title: A different look at the epidemiological paradox: self-rated health, perceived social cohesion, and neighborhood immigrant context.
abstract: We use data from Waves 1 and 2 of the Los Angeles Family and Neighborhood Survey to examine the effects of neighborhood immigrant concentration, race-ethnicity, nativity, and perceived cohesion on self-rated physical health. We limit our sample to adults whose addresses do not change between waves in order to explore neighborhood effects. Foreign-born Latinos were significantly less likely to report fair or poor health than African Americans and U.S.-born whites, but did not differ from U.S.-born Latinos. The main effect of immigrant concentration was not significant, but it interacted with nativity status to predict health: U.S.-born Latinos benefited more from neighborhood immigrant concentration than foreign-born Latinos. Perceived cohesion predicted health but immigrant concentration did not moderate the effect. Finally, U.S.-born Latinos differed from others in the way cohesion is associated with their health. Results are discussed within the framework of the epidemiological paradox.
authors.affiliation: Department of Sociology, University of Missouri, United States. Electronic address: bjornstrome@missouri.edu.
authors.forename: Eileen E S
authors.initials: EE
authors.lastname: Bjornstrom
authors.affiliation: Department of Sociology, Bowling Green State University, United States.
authors.forename: Danielle C
authors.initials: DC
authors.lastname: Kuhl
mesh_terms: D059026:Diagnostic Self Evaluation; D054242:Emigrants and Immigrants; D062665:Epidemiological Monitoring; D005260:Female; D006304:Health Status; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D016015:Logistic Models; D015141:Los Angeles; D008297:Male; D011156:Population Density; D012111:Residence Characteristics; D012917:Social Adjustment
keywords: Cohesion; Ethnicity; Immigrants; Los Angeles County; Neighborhoods; Race; Self-rated health; USA