Unhealthy assimilation: Why do immigrants converge to American health status levels?

Duke University Press - Tập 43 - Trang 337-360 - 2006
Heather Antecol1, Kelly Bedard2
1Department of Economics, Claremont McKenna College, Claremont
2Department of Economics, University of California, Santa Barbara

Tóm tắt

It is well documented that immigrants are in better health upon arrival in the United States than their American counterparts but that this health advantage erodes over time. We study the potential determinants of this “healthy immigrant effect,” with a particular focus on the tendency of immigrants to converge to unhealthy American BMI levels. Using data from the National Health Interview Survey, we find that average female and male immigrants enter the United States with BMIs that are approximately two and five percentage points lower than native-born women and men, respectively. Consistent with the declining health status of immigrants the longer they remain in the United States, we also find that female immigrants almost completely converge to American BMIs within 10 years of arrival, and men close a third of the gap within 15 years.

Tài liệu tham khảo

Antecol, H., P. Kuhn, and S. Trejo. Forthcoming. “Assimilation via Prices or Quantities? Labor Market Institutions and Immigrant Earnings Growth in Australia, Canada, and the United States.” Journal of Human Resources. Arias, E., R.N. Anderson, H.-C. Kung, S.L. Murphy, and K.D. Kochanek. 2003. “Deaths: Final Data for 2001.” National Vital Statistics Reports, Vol. 52, No. 3. Hyattsville, MD: National Center for Health Statistics. Available online at http://www.cdc.gov/nchs/data/nvsr/nvsr52/nvsr52_03.pdf Averett, S. and S. Korenman. 1996. “The Economic Reality of the Beauty Myth.” Journal of Human Resources 31:304–30. Borjas, G.J. 1985. “Assimilation, Changes in Cohort Quality, and the Earnings of Immigrants.” Journal of Labor Economics 3:463–89. —. 1995. “Assimilation and Changes in Cohort Quality Revisited: What Happened to Immigrant Earnings in the 1980s?” Journal of Labor Economics 13:201–45. Borjas, G.J. and L. Hilton. 1996. “Immigration and the Welfare State: Immigrant Participation in Means-Tested Entitlement Programs.” The Quarterly Journal of Economics 111:575–604. Borjas, G.J. and S. Trejo. 1991. “Immigration Participation in the Welfare System.” Industrial and Labor Relations Review 44:195–211. Bound, J., C. Brown, and N. Mathiowetz. 2001. “Measurement Error in Survey Data.” Pp. 3705–843 in Handbook of Econometrics, Vol. 5, edited by J.J. Heckman and E.E. Leamer. New York: Springer-Verlag. Cawley, J. 2000. “Body Weight and Women’s Labor Market Outcomes.” NBER Working Paper No. 7841. National Bureau of Economic Research, Cambridge, MA. Chen, J., E. Ng, and R. Wilkins. 1996. “The Health of Canada’s Immigrants in 1994–95.” Health Reports 7(4):33–45. Chiswick, B.R. 1986. “Is the New Immigration Less Skilled than the Old?” Journal of Labor Economics 4:168–92. Chou, S.Y., M. Grossman, and H. Saffer. 2002. “An Economic Analysis of Adult Obesity: Results From the Behavioral Risk Factor Surveillance System.” NBER Working Paper No. 9247. National Bureau of Economic Research, Cambridge, MA. Costa, D.L. and R.H. Steckel. 1995. “Long-Term Trends in Health, Welfare, and Economic Growth in the United States.” NBER Historical Working Paper No. 76. National Bureau of Economic Research, Cambridge, MA. Cutler, D.M., E.L. Glaeser, and J.M. Shapiro. 2003. “Why Have Americans Become More Obese?” Journal of Economic Perspectives 17(3):93–118. Deri, C. 2003. “Understanding the ‘Healthy Immigrant Effect’ in Canada.” Working paper 0502E. Department of Economics, University of Ottawa, Ontario, Canada. Available online at http://www.socialsciences.uottawa.ca/eco/pdf/cahiers/0502E.pdf Donovan, J., E. d’Espaignet, C. Metron, and M. van Ommeren. 1992. “Immigrants in Australia: A Health Profile.” Australian Institute of Health and Welfare Ethnic Health Series, No 1. Canberra: AGPS. Duleep, H.O. and M.C. Regets. 1994. “The Elusive Concept of Immigrant Quality.” Working Paper No. PRIP-UI-28. Urban Institute, Washington, DC. —. 1999. “Immigrants and Human Capital Investment?” American Economic Review 89: 186–91. —. 2002. “The Elusive Concept of Immigrant Quality: Evidence From 1970–1990.” IZA Discussion Paper, No. 631. Institute for the Study of Labor, Bonn, Germany. Funkhouser, E. and S.J. Trejo. 1995. “The Labor Market Skills of Recent Male Immigrants: Evidence From the Current Population Survey.” Industrial and Labor Relations Review 48:792–811. Gordon-Larsen, P., K.M. Harris, D.S. Ward, and B.M. Popkin. 2003. “Acculturation and Overweight-Related Behaviors Among Hispanic Immigrants to the US: The National Longitudinal Study of Adolescent Health.” Social Science and Medicine 57:2023–34. Hamermesh, D.S. and J.E. Biddle. 