IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v307y2022ics027795362200483x.html
   My bibliography  Save this article

A healthy migrant effect? Estimating health outcomes of the undocumented immigrant population in the United States using machine learning

Author

Listed:
  • Ruhnke, Simon A.
  • Reynolds, Megan M.
  • Wilson, Fernando A.
  • Stimpson, Jim P.

Abstract

This paper investigated whether the commonly observed immigrant health advantage persists among undocumented immigrants in the U.S. and provides nationally representative evidence on the health of this vulnerable population. Data were derived from pooled cross-sections of the National Health Interview Survey (NHIS, 2000–2018). The legal status of foreign-born NHIS respondents is imputed using a non-parametric machine learning model built based on information from the 2004, 2008 and 2014 cohorts of the Survey of Income and Program Participation (SIPP). Multivariate logistic regression analysis indicated that, despite exposure to numerous additional risk factors, the undocumented population experienced a more pronounced Healthy Migrant Effect, with lower odds of reporting fair or poor self-rated health, any physician-diagnosed chronic conditions or being obese. The observed patterns in undocumented health outcomes may be related to the additional challenges and exclusionary policies associated with undocumented migration that could in turn lead to a more pronounced selection of healthy and resilient individuals.

Suggested Citation

  • Ruhnke, Simon A. & Reynolds, Megan M. & Wilson, Fernando A. & Stimpson, Jim P., 2022. "A healthy migrant effect? Estimating health outcomes of the undocumented immigrant population in the United States using machine learning," Social Science & Medicine, Elsevier, vol. 307(C).
    • Handle: RePEc:eee:socmed:v:307:y:2022:i:c:s027795362200483x
    DOI: 10.1016/j.socscimed.2022.115177
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795362200483X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2022.115177?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Korinek, Kim & Smith, Ken R., 2011. "Prenatal care among immigrant and racial-ethnic minority women in a new immigrant destination: Exploring the impact of immigrant legal status," Social Science & Medicine, Elsevier, vol. 72(10), pages 1695-1703, May.
    2. Randy Capps & James D. Bachmeier & Jennifer Van Hook, 2018. "Estimating the Characteristics of Unauthorized Immigrants Using U.S. Census Data: Combined Sample Multiple Imputation," The ANNALS of the American Academy of Political and Social Science, , vol. 677(1), pages 165-179, May.
    3. Orrenius, Pia M. & Zavodny, Madeline, 2005. "Self-selection among undocumented immigrants from Mexico," Journal of Development Economics, Elsevier, vol. 78(1), pages 215-240, October.
    4. Abraído-Lanza, A.F. & Dohrenwend, B.P. & Ng-Mak, D.S. & Turner, J.B., 1999. "The Latino mortality paradox: A test of the 'salmon bias' and healthy migrant hypotheses," American Journal of Public Health, American Public Health Association, vol. 89(10), pages 1543-1548.
    5. George J. Borjas & David J.G. Slusky, 2018. "Health, Employment, and Disability: Implications from the Undocumented Population," NBER Working Papers 24504, National Bureau of Economic Research, Inc.
    6. Ruiz, J.M. & Steffen, P. & Smith, T.B., 2013. "Hispanic mortality paradox: A systematic review and meta-analysis of the longitudinal literature," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 52-60.
    7. Andrew Fenelon, 2017. "Rethinking the Hispanic Paradox: The Mortality Experience of Mexican Immigrants in Traditional Gateways and New Destinations," International Migration Review, Wiley Blackwell, vol. 51(3), pages 567-599, September.
    8. Osea Giuntella & Luca Stella, 2017. "The Acceleration of Immigrant Unhealthy Assimilation," Health Economics, John Wiley & Sons, Ltd., vol. 26(4), pages 511-518, April.
    9. Eschbach, K. & Ostir, G.V. & Patel, K.V. & Markides, K.S. & Goodwin, J.S., 2004. "Neighborhood context and mortality among older Mexican Americans: Is there a barrio advantage?," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1807-1812.
    10. Neil K. Mehta & Irma T. Elo & Michal Engelman & Diane S. Lauderdale & Bert M. Kestenbaum, 2016. "Life Expectancy Among U.S.-born and Foreign-born Older Adults in the United States: Estimates From Linked Social Security and Medicare Data," Demography, Springer;Population Association of America (PAA), vol. 53(4), pages 1109-1134, August.
    11. James D. Bachmeier & Jennifer Van Hook & Frank D. Bean, 2014. "Can We Measure Immigrants' Legal Status? Lessons from Two U.S. Surveys," International Migration Review, Wiley Blackwell, vol. 48(2), pages 538-566, June.
    12. Nicholas Biddle & Steven Kennedy & James Ted Mcdonald, 2007. "Health Assimilation Patterns Amongst Australian Immigrants," The Economic Record, The Economic Society of Australia, vol. 83(260), pages 16-30, March.
    13. Marrow, Helen B., 2012. "Deserving to a point: Unauthorized immigrants in San Francisco’s universal access healthcare model," Social Science & Medicine, Elsevier, vol. 74(6), pages 846-854.
