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Health selection among new immigrants.
Ilana Redstone Akresh1, Reanne Frank
1University of Illinois, Urbana-Champaign, IL, USA.
American Journal of Public Health
|March 1, 2008
Summary
Health selection, where immigrants migrate based on health, varies across US immigrant groups. Socioeconomic factors and English skills significantly influence immigrant health outcomes.
Area of Science:
- Sociology
- Public Health
- Immigration Studies
Background:
- Health selection influences immigrant health in the US.
- Understanding this process is crucial for public health policy.
- Previous research has not fully quantified health selection in contemporary immigrant groups.
Purpose of the Study:
- To quantify health selection among current US immigrant populations.
- To assess the role of health selection in explaining self-rated health disparities among legal permanent residents.
- To examine variations in health selection across different immigrant groups.
Main Methods:
- Utilized data from the New Immigrant Survey 2003 cohort.
- Estimated positive and negative health selection using novel survey questions.
- Assessed immigrants' self-rated health compared to citizens in their home countries.
Main Results:
- Significant differences in positive health selection were observed among immigrant groups.
- Health selection extent correlated with socioeconomic composition of immigrant streams.
- Socioeconomic status and English proficiency were key factors in health differentials.
Conclusions:
- Health selection is a significant but variable factor in immigrant health.
- Socioeconomic status and English language ability are critical determinants of immigrant health disparities.
- Further research should focus on these factors to improve immigrant health outcomes.
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