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Community-level prejudice and mortality among immigrant groups.

Brittany N Morey1, Gilbert C Gee1, Peter Muennig2

  • 1University of California, Los Angeles, Fielding School of Public Health, Department of Community Health Sciences, 650 Charles E. Young Dr. South, Los Angeles, CA 90095, USA.

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Summary

Community anti-immigrant prejudice increases mortality risk for US-born Asians and Hispanics. Foreign-born individuals in these groups experience lower mortality in prejudiced areas, suggesting complex social determinants of health.

Keywords:
ImmigrantsMortalityNativityPrejudiceRaceStructural racismStructural stigma

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Area of Science:

  • Social Epidemiology
  • Public Health
  • Sociology

Background:

  • Community-level anti-immigrant prejudice is a growing concern.
  • Understanding its impact on health outcomes, particularly mortality, is crucial.

Purpose of the Study:

  • To examine the prospective association between community anti-immigrant prejudice and mortality.
  • To investigate differential effects based on nativity and race/ethnicity.

Main Methods:

  • Utilized 10 waves of General Social Survey (GSS) data (1993-2014) linked to National Death Index (NDI) mortality data.
  • Measured community prejudice using anti-immigrant sentiment questions across 123 primary sampling units.
  • Employed Cox proportional hazards models, controlling for individual and community covariates.

Main Results:

  • US-born individuals identifying as "other race" (largely Asian and Hispanic) had higher mortality risk in high-prejudice communities.
  • Foreign-born "other race" individuals exhibited lower mortality risk in high-prejudice communities.
  • No significant association between prejudice and mortality was found for foreign-born White or Black individuals.

Conclusions:

  • Community anti-immigrant prejudice has differential impacts on mortality risk based on nativity and race/ethnicity.
  • Findings suggest unique vulnerabilities for US-born minority groups and potential protective factors for foreign-born individuals in prejudiced environments.
  • Further research is needed to elucidate the mechanisms driving these observed disparities.