Many studies have examined the differences in health status between US blacks and whites. These studies assumed homogeneity within these racial groups, but this report will provide evidence of the heterogeneity and differing health status of the US- and foreign-born black and white populations. Data from the 1992-95 National Health Interview Survey were analyzed to examine the differences in demographic characteristics and various health indicators (self-assessed health status, activity limitation, physician contacts, restricted activity days, hospital episodes, smoking status, and knowledge of AIDS) for US- and foreign-born blacks and whites. The SUDAAN software package generated age-adjusted estimates for the analyses. Foreign-born blacks have significantly better health characteristics than US-born blacks. In most cases, the health characteristics are comparable to US-born whites and better than foreign-born whites. Almost 38% of foreign-born blacks assessed their health as being excellent which is significantly greater than the 27% of US-born blacks. This statistic is similar to US-born whites (40%) and greater than foreign-born whites (35%). Less than 12% of foreign-born blacks are limited in performing some type of activity, while almost 20% of US-born blacks are limited. In comparison, 14% of foreign-born whites and 16% of US-born whites are limited in performing some type of activity. Heterogeneity exists within the black and white populations, which is apparent when these populations are categorized by nativity. In order to further understand the health disparities between blacks and whites, more research should be performed examining the effect of nativity on this relationship.
Learning Objectives: At the conclusion of the session, the participant in this session will be able to: 1) Describe the differences in demographic characteristics and health indicators for US- and foreign-born blacks and whites; 2) Recognize the health outcome similarities between foreign-born blacks and US-born whites; and 3) Understand the importance of examining blacks and whites as heterogeneous populations.
Keywords: African American, National Health Interview Survey
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: National Center for Health Statistics' National Health Interview Survey
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.