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US Immigrants tend to
outlive their American-born counterparts and are less likely to die of
heart disease, lung cancer and suicide.
According to 10 years of national data, foreign-born
adults -- particularly younger, black and Hispanic residents, have significantly
lower risks of mortality than US-born residents regardless
of income, education, occupation, marital status and place of residence.
Despite higher poverty rates and lower rates of health
insurance coverage, immigrants do better than their US-born counterparts.
This is perhaps suggestive of the positive role of cultural values, attitudes,
practices and lifestyle characteristics.
Overall, immigrant men
had an 18% reduced risk of mortality
and foreign-born women had a 13%
lower risk of mortality, findings show.
The risk of mortality was even lower for black immigrants
compared with American-born blacks and for Hispanic immigrants vis-à-vis
their American-born counterparts.
The authors suggest that people who migrate to the
US may be healthier than those who remain in their native countries. Alternatively,
behavioral, lifestyle and cultural characteristics may contribute to immigrants'
lower risk of death.
Rates of smoking and obesity are considerably
lower among black, Asian, Hispanic and white
immigrants than their US-born counterparts, said Singh, from the National
Institutes of Health in Bethesda, Maryland.
Major causes of death differed between immigrants
and natives. Immigrants were less likely to die from heart diseases, lung
and prostate cancers, lung disorders, cirrhosis, pneumonia and influenza,
accidents and suicide but more likely to die from stomach and brain cancer
and infectious diseases, the findings indicate.
The researchers note that both the number and origin
of immigrants has changed dramatically over the past three decades due
in part to the 1965 Immigration Act.
In 1990, the immigrant
population totaled nearly 20 million or nearly 8% of the US population.
American Journal of Public
Health March 2001;91:392-399
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