Skip to main content
Log in

Functional Limitations and Nativity Status Among Older Arab, Asian, Black, Hispanic, and White Americans

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

To examine the association between nativity status (foreign and US-born) by race/ethnicity (Arab, Asian, black, Hispanic, white) on having a functional limitation. We used American Community Survey data (2001–2007; n = 1,964,777; 65+ years) and estimated odds ratios (95 % confidence intervals). In the crude model, foreign-born Blacks and Arabs were more likely, while Asians and Hispanics were less likely to report having a functional limitation compared to white. In the fully adjusted model, Blacks, Hispanics, and Asians were less likely, while Arabs were more likely to report having a functional limitation. In the crude model, US-born Blacks and Hispanics were more likely, while Asians and Arabs were less likely to report having a functional limitation compared to whites. Policies and programs tailored to foreign-born Arab Americans may help prevent or delay the onset of disability, especially when initiated shortly after their arrival to the US.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Waldrop J, Stern SM. Disability status: 2000. Census 2000 brief. U. C. Bureau. Washington, DC, Department of Commerce, Economics and Statistics Administration. 2003; 1–12.

  2. Wolf LA, Armour BS, and Campbell VA. Racial/ethnic disparities in self-rated health status among adults with and without disabilities—United States, 2004–2006. MMWR. 2008;57:1069–73.

  3. Goins RT, Moss M, et al. Disability among older American Indians and Alaska natives: an analysis of the 2000 census public use micro data sample. Gerontologist. 2007;47:690–6.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Seeman TE, Merkin SS, et al. Disability trends among older Americans: National Health and Nutrition Examination Surveys, 1988–1994 and 1999–2004. Am J Public Health. 2010;100:100–7.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Malone N, Baluja KF, et al. The foreign-born population: 2000. Census 2000 Brief. U. C. Bureau. Washington, DC. 2003. p. 1–12.

  6. Revisions to the standards for the classification of federal data on race and ethnicity. Statistical Policy Directive. F. Register, Office of Management and Budget: 1997; p. 58787–90.

  7. Sarnquist CC, Moix Grieb E, et al. How racial and ethnic groupings may mask disparities: the importance of separating pacific islanders from Asians in prenatal care data. Matern Child Health J. 2010;14:635–41.

    Article  PubMed  Google Scholar 

  8. Nigem ET. Arab Americans: migration, socioeconomic and demographic characteristics. Int Migr Rev. 1986;20:629–49.

    Article  CAS  PubMed  Google Scholar 

  9. Brittingham A, de la Cruz GP. We the people of arab ancestry in the United States. Census 2000 special reports. Washington, D.C., U.S. Census Bureau; 2005. p. 1–24.

  10. de la Cruz GP, Brittingham A. The arab population: 2000. Census 2000 brief. Census. Washington, D.C., U.S. Census Bureau; 2003. p. 1–12.

  11. Dallo FJ. Arab Americans in the American Community Survey. Unpublished data. 2009.

  12. Grieco E, Cassidy R. Overview of race and hispanic origin: March 2000. Census 2000 brief. U. C. Bureau. Washington, DC; 2001. p. 1–11.

  13. Guzman B. The hispanic population: census 2000 brief. Census 2000 Brief. US Department of Commerce. Washington, DC; 2001. p. 1–8.

  14. Dallo FJ, Ajrouch KJ, et al. The ancestry question and ethnic heterogeneity: the case of Arab Americans. IMR. 2008;42:505–17.

    Google Scholar 

  15. Singh GK, Miller BA. Health, life expectancy, and mortality patterns among immigrant populations in the United States. Can J Public Health. 2004;95:I14–21.

    PubMed  Google Scholar 

  16. Singh GK, Siahpush M. All-cause and cause-specific mortality of immigrants and native born in the United States. Am J Public Health. 2001;91:392–9.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

  18. Dey AN, Lucas JW. Physical and mental health characteristics of US- and foreign-born adults: United States, 1998-2003. Adv Data. 2006;369:1–19.

    PubMed  Google Scholar 

  19. Lara M, Gamboa C. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.

    Article  PubMed  Google Scholar 

  20. Mutchler JE, Prakash A, et al. The demography of disability and the effects of immigrant history: older Asians in the United States. Demography. 2007;44:251–63.

    Article  PubMed  Google Scholar 

  21. Dallo FJ, Al Snih S, et al. Prevalence of disability among US- and foreign-born Arab Americans: results from the 2000 US Census. Gerontology. 2009;55:153–61.