    14. Reynolds, Megan M. & Chernenko, Alla & Read, Jen'nan Ghazal, 2016. "Region of origin diversity in immigrant health: Moving beyond the Mexican case," Social Science & Medicine, Elsevier, vol. 166(C), pages 102-109.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gabriella Berloffa & Francesca Paolini, 2019. "Decomposing Immigrant Differences in Physical and Mental Health: A 'Beyond the Mean' Analysis," DEM Working Papers 2019/4, Department of Economics and Management.
    2. Touma, Fatima & Hummer, Robert A., 2022. "Race/ethnicity, immigrant generation, and physiological dysregulation among U.S. adults entering midlife," Social Science & Medicine, Elsevier, vol. 314(C).
    3. Santosh Jatrana & Ken Richardson & Samba Siva Rao Pasupuleti, 2018. "Investigating the Dynamics of Migration and Health in Australia: A Longitudinal Study," European Journal of Population, Springer;European Association for Population Studies, vol. 34(4), pages 519-565, October.
    4. Amelie F. Constant & Teresa García-Muñoz & Shoshana Neuman & Tzahi Neuman, 2018. "A “healthy immigrant effect” or a “sick immigrant effect”? Selection and policies matter," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(1), pages 103-121, January.
    5. Antonio Fidalgo & Alberto Holly & Marco Pecoraro & Philippe Wanner, 2016. "A nonparametric analysis of the healthy immigrant effect," IRENE Working Papers 16-15, IRENE Institute of Economic Research.
    6. Read, Jen'nan Ghazal & West, Jessica S. & Kamis, Christina, 2020. "Immigration and health among non-Hispanic whites: The impact of arrival cohort and region of birth," Social Science & Medicine, Elsevier, vol. 246(C).
    7. James Ted McDonald, 2005. "The Health Behaviors of Immigrants and Native-born People in Canada," Social and Economic Dimensions of an Aging Population Research Papers 144, McMaster University.
    8. Parker, Emily, 2021. "Spatial variation in access to the health care safety net for Hispanic immigrants, 1970–2017," Social Science & Medicine, Elsevier, vol. 273(C).
    9. Lu, Yao & Qin, Lijian, 2014. "Healthy migrant and salmon bias hypotheses: A study of health and internal migration in China," Social Science & Medicine, Elsevier, vol. 102(C), pages 41-48.
    10. Zaiceva, A. & Zimmermann, K.F., 2016. "Migration and the Demographic Shift," Handbook of the Economics of Population Aging, in: Piggott, John & Woodland, Alan (ed.), Handbook of the Economics of Population Aging, edition 1, volume 1, chapter 0, pages 119-177, Elsevier.
    11. Manka Nkimbeng & Alvine Akumbom & Marianne Granbom & Sarah L. Szanton & Tetyana P. Shippee & Roland J. Thorpe & Joseph E. Gaugler, 2022. "Where to Retire? Experiences of Older African Immigrants in the United States," IJERPH, MDPI, vol. 19(3), pages 1-17, January.
    12. Jose N. Martinez & Ernesto Aguayo-Tellez & Erick Rangel-Gonzalez, 2015. "Explaining the Mexican-American Health Paradox Using Selectivity Effects," International Migration Review, Wiley Blackwell, vol. 49(4), pages 878-906, December.
    13. Christal Hamilton & Claire Altman & James Bachmeier & Cody Spence, 2022. "Legal status and health disparities: An examination of health insurance coverage among the foreign-born," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 47(16), pages 453-488.
    14. James Ted McDonald & Jeremiah Neily, 2007. "Immigration, Ethnicity and Cancer in U.S. Women," Social and Economic Dimensions of an Aging Population Research Papers 206, McMaster University.
    15. Hellen Geremias Santos & Carla Ferreira Nascimento & Yeda Aparecida Duarte & Ichiro Kawachi & Alexandre Dias Porto Chiavegatto Filho, 2020. "Blurred lines: racial misclassification in death certificates in Brazil," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(1), pages 29-36, January.
    16. Justin T. Denney & Jarron M. Saint Onge & Jeff A. Dennis, 2018. "Neighborhood Concentrated Disadvantage and Adult Mortality: Insights for Racial and Ethnic Differences," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(2), pages 301-321, April.
    17. Fernando Riosmena & Rebeca Wong & Alberto Palloni, 2013. "Migration Selection, Protection, and Acculturation in Health: A Binational Perspective on Older Adults," Demography, Springer;Population Association of America (PAA), vol. 50(3), pages 1039-1064, June.
    18. Bhagyashree Katare & Timothy K. M. Beatty, 2018. "Do environmental factors drive obesity? Evidence from international graduate students," Health Economics, John Wiley & Sons, Ltd., vol. 27(10), pages 1567-1593, October.
    19. Silvia Loi & Jo Mhairi Hale, 2019. "Migrant health convergence and the role of material deprivation," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 40(32), pages 933-962.
    20. Mathieu Ichou & Matthew Wallace, 2019. "The Healthy Immigrant Effect: The role of educational selectivity in the good health of migrants," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 40(4), pages 61-94.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:307:y:2022:i:c:s027795362200483x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.