Volume 39 - Article 7 | Pages 209–250  

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

By Mara Sheftel, Frank W. Heiland

Abstract

Background: Hispanic immigrants have been found to be more likely to have a disability than US-born 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.

Author’s Affiliation

• Mara Sheftel - Pennsylvania State University, United States of America EMAIL
• Frank W. Heiland - City University of New York, United States of America EMAIL

Other articles by the same author/authors in Demographic Research

Family structure and wellbeing of out-of-wedlock children: The significance of the biological parents' relationship
Volume 15 - Article 4

Trends in East-West German Migration from 1989 to 2002
Volume 11 - Article 7

Most recent similar articles in Demographic Research

Uncovering the underlying causes for the narrowing, stalling, and widening Black–White mortality gap from 2000 to 2022 in the United States
Volume 52 - Article 18    | Keywords: cause of death, decomposition, mortality trends, racial disparities, United States of America, years of life lost (YLL)

The changing inter-relationship between partnership dynamics and fertility trends in Europe and the United States: A review
Volume 52 - Article 7    | Keywords: childbearing, Europe, family complexity, fertility, fertility, marriage, partnership, United States of America

Socio-behavioral factors contributing to recent mortality trends in the United States
Volume 51 - Article 7    | Keywords: despair, health, mortality, National Health Interview Survey (NHIS), smoking, trends

Uncovering disability-free grandparenthood in Italy between 1998 and 2016 using gender-specific decomposition
Volume 50 - Article 42    | Keywords: aging, decomposition, disability, grandparenthood, Italy

Decomposition analysis of disparities in infant mortality rates across 27 US states
Volume 50 - Article 40    | Keywords: decomposition, health disparities, infant mortality, United States of America