    Article  PubMed  Google Scholar 

  22. Fuller-Thomson E, Brennenstuhl S, et al. Comparison of disability rates among older adults in aggregated and separate Asian American/Pacific Islander subpopulations. Am J Public Health. 2011;101:94–100.

    Article  PubMed Central  PubMed  Google Scholar 

  23. Public Use Microdata Sample (PUMS), United States, Technical Documentation. U. S. C. Bureau. Washington, DC. 2003.

  24. Adler MC, Clark RF. Collecting information on disability in the 2000 Census: an example of interagency cooperation. Soc Secur Bull. 1999;62:21–30.

    CAS  PubMed  Google Scholar 

  25. Andresen EM, Fitch CA. Reliability and validity of disability questions for US Census 2000. Am J Public Health. 2000;90:1297–9.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  26. Calsyn RJ, Winter JP, et al. Should disability items in the census be used for planning services for elders? Gerontologist. 2001;41:583–8.

    Article  CAS  PubMed  Google Scholar 

  27. SAS/STAT User’s Guide. S. I. Inc. Cary, NC. 2002–2003.

  28. Jamil H, Hakim-Larson J, et al. A retrospective study of Arab American mental health clients: trauma and the Iraqi refugees. Am J Orthopsychiatry. 2002;72:355–61.

    Article  PubMed  Google Scholar 

  29. Jamil H, Hakim-Larson J, et al. Medical complaints among Iraqi American refugees with mental disorders. J Immigr Health. 2005;7:145–52.

    Article  PubMed  Google Scholar 

  30. Jamil H, Nassar-McMillan SC. The aftermath of the gulf war: mental health issus among Iraqi Gulf War Veteran Refugees in the United States. J Ment Health Couns. 2004;26:295–308.

    Google Scholar 

  31. Jamil H, Nassar-McMillan SC, et al. Iraqi Gulf War veteran refugees in the US: PTSD and physical symptoms. Soc Work Health Care. 2006;43:85–98.

    Article  PubMed  Google Scholar 

  32. Kira I, Hammad A, et al. Health issues in the Arab American community. The physical and mental status of Iraqi refugees and its etiology. Ethn Dis 2007;17: S3-79–82.

    Google Scholar 

  33. Youssef RM. Comprehensive health assessment of senior citizens in Al-Karak governorate, Jordan. East Mediterr Health J. 2005;11:334–48.

    CAS  PubMed  Google Scholar 

  34. Hammoud MM, White CB, Fetters MD. Opening cultural doors: providing culturally sensitive healthcare to Arab American and American Muslim patients. Am J Obstet Gynecol. 2005;193:1307–11.

    Article  PubMed  Google Scholar 

  35. Aboul-Enein BH, Aboul-Enein FH. The cultural gap delivering health care services to Arab American populations in the United States. J Cult Divers. 2010;17:20–3.

    PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by a grant from the National Institutes of Health (5P30 AG015281) and the Michigan Center for Urban African American Aging Research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Florence J. Dallo.

Appendix 1: Arab ancestries identified by the US 2000 census

Appendix 1: Arab ancestries identified by the US 2000 census

1. Aden

2. Algerian

3. Alhucemas

4. Arab

5. Arabic

6. Assyrian

7. Bahraini

8. Bedouin

9. Berber

10. Chaldean

11. Comoros

12. Djibouti

13. Egyptian

14. Gaza Strip

15. Ifni

16. Iraqi

17. Jordanian

18. Kurdish

19. Kuria Muria Islander

20. Kuwaiti

21. Lebanese

22. Libyan

23. Mauritania

24. Mideast

25. Moroccan

26. Muscat

27. North African

28. Omani

29. Palestinian

30. Qatar

31. Rio do Oro

32. Saudi Arabian

33. Somalia

34. South Yemen

35. Sudan

36. Syriac

37. Syrian

38. Transjordan

39. Trucial States

40. Tunisian

41. United Arab Emirates

42. West Bank

43. Yemeni

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dallo, F.J., Booza, J. & Nguyen, N.D. Functional Limitations and Nativity Status Among Older Arab, Asian, Black, Hispanic, and White Americans. J Immigrant Minority Health 17, 535–542 (2015). https://doi.org/10.1007/s10903-013-9943-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-013-9943-0

Keywords

Navigation