Neighborhood Ethnic Composition and Self-rated Health Among Chinese and Vietnamese American Immigrants

Alice Guan, Jin E. Kim-Mozeleski, Priyanka Vyas, Susan L. Stewart, Ginny Gildengorin, Nancy J. Burke, Kris Ma, Amber T. Pham, Judy Tan, Qian Lu, Stephen J. McPhee, Janice Y Tsoh

Research output: Contribution to journalArticlepeer-review

Abstract

Immigrants tend to live in areas with higher co-ethnic density, and the effect of neighborhood ethnic composition could be particularly salient for health. This study explored associations between neighborhood ethnic composition and self-rated health among Asian immigrants. We analyzed data collected at baseline from 670 Chinese and Vietnamese immigrants enrolled in a lifestyle intervention trial. Residential addresses were geocoded and combined with neighborhood socio-demographic profiles based on census data. We used generalized estimating equations to examine neighborhood ethnic composition and self-rated health. Independent of individual-level factors, living in neighborhoods more densely populated by whites was associated with poor/fair self-rated health. Neighborhood household income and density of participants’ own ethnic group were not associated with poor/fair self-rated health. More research is warranted to disentangle reasons why Chinese and Vietnamese immigrants living in white-concentrated neighborhoods reported poorer self-rated health, including investigating effects of discrimination, relative deprivation, and availability of social resources.

Original languageEnglish (US)
JournalJournal of Immigrant and Minority Health
DOIs
StateAccepted/In press - 2020

Keywords

  • Asian American
  • Ethnic density
  • Neighborhood effects
  • Self-rated health

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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