1994. “Beauty and the Labor Market.” American Economic Review 84:1174–94. Himes, C. 2000. “Obesity, Disease, and Functional Limitation in Later Life.” Demography 37: 73–82. House, J.S., R.C. Kessler, A.R. Herzog, R.P. Mero, A.M. Kinney, M.J. Breslow. 1990. “Age, Socioeconomic Status and Health.” The Milbank Quarterly 68:383–411. Hu, W.Y. 2000. “Immigrant Earning Assimilation: Estimates From Longitudinal Data.” American Economic Review 90:368–72. Jasso, G., D.S. Massey, M.R. Rosenzweig, and J.P. Smith. 2004. “Immigrant Health—Selectivity and Acculturation.” Unpublished Manuscript. RAND. Available online at http://econwpa.wustl.edu/eps/lab/papers/0412/0412002.pdf Kasl, S.V. and L. Berkman. 1983. “Health Consequences of The Experiences of Migration.” Annual Review of Public Health 4:69–90. Lakdawalla, D. and T. Philipson. 2002. “The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination.” NBER Working Paper No. 8946. National Bureau of Economic Research, Cambridge, MA. LaLonde, R.J. and R.H. Topel. 1992. “The Assimilation of Immigrants in the U.S. Labor Market.” Pp. 67–92 in Immigration and the Work Force: Economic Consequences for the United States and Source Areas, edited by G.J. Borjas and R.B. Freeman. Chicago: University of Chicago Press. Laroche, M. 2000. “Health Status and Health Services Utilization of Canada’s Immigrant and Non-Immigrant Populations.” Canadian Public Policy 26(2):51–75. Leclere, F.B., L. Jensen, and A.E. Biddlecom. 1994. “Health Care Utilization, Family Context, and Adaptation Among Immigrants to the United States.” Journal of Health and Social Behavior 35:370–84. Lee, L.F. and J.H. Sepanski. 1995. “Estimation of Linear and Nonlinear Errors in Variables Models Using Validation Data.” Journal of the American Statistical Association 90(429):130–40. Marmot, M.G., A.M. Adelstein, and L. Bulusu. 1984. “Lessons From the Study of Immigrant Mortality.” Lancet 30:1455–57. Marmot, M.G. and S.L. Syme. 1976. “Acculturation and Coronary Heart Disease in Japanese-Americans.” American Journal of Epidemiology 104:225–47. McDonald, J.T. 2003. “The Health of Immigrants to Canada.” Unpublished manuscript. Department of Economics, University of New Brunswick, Fredericton. —. 2004. “BMI and the Incidence of Being Overweight and Obese Among Canadian Immigrants: Is Acculturation Associated with Unhealthy Weight Gain?” Unpublished manuscript. Department of Economics, University of New Brunswick, Fredericton. McDonald, J.T. and S. Kennedy. 2004. “Insights Into the ‘Healthy Immigrant Effect’: Health Status and Health Service Use of Immigrants to Canada.” Social Science and Medicine 59:1613–27. Pagan, J.A. and A. Davila. 1997. “Obesity, Occupational Attainment, and Earnings.” Social Science Quarterly 78:756–70. Palloni, A. and E. Arias. 2003. “A Re-Examination of the Hispanic Mortality Paradox.” CDE Working Paper No. 2003-01. Center for Demography and Ecology, University of Wisconsin-Madison. Perez, C.E. 2002. “Health Status and Health Behaviour Among Immigrants.” Health Reports 13(Suppl.):1–12. Philipson, T. 2001. “The World-Wide Growth in Obesity: An Economic Research Agenda.” Health Economics 10(1):1–7. Philipson, T. and R.A. Posner. 1999. “The Long-Run Growth in Obesity as a Function of Technological Change.” NBER Working Paper No. 7423. National Bureau of Economic Research, Cambridge, MA. Popkin, B.M. and P. Gordon-Larsen. 2004. “The Nutrition Transition: Worldwide Obesity Dynamics and the Determinant.” International Journal of Obesity 28:S2-S9. Popkin, B.M. and J.R. Udry. 1998. “Adolescent Obesity Increases Significantly in Second and Third Generation U.S. Immigrants: The National Longitudinal Study of Adolescent Health.” Journal of Nutrition 128:701–706. Register, C.A. and D.R. Williams. 1990. “Wage Effects of Obesity Among Young Workers.” Social Science Quarterly 71:130–41. Schoeni, R.F. 1997. “New Evidence on the Economic Progress of Foreign-Born Men in the 1970s and 1980s.” Journal of Human Resources 32:683–740. —. 1998. “Labor Market Assimilation of Immigrant Women.” Industrial and Labor Relations Review 51:483–504. Sorlie, P.D., E. Backlund, N.J. Johnson, and E. Rogot. 1993. “Mortality by Hispanic Status in the United States.” Journal of American Medical Association 270(20):2464–68. Stephen, E.H., K. Foote, G.E. Hendershot, C.A. Schoenborn. 1994. “Health of the Foreign-Born Population.” Advance Data From Vital and Health Statistics 241:1–10. Sturm, R. 2002. “The Effects of Obesity, Smoking and Drinking on Medical Problems and Costs.” Health Affairs 21:245–53. Vega, W. and H. Amaro. 1994. “Latino Outlook: Good Health, Uncertain Prognosis.” Annual Review of Public Health 15:39–67. Wolf, A. and G. Colditz. 1998. “Current Estimates of the Economic Cost of Obesity in the United States.” Obesity Research 6:97–106.