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
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
复制标题
DOI：
10.1177/0022146519884538
复制
发表时间：
2019-11-26
影响因子：
5
通讯作者：
Hummer, Robert A.
中科院分区：
文献类型：
--
作者：
Boen, Courtney E.;Hummer, Robert A.
尽管西班牙裔寿命较长，但“西班牙裔悖论”是否延伸到老年健康状况仍不清楚，种族 - 族裔以及移民 - 本土居民健康差异背后的社会过程也不清楚。利用健康与退休研究（2004 - 2012年；N = 6581）的数据，我们评估了美国出生和外国出生的西班牙裔相对于美国出生的白人和黑人的健康状况，并研究了导致健康差异的社会经济、压力和行为途径。研究结果表明，与白人相比，西班牙裔在残疾、抑郁、代谢和炎症方面的风险更高，西班牙裔和黑人的健康状况相似。我们发现外国出生的西班牙裔中健康移民模式的证据有限。虽然社会经济因素解释了西班牙裔与白人在炎症方面的差距，但在对社会经济地位进行调整后，其他健康结果方面的差异仍然存在，部分原因是压力暴露方面的群体差异。西班牙裔可能寿命较长，但与白人相比，他们的生活更多地受到社会经济困境、压力和健康风险的影响，并且与黑人有着相似的健康风险。
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 U.S.- and foreign-born Hispanics relative to U.S.-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 socioeconomic status, 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.