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. 2021 Feb;23(1):121-136.
doi: 10.1007/s10903-020-01039-w.

Heterogeneity in the Association of Citizenship Status on Self-Rated Health Among Asians in California

Adrian Matias Bacong  1
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Heterogeneity in the Association of Citizenship Status on Self-Rated Health Among Asians in California

Adrian Matias Bacong. J Immigr Minor Health. 2021 Feb.

Abstract

Citizenship is considered an egalitarian legal identity but may function differently among minorities because of racial/ethnic stratification and historical context. Using Asians, I examine whether the association between citizenship and self-rated health differs by ethnicity. I examine the moderating effect of Asian ethnic group (Chinese, Filipino, Korean, Vietnamese, and Other Asian) on citizenship and self-rated health using the 2012-2016 California Health Interview Survey (n = 11,084). Models account for demographics, socioeconomic status, healthcare, and English proficiency. Adjusting for demographics, naturalized citizens and non-citizens were statistically significantly more likely to report fair/poor health compared to U.S.-born citizens. Naturalized and non-citizen Vietnamese reported statistically significantly poorer health to all U.S.-born groups. These trends largely disappear when controlling for all covariates. Citizenship status can be useful in considering structural barriers for immigrants. Future work should interrogate the non-citizen category and why trends are seen among Vietnamese, but not others.

Keywords: Asians and Asian Americans; Citizenship; Ethnicity; Immigration; Self-rated health.

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References

    1. Gee GC, Ford CL. Structural racism and health inequities: old issues, new directions. Du Bois Rev Soc Sci Res Race. 2011;8(1):115–32.
    1. Viruell-Fuentes EA, Miranda PY, Abdulrahim S. More than culture: structural racism, intersectionality theory, and immigrant health. Soc Sci Med. 2012;75(12):2099–106. - PubMed
    1. Bloemraad I. Does citizenship matter? In: The Oxford handbook of citizenship. New York: Oxford University Press; 2017.
    1. Cebulko K. Documented, undocumented, and liminally legal: Legal status during the transition to adulthood for 1.5-generation Brazilian immigrants. The Sociological Quarterly. 2014;55(1):143–67.
    1. Hamilton ER, Hale JM, Savinar R. Immigrant legal status and health: legal status disparities in chronic conditions and musculoskeletal pain among Mexican-born farm workers in the United States. Demography. 2019;56(1):1–24. - PubMed

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