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Longer-but Harder-Lives?: The Hispanic Health Paradox and the Social Determinants of Racial, Ethnic, and Immigrant-Native Health Disparities from Midlife through Late Life

Citation

Boen, Courtney E. & Hummer, Robert A. (2019). Longer-but Harder-Lives?: The Hispanic Health Paradox and the Social Determinants of Racial, Ethnic, and Immigrant-Native Health Disparities from Midlife through Late Life. Journal of Health and Social Behavior, 60(4), 434-52.

Abstract

Though Hispanics live long lives, whether a “Hispanic paradox” extends to older-age health remains unclear, as do the social processes underlying racial-ethnic and immigrant-native health disparities. Using data from the Health and Retirement Study (2004-2012) (N=6,581), we assess the health of US- and foreign-born Hispanics, relative to US-born Whites and Blacks, and examine the socioeconomic, stress, and behavioral pathways contributing to health disparities. Findings indicate higher disability, depressive, metabolic, and inflammatory risk for Hispanics relative to Whites and similar health profiles among Hispanics and Blacks. We find limited evidence of a healthy immigrant pattern among foreign-born Hispanics. While socioeconomic factors account for Hispanic-White gaps in inflammation, disparities in other outcomes persist after adjustment for SES, due in part to group differences in stress exposure. Hispanics may live long lives, but their lives are characterized by more socioeconomic hardship, stress, and health risk than Whites and similar health risks as Blacks.

URL

http://dx.doi.org/10.1177/0022146519884538

Reference Type

Journal Article

Journal Title

Journal of Health and Social Behavior

Author(s)

Boen, Courtney E.
Hummer, Robert A.

Year Published

2019

Volume Number

60

Issue Number

4

Pages

434-52

NIHMSID

NIHMS1581804

Reference ID

12455