title: Race, Ethnicity, and Self-Rated Health Among Immigrants in the United States.
abstract: OBJECTIVE
  Previous work has not fully explored the role of race in the health of immigrants. We investigate race and ethnic differences in self-rated health (SRH) among immigrants, assess the degree to which socio-economic characteristics explain race and ethnic differences, and examine whether time in the USA affects racial and ethnic patterning of SRH among immigrants.
  
  
  METHODS
  Data came from the 2012 National Health Interview Survey (N = 16, 288). Using logistic regression, we examine race and ethnic differences in SRH controlling for socio-economic differences and length of time in the country.
  
  
  RESULTS
  Hispanic and non-Hispanic Black immigrants were the most socio-economically disadvantaged. Asian immigrants were socio-economically similar to non-Hispanic White immigrants. Contrary to U.S. racial patterning, Black immigrants had lower odds of poor SRH than did non-Hispanic White immigrants when socio-demographic factors were controlled. When length of stay in the USA was included in the model, there were no racial or ethnic differences in SRH. However, living in the USA for 15 years and longer was associated with increased odds of poor SRH for all immigrants.
  
  
  CONCLUSIONS
  Findings have implications for research on racial and ethnic disparities in health. Black-White disparities that have received much policy attention do not play out when we examine self-assessed health among immigrants. The reasons why non-Hispanic Black immigrants have similar self-rated health than non-Hispanic White immigrants even though they face greater socio-economic disadvantage warrant further attention.
authors: Division of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware St S.E., Minneapolis, MN, 55455, USA. alang002@umn.edu.
authors: Sirry M
authors: SM
authors: Alang
authors: Division of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware St S.E., Minneapolis, MN, 55455, USA.
authors: Ellen M
authors: EM
authors: McCreedy
authors: Division of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware St S.E., Minneapolis, MN, 55455, USA.
authors: Donna D
authors: DD
authors: McAlpine
mesh_terms: D000328:Adult; D001213:Asian / Q000706:statistics & numerical data*; D044383:Black People / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D004641:Emigration and Immigration / Q000706:statistics & numerical data; D005260:Female; D054624:Health Status Disparities; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors; D013997:Time Factors; D014481:United States; D044465:White People / Q000706:statistics & numerical data*; D001741:Black or African American
keywords: Health disparities; Immigrant health; Race and ethnic disparities; Self-rated health