Background
In the United States (U.S.), Latinos often report fair/poor self-rated health, which is an indicator for increased morbidity and mortality. Foreign-born Latinos in new immigrant destinations, such as the South, may rate their health more poorly than their counterparts elsewhere in the U.S., due to factors associated with migration and settlement in these communities.
Methods
We assessed foreign-born Latinas’ self-rated health in Birmingham, Alabama (n=765), and compared it to that of foreign-born Latinas in the National Health Interview Survey (NHIS; n=8,746). Birmingham participants were matched to Latinas in the NHIS using propensity scores. We examined factors associated with reporting worse health using ordered logistic regression and inverse probability of treatment weights.
Results
After propensity score matching, 47.6% of foreign-born Latinas in the Birmingham study reported their health as fair/poor, compared to 17.9% of foreign-born Latinas in the NHIS (p<0.001). The association between being Mexican-born versus from other countries with poorer health was stronger in the Birmingham study (odds ratio: 4.46 [95% CI: 1.91–10.4]) than in the NHIS (odds ratio 1.09 [95%CI: 1.08–1.09]). Shorter durations of U.S. residence were associated with better health for Latinas in the NHIS but not those in Birmingham.
Conclusions
In this study of Latina immigrants in a new settlement community in the South, women reported worse health than foreign-born Latinas in other U.S. regions, suggesting they may be at increased risk for adverse health outcomes. Future studies are needed to better understand the factors associated with these differences to reduce morbidity and mortality burdens.