Effects of Nativity, Length of Residence, and County-Level Foreign-Born Density on Mental Health Among Older Adults in the US

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dc.contributor.authorChoi, Sunha
dc.contributor.authorKim, Giyeon
dc.contributor.authorLee, Sungkyu
dc.contributor.otherUniversity of Tennessee Knoxville
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherSoongsil University
dc.date.accessioned2023-09-28T20:40:12Z
dc.date.available2023-09-28T20:40:12Z
dc.date.issued2016
dc.description.abstractUsing the 2004-2007 Medical Expenditure Panel Survey data that are linked to county-level data from the Area Health Resources Files, this study examined whether the healthy immigrant effect applies to mental health of foreign-born older adults. Additionally, testing a protective ethnic density effect on older foreign-born individuals' mental health, this study examined how the percentage of foreign-born population in the county affected the relationship between older adults' immigration status (U.S.-nativity and length of residence in the U.S.) and their mental health status. The sample included 29,011 individuals (level-1) from 920 counties (level-2) across 50 states and D.C. Using the Mental Component Summary of the Short-Form 12, the Kessler Index (K-6), and the Patient Health Questionnaire (PHQ-2), U.S.-born individuals (n = 24,225), earlier immigrants (aeyen15 years in the U.S.; n = 3866), and recent immigrants (< 15 years in the U.S.; n = 920) were compared. The results indicate that recent immigrants showed worse mental health on all three measures compared with U.S.-born individuals and on the K-6 and PHQ-2 compared with earlier immigrants. Higher county-level foreign-born densities were associated with worse mental health status of individuals. However, the significant interactions found in the full conditional multilevel models indicated that the high foreign-born density functioned as a risk factor for worse mental health only among recent immigrants but not among the U.S.-born. In conclusion, the results revealed the vulnerability of older recent immigrants, especially those living in the counties with high foreign-born densities.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationChoi, S., Kim, G., & Lee, S. (2016). Effects of Nativity, Length of Residence, and County-Level Foreign-Born Density on Mental Health Among Older Adults in the U.S. In Psychiatric Quarterly (Vol. 87, Issue 4, pp. 675–688). Springer Science and Business Media LLC. https://doi.org/10.1007/s11126-016-9418-2
dc.identifier.doi10.1007/s11126-016-9418-2
dc.identifier.orcidhttps://orcid.org/0000-0002-4439-2777
dc.identifier.urihttps://ir.ua.edu/handle/123456789/11753
dc.languageEnglish
dc.language.isoen_US
dc.publisherSpringer
dc.subjectDepression
dc.subjectPsychological distress
dc.subjectHealth immigrant effect
dc.subjectEthnic density effect
dc.subjectETHNIC DENSITY
dc.subjectNEIGHBORHOOD CONTEXT
dc.subjectDEPRESSIVE SYMPTOMS
dc.subjectMAJOR DEPRESSION
dc.subjectUNITED-STATES
dc.subjectIMMIGRANTS
dc.subjectCARE
dc.subjectPOPULATION
dc.subjectVALIDITY
dc.subjectSTRESS
dc.subjectPsychiatry
dc.titleEffects of Nativity, Length of Residence, and County-Level Foreign-Born Density on Mental Health Among Older Adults in the USen_US
dc.typeArticle
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