Abstract

It is well documented that immigrants are in better health upon arrival in the United States than their American counterparts but that this health advantage erodes over time. We study the potential determinants of this “healthy immigrant effect,” with a particular focus on the tendency of immigrants to converge to unhealthy American BMI levels. Using data from the National Health Interview Survey, we find that average female and male immigrants enter the United States with BMIs that are approximately two and five percentage points lower than native-born women and men, respectively. Consistent with the declining health status of immigrants the longer they remain in the United States, we also find that female immigrants almost completely converge to American BMIs within 10 years of arrival, and men close a third of the gap within 15 years.

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References

Antecol, H., P. Kuhn, and S. Trejo. Forthcoming. “Assimilation via Prices or Quantities? Labor Market Institutions and Immigrant Earnings Growth in Australia, Canada, and the United States.” Journal of Human Resources.
Arias, E., Anderson, R.N., Kung, H.-C., Murphy, S.L., & Kochanek, K.D. (
2003
).
Deaths: Final Data for 2001
National Vital Statistics Reports
.
Hyattsville, MD
:
National Center for Health Statistics
.
Averett, S., & Korenman, S. (
1996
).
The Economic Reality of the Beauty Myth
.
Journal of Human Resources
,
31
,
304
30
. 10.2307/146065
Borjas, G.J. (
1985
).
Assimilation, Changes in Cohort Quality, and the Earnings of Immigrants
.
Journal of Labor Economics
,
3
,
463
89
. 10.1086/298065
Borjas, G.J. (
1995
).
Assimilation and Changes in Cohort Quality Revisited: What Happened to Immigrant Earnings in the 1980s?
.
Journal of Labor Economics
,
13
,
201
45
. 10.1086/298373
Borjas, G.J., & Hilton, L. (
1996
).
Immigration and the Welfare State: Immigrant Participation in Means-Tested Entitlement Programs
.
The Quarterly Journal of Economics
,
111
,
575
604
. 10.2307/2946688
Borjas, G.J., & Trejo, S. (
1991
).
Immigration Participation in the Welfare System
.
Industrial and Labor Relations Review
,
44
,
195
211
. 10.2307/2524803
Bound, J., Brown, C., & Mathiowetz, N. (
2001
).
Measurement Error in Survey Data
. In J.J. Heckman, & E.E. Leamer (Eds.),
Handbook of Econometrics
(pp.
3705
843
).
New York
:
Springer-Verlag
.
Cawley, J. (
2000
).
Body Weight and Women’s Labor Market Outcomes
.
Cambridge, MA
:
National Bureau of Economic Research
.
Chen, J., Ng, E., & Wilkins, R. (
1996
).
The Health of Canada’s Immigrants in 1994–95
.
Health Reports
,
7
(
4
),
33
45
.
Chiswick, B.R. (
1986
).
Is the New Immigration Less Skilled than the Old?
.
Journal of Labor Economics
,
4
,
168
92
. 10.1086/298099
Chou, S.Y., Grossman, M., & Saffer, H. (
2002
).
An Economic Analysis of Adult Obesity: Results From the Behavioral Risk Factor Surveillance System
.
Cambridge, MA
:
National Bureau of Economic Research
.
Costa, D.L., & Steckel, R.H. (
1995
).
Long-Term Trends in Health, Welfare, and Economic Growth in the United States
.
Cambridge, MA
:
National Bureau of Economic Research
.
Cutler, D.M., Glaeser, E.L., & Shapiro, J.M. (
2003
).
Why Have Americans Become More Obese?
.
Journal of Economic Perspectives
,
17
(
3
),
93
118
. 10.1257/089533003769204371
Deri, C. (
2003
).
Understanding the ‘Healthy Immigrant Effect’ in Canada
.
Ontario, Canada
:
Department of Economics, University of Ottawa
.
Donovan, J., d’Espaignet, E., Metron, C., & van Ommeren, M. (
1992
).
Immigrants in Australia: A Health Profile
.
