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An Observational Study of Sub-Saharan African Immigrants in California
Nipher Malika1, Gloria A Aidoo-Frimpong2,3, Adedotun Ogunbajo4
1RAND Corporation, 1776 Main St., Santa Monica, CA 90401, USA.
Discover Public Health
|August 21, 2025
Summary
Sub-Saharan African (SSA) immigrants in California show resilience despite facing poverty and food insecurity. Targeted interventions are needed to improve their health and well-being.
Area of Science:
- Public Health
- Sociology
- Immigration Studies
Background:
- Limited understanding of Sub-Saharan African (SSA) immigrant health needs in the U.S.
- California Health Interview Survey (CHIS) now collects disaggregated Black data since 2021.
Purpose of the Study:
- Examine demographics, economic well-being, health status, healthcare access, and social determinants of health for SSA immigrants in California.
- Utilize the 2021-2022 CHIS dataset for adults aged 18+.
Main Methods:
- Cross-sectional study design.
- Descriptive analyses of the CHIS two-year public use dataset.
- Examination of demographics, health status, healthcare access, and social determinants.
Main Results:
- Balanced gender distribution, majority heterosexual, urban dwellers.
- High education (57% college degrees) and employment (66% full-time).
- Significant poverty (16%) and food insecurity (16%), higher than national averages.
- 16% report fair/poor health; prevalent chronic conditions (asthma, diabetes).
- High health insurance (96%) but 18% delay care.
- High adverse childhood experiences and discrimination, but also resilience.
Conclusions:
- SSA immigrants face unique challenges impacting health and well-being.
- Need for targeted interventions to improve resource access and support systems.
- Findings underscore the importance of disaggregated data for understanding diverse populations.
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