among Immigrant Populations in the United States. Can J Public Health 95, I14–I21 (2004). https://doi.org/10.1007/BF03403660
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03403660