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A different look at the epidemiological paradox: Self-rated health, perceived social cohesion, and neighborhood immigrant context

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  • Bjornstrom, Eileen E.S.
  • Kuhl, Danielle C.

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.

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  • Bjornstrom, Eileen E.S. & Kuhl, Danielle C., 2014. "A different look at the epidemiological paradox: Self-rated health, perceived social cohesion, and neighborhood immigrant context," Social Science & Medicine, Elsevier, vol. 120(C), pages 118-125.
    • Handle: RePEc:eee:socmed:v:120:y:2014:i:c:p:118-125
    DOI: 10.1016/j.socscimed.2014.09.015
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