Canberra
:
AGPS
.
Duleep, H.O., & Regets, M.C. (
1994
).
The Elusive Concept of Immigrant Quality
.
Washington, DC
:
Urban Institute
.
Duleep, H.O., & Regets, M.C. (
1999
).
Immigrants and Human Capital Investment?
.
American Economic Review
,
89
,
186
91
. 10.1257/aer.89.2.186
Duleep, H.O., & Regets, M.C. (
2002
).
The Elusive Concept of Immigrant Quality: Evidence From 1970–1990
.
Bonn, Germany
:
Institute for the Study of Labor
.
Funkhouser, E., & Trejo, S.J. (
1995
).
The Labor Market Skills of Recent Male Immigrants: Evidence From the Current Population Survey
.
Industrial and Labor Relations Review
,
48
,
792
811
. 10.2307/2524357
Gordon-Larsen, P., Harris, K.M., Ward, D.S., & Popkin, B.M. (
2003
).
Acculturation and Overweight-Related Behaviors Among Hispanic Immigrants to the US: The National Longitudinal Study of Adolescent Health
.
Social Science and Medicine
,
57
,
2023
34
. 10.1016/S0277-9536(03)00072-8
Hamermesh, D.S., & Biddle, J.E. (
1994
).
Beauty and the Labor Market
.
American Economic Review
,
84
,
1174
94
.
Himes, C. (
2000
).
Obesity, Disease, and Functional Limitation in Later Life
.
Demography
,
37
,
73
82
. 10.2307/2648097
House, J.S., Kessler, R.C., Herzog, A.R., Mero, R.P., Kinney, A.M., & Breslow, M.J. (
1990
).
Age, Socioeconomic Status and Health
.
The Milbank Quarterly
,
68
,
383
411
. 10.2307/3350111
Hu, W.Y. (
2000
).
Immigrant Earning Assimilation: Estimates From Longitudinal Data
.
American Economic Review
,
90
,
368
72
. 10.1257/aer.90.2.368
Jasso, G., D.S. Massey, M.R. Rosenzweig, and J.P. Smith. 2004. “Immigrant Health—Selectivity and Acculturation.” Unpublished Manuscript. RAND. Available online at http://econwpa.wustl.edu/eps/lab/papers/0412/0412002.pdf
Kasl, S.V., & Berkman, L. (
1983
).
Health Consequences of The Experiences of Migration
.
Annual Review of Public Health
,
4
,
69
90
. 10.1146/annurev.pu.04.050183.000441
Lakdawalla, D., & Philipson, T. (
2002
).
The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination
.
National Bureau of Economic Research
:
Cambridge, MA
.
LaLonde, R.J., & Topel, R.H. (
1992
).
The Assimilation of Immigrants in the U.S. Labor Market
. In G.J. Borjas, & R.B. Freeman (Eds.),
Immigration and the Work Force: Economic Consequences for the United States and Source Areas
(pp.
67
92
).
Chicago
:
University of Chicago Press
.
Laroche, M. (
2000
).
Health Status and Health Services Utilization of Canada’s Immigrant and Non-Immigrant Populations
.
Canadian Public Policy
,
26
(
2
),
51
75
.
Leclere, F.B., Jensen, L., & Biddlecom, A.E. (
1994
).
Health Care Utilization, Family Context, and Adaptation Among Immigrants to the United States
.
Journal of Health and Social Behavior
,
35
,
370
84
. 10.2307/2137215
Lee, L.F., & Sepanski, J.H. (
1995
).
Estimation of Linear and Nonlinear Errors in Variables Models Using Validation Data
.
Journal of the American Statistical Association
,
90
(
429
),
130
40
. 10.2307/2291136
Marmot, M.G., Adelstein, A.M., & Bulusu, L. (
1984
).
Lessons From the Study of Immigrant Mortality
.
Lancet
,
30
,
1455
57
. 10.1016/S0140-6736(84)91943-3
Marmot, M.G., & Syme, S.L. (
1976
).
