Hispanic Segregation and Poor Health: It's Not Just Black and White

D. Phuong Do, Reanne Frank, Cheng Zheng, John Iceland

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Despite the importance of understanding the fundamental determinants of Hispanic health, few studies have investigated how metropolitan segregation shapes the health of the fastest-growing population in the United States. Using 2006-2013 data from the National Health Interview Survey, we 1) examined the relationship between Hispanic metropolitan segregation and respondent-rated health for US-born and foreign-born Hispanics and 2) assessed whether neighborhood poverty mediated this relationship. Results indicated that segregation has a consistent, detrimental effect on the health of US-born Hispanics, comparable to findings for blacks and black-white segregation. In contrast, segregation was salutary (though not always significant) for foreign-born Hispanics. We also found that neighborhood poverty mediates some, but not all, of the associations between segregation and poor health. Our finding of divergent associations between health and segregation by nativity points to the wide range of experienceswithin the diverseHispanic population and suggests that socioeconomic status and structural factors, such as residential segregation, come into play in determining Hispanic health for the US-born in a way that does not occur among the foreign-born.

Original languageEnglish (US)
Pages (from-to)990-999
Number of pages10
JournalAmerican Journal of Epidemiology
Volume186
Issue number8
DOIs
StatePublished - Oct 15 2017
Externally publishedYes

Keywords

  • Hispanic Americans
  • Hispanic health
  • Neighborhood characteristics
  • Segregation

ASJC Scopus subject areas

  • Epidemiology

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