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Epidemiological Paradox or Immigrant Vulnerability? Obesity Among Young Children of Immigrants

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  • Elizabeth Baker

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  • Michael Rendall
  • Margaret Weden

Abstract

According to the “immigrant epidemiological paradox,” immigrants and their children enjoy health advantages over their U.S.-born peers—advantages that diminish with greater acculturation. We investigated child obesity as a potentially significant deviation from this paradox for second-generation immigrant children. We evaluated two alternate measures of mother’s acculturation: age at arrival in the United States and English language proficiency. To obtain sufficient numbers of second-generation immigrant children, we pooled samples across two related, nationally representative surveys. Each included measured (not parent-reported) height and weight of kindergartners. We also estimated models that alternately included and excluded mother’s pre-pregnancy weight status as a predictor. Our findings are opposite to those predicted by the immigrant epidemiological paradox: children of U.S.-born mothers were less likely to be obese than otherwise similar children of foreign-born mothers; and the children of the least-acculturated immigrant mothers, as measured by low English language proficiency, were the most likely to be obese. Foreign-born mothers had lower (healthier) pre-pregnancy weight than U.S.-born mothers, and this was protective against their second-generation children’s obesity. This protection, however, was not sufficiently strong to outweigh factors associated or correlated with the mothers’ linguistic isolation and marginal status as immigrants. Copyright Population Association of America 2015

Suggested Citation

  • Elizabeth Baker & Michael Rendall & Margaret Weden, 2015. "Epidemiological Paradox or Immigrant Vulnerability? Obesity Among Young Children of Immigrants," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1295-1320, August.
  • Handle: RePEc:spr:demogr:v:52:y:2015:i:4:p:1295-1320
    DOI: 10.1007/s13524-015-0404-3
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    References listed on IDEAS

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    Cited by:

    1. Michelle L. Frisco & Susana Quiros & Jennifer Hook, 2016. "One Size May Not Fit All: How Obesity Among Mexican-Origin Youth Varies by Generation, Gender, and Age," Demography, Springer;Population Association of America (PAA), vol. 53(6), pages 2031-2043, December.
    2. Akbulut-Yuksel, Mevlude & Kugler, Adriana D., 2016. "Intergenerational persistence of health: Do immigrants get healthier as they remain in the U.S. for more generations?," Economics & Human Biology, Elsevier, vol. 23(C), pages 136-148.

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    Keywords

    Child obesity; Acculturation; Hispanic;

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