Acculturation and Coronary Heart Disease in Japanese-Americans
.
American Journal of Epidemiology
,
104
,
225
47
.
McDonald, J.T. (
2003
).
The Health of Immigrants to Canada
.
Fredericton
:
Department of Economics, University of New Brunswick
.
McDonald, J.T. (
2004
).
BMI and the Incidence of Being Overweight and Obese Among Canadian Immigrants: Is Acculturation Associated with Unhealthy Weight Gain?
.
Fredericton
:
Department of Economics, University of New Brunswick
.
McDonald, J.T., & Kennedy, S. (
2004
).
Insights Into the ‘Healthy Immigrant Effect’: Health Status and Health Service Use of Immigrants to Canada
.
Social Science and Medicine
,
59
,
1613
27
. 10.1016/j.socscimed.2004.02.004
Pagan, J.A., & Davila, A. (
1997
).
Obesity, Occupational Attainment, and Earnings
.
Social Science Quarterly
,
78
,
756
70
.
Palloni, A. and E. Arias. 2003. “A Re-Examination of the Hispanic Mortality Paradox.” CDE Working Paper No. 2003-01. Center for Demography and Ecology, University of Wisconsin-Madison.
Perez, C.E. (
2002
).
Health Status and Health Behaviour Among Immigrants
.
Health Reports
,
13
(
Suppl.
),
1
12
.
Philipson, T. (
2001
).
The World-Wide Growth in Obesity: An Economic Research Agenda
.
Health Economics
,
10
(
1
),
1
7
. 10.1002/1099-1050(200101)10:1<1::AID-HEC586>3.0.CO;2-1
Philipson, T., & Posner, R.A. (
1999
).
The Long-Run Growth in Obesity as a Function of Technological Change
.
Cambridge, MA
:
National Bureau of Economic Research
.
Popkin, B.M., & Gordon-Larsen, P. (
2004
).
The Nutrition Transition: Worldwide Obesity Dynamics and the Determinant
.
International Journal of Obesity
,
28
,
S2
S9
. 10.1038/sj.ijo.0802804
Popkin, B.M., & Udry, J.R. (
1998
).
Adolescent Obesity Increases Significantly in Second and Third Generation U.S. Immigrants: The National Longitudinal Study of Adolescent Health
.
Journal of Nutrition
,
128
,
701
706
.
Register, C.A., & Williams, D.R. (
1990
).
Wage Effects of Obesity Among Young Workers
.
Social Science Quarterly
,
71
,
130
41
.
Schoeni, R.F. (
1997
).
New Evidence on the Economic Progress of Foreign-Born Men in the 1970s and 1980s
.
Journal of Human Resources
,
32
,
683
740
. 10.2307/146426
Schoeni, R.F. (
1998
).
Labor Market Assimilation of Immigrant Women
.
Industrial and Labor Relations Review
,
51
,
483
504
. 10.2307/2525119
Sorlie, P.D., Backlund, E., Johnson, N.J., & Rogot, E. (
1993
).
Mortality by Hispanic Status in the United States
.
Journal of American Medical Association
,
270
(
20
),
2464
68
. 10.1001/jama.270.20.2464
Stephen, E.H., Foote, K., Hendershot, G.E., & Schoenborn, C.A. (
1994
).
Health of the Foreign-Born Population
.
Advance Data From Vital and Health Statistics
,
241
,
1
10
.
Sturm, R. (
2002
).
The Effects of Obesity, Smoking and Drinking on Medical Problems and Costs
.
Health Affairs
,
21
,
245
53
. 10.1377/hlthaff.21.2.245
Vega, W., & Amaro, H. (
1994
).
Latino Outlook: Good Health, Uncertain Prognosis
.
Annual Review of Public Health
,
15
,
39
67
. 10.1146/annurev.pu.15.050194.000351
Wolf, A., & Colditz, G. (
1998
).
Current Estimates of the Economic Cost of Obesity in the United States
.
Obesity Research
,
6
,
97
106
.