@article{Paglino_50_7,
author = {Paglino, Eugenio and Elo, Irma T.},
title={{Immigrant mortality advantage in the United States during the first year of the COVID-19 pandemic}},
journal = {Demographic Research},
volume = {50},
number = {7},
pages = {185--204},
doi = {10.4054/DemRes.2024.50.7},
year = {2024},
abstract = {Objective: To investigate the mortality impact of the COVID-19 pandemic on US-born and foreign-born populations by race and Hispanic origin in the United States in 2020. 

Methods: Death records from the National Center for Health Statistics and population data from CDC WONDER were used to estimate (1) age-standardized all-cause and cause-specific mortality at ages 25+, 25–64, and 65+ in 2017–2019 and 2020 by nativity, race, Hispanic origin, and sex; (2) changes in mortality between these two periods; and (3) the cause-specific contributions to these changes. 

Results: Mortality increased in 2020 relative to 2017–2019 for all racial and Hispanic-origin groups. Adjusting for age, mortality increases were larger at ages 25+ among foreign-born males (390 deaths for 100,000 residents) and females (189) than among US-born males (223) and females (144). The large mortality rise among foreign-born Hispanic men (593) contributed to the narrowing of their mortality advantage relative to White men, from 426 to 134. An increase in mortality among both foreign-born and US-born Black males and females increased the Black–White mortality disparities by 318 for males and by 180 for females. Although COVID-19 mortality was the main driver of the increase among foreign-born residents, circulatory diseases and malignant neoplasms also contributed. 

Contribution: We show that the COVID-19 pandemic had a greater impact on foreign-born populations than on their US-born counterparts. These findings highlight the need to address the underlying inequalities and unique challenges faced by foreign-born populations. },
URL = {https://www.demographic-research.org/volumes/vol50/7/},
eprint = {https://www.demographic-research.org/volumes/vol50/7/50-7.pdf}
}