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Title: Disability crossover: Is there a Hispanic immigrant health advantage that reverses from working to old age?

Citation Type: Journal Article

Publication Year: 2018

DOI: 10.4054/DemRes.2018.39.7

Abstract: BACKGROUND Hispanic immigrants have been found to be more likely to have a disability than USborn populations. Studies have primarily focused on populations aged 60 and older; little is known about immigrant disability at younger ages. OBJECTIVE Taking a broader perspective, we investigate whether Hispanic immigrants have lower disability rates in midlife; if so, at what ages this health advantage reverses; and the correlates of this pattern. METHODS Using American Community Survey 2010–2014 data, we estimate age-specific disability prevalence rates by gender, nativity, education, and migration age from age 40 to 80. We also present estimates by six types of disability. RESULTS Compared to non-Hispanic whites, disability prevalence among foreign-born Mexican women is lower until age 53 (men: 61) and greater after 59 (66). Similar patterns hold for other foreign-born Hispanics. Crossovers are observed in rates of ambulatory, cognitive, independent living, and self-care disability. Evidence of a steeper age– disability gradient among less-educated immigrants is found. Minimal differences are noted by migration age, challenging an acculturation explanation for the crossover. CONTRIBUTION The paper contributes to a better understanding of immigrant–native disability patterns in the United States. It is the first to systematically document a Hispanic immigrant health advantage in disability that reverses from working to old age. Hispanic immigrants (particularly foreign-born Mexican women), may face steeper risk trajectories, consistent with their greater concentration in low-skill manual occupations. We call for increased scholarly attention to this phenomenon.

Url: http://www.demographic-research.org/Volumes/Vol39/7/

User Submitted?: No

Authors: Getz, Mara; Frank, Sheftel; Heiland, W

Periodical (Full): DEMOGRAPHIC RESEARCH

Issue: 7

Volume: 39

Pages: 209-250

Data Collections: IPUMS USA

Topics: Migration and Immigration

Countries: United States

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