The Immigrant Health Advantage: An Examination of African-Origin Black Immigrants in the United States

The immigrant health advantage suggests that, despite significant socioeconomic disadvantage, immigrant populations report better-than-expected health relative to U.S.-born counterparts. This phenomenon has been repeatedly shown in Hispanic-origin immigrant population with little focus on other racial/ethnic groups. In this study, the immigrant health advantage is examined as it pertains to overweight, obesity, hypertension, and diabetes in African-origin black immigrants (n = 2748) relative to U.S.-born non-Hispanic blacks (n = 71,320). Additionally, to investigate within-immigrant heterogeneity in health deterioration associated with duration in the United States, the health of African-origin black immigrants is compared to non-Hispanic white and Mexican-American immigrants. Analyses are conducted on adults aged 18-85 + (n = 570,675) from the 2000-2018 National Health Interview Survey using binomial logistic regressions. Findings support the notion of an immigrant health advantage and suggest that, relative to U.S.-born blacks, African-origin black immigrants are at lower odds for obesity, hypertension, and diabetes, regardless of duration in the United States. Further, when compared to non-Hispanic white and Mexican-American immigrants, African-origin black immigrants display similar probabilities of reporting overweight, obesity, and diabetes across four duration categories. These findings suggest that, despite potentially experiencing high rates of discriminatory and/or racist behaviors, African-origin black immigrants' health does not deteriorate differently than this sample of non-black immigrant counterparts. The findings presented here provide further insight into the health of African-origin blacks immigrants, a rapidly growing proportion of both the U.S.-black and foreign-born population.