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International Journal of Health Economics and Management

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01-03-2019 | Research Article

The Hispanic health paradox for older Americans: an empirical note

Authors: Reed Olsen, Subhasree Basu Roy, Hui-Kuan Tseng

Published in: International Journal of Health Economics and Management | Issue 1/2019

Abstract

Previous researchers have found that Hispanic immigrants tend to have better health than could be reasonably explained by their socioeconomic status and other demographic variables. The main objective of this study is to re-investigate the Hispanic health paradox covering the period from 1992 to 2012. Main contributions of the paper include using a data set of older Americans from the Health and Retirement Study. More importantly, we use two new measures of health. Previous research on the paradox had primarily used mortality or morbidity to measure health. In contrast, the HRS includes a measure of self-reported poor health from which we construct a latent health variable. Using both poor health and latent health we find that even among our sample of older Americans that Hispanic Immigrants remain more healthy than could be explained by their socioeconomic status and their other health inputs.

J.P. Smith and B. Edmonston, The New Americans: Economic, Demographic and Fiscal Effects of Immigration. Washington, DC: National Academy Press, 1997.

For examples, Auster et al. (1969), Grossman (1972), Newhouse and Friedlander (1980), Rosen and Taubman (1982), Leigh (1983), Berger and Leight (1989), Kenkel (1991), Thornton (2002, 2011) and Tseng and Olsen (2016).

According to MEPS, Hispanics include immigrants from Spanish speaking countries such as Puerto Rico, Cuba, Dominica, Mexico, Central or South America, Latin American and Latino. Non-Hispanics include U.S.-born citizens, legal residents and immigrants from Asia, Europe, Africa, and all other parts of the world except those Spanish speaking countries just described.

For example, Hummer et al. (2000), Singh and Siahpush (2002) and Lin et al. (2003).

See Table 16.1—Selected Studies on Hispanic Health outcomes in Franzini et al. (2001).

The HRS (Health and Retirement Study) is sponsored by the National Institute on Aging (grant number NIA U01AG009740) and is conducted by the University of Michigan. More information is available at: http://hrsonline.isr.umich.edu/.

Studies like Currie and Madrian (1999), Dwyer and Mitchell (1999), Baker et al. (2004) and Hamaaki and Noguchi (2009) discuss these issues related to self-reported health.

Individuals who are economically inactive are inclined to under-report their health status retrospectively to rationalize their status.

This approach has been used in studies like Disney et al. (2006) that uses objective health indicators as well as other personal characteristics and Jones et al. (2010) which uses only the objective health indicators, in creating the latent health stock.

Unfortunately, the HRS does not distinguish between documented and undocumented immigrants. Hence, we cannot test whether differences exist as they might between these two groups of Hispanic immigrants.

This includes the impact of both being an immigrant, which as noted in the text, is an approximate 10% improvement in health, and the impact of being an Hispanic immigrant separately, which varies from 8.14% up to 14.4%.

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Title: The Hispanic health paradox for older Americans: an empirical note
Authors: Reed Olsen
Subhasree Basu Roy
Hui-Kuan Tseng
Publication date: 01-03-2019
Publisher: Springer US
Published in: International Journal of Health Economics and Management / Issue 1/2019
Print ISSN: 2199-9023
Electronic ISSN: 2199-9031
DOI: https://doi.org/10.1007/s10754-018-9241-4

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