解析西班牙裔健康悖论

Unraveling the Hispanic Health Paradox

Journal of Economic Perspectives · 2023
被引 55
人大 A-ABS 4

中文导读

研究了美国西班牙裔在收入较低的情况下却拥有寿命优势的健康悖论,强调按祖籍和年龄分解数据的重要性,并探讨了鲑鱼偏误和健康移民效应等解释。

Abstract

In 2019, Hispanics in the US had a life expectancy advantage of 3.0 years and 7.1 years over non-Hispanic Whites and non-Hispanic Blacks, respectively, despite having real-household income values 26 percentage points lower than Non-Hispanic White households. Hispanics appear to have equal or even better health outcomes relative to non-Hispanic Whites across various health measures. This is known as the Hispanic health paradox. This paper underscores the importance of disaggregating Hispanics by ancestry and age profile when discussing the paradox across key health outcomes. It also provides an overview of the leading explanations, such as the salmon bias and the healthy immigrant effect. Further, it highlights the role of healthcare access and usage in this discussion. Ignoring these sources of bias have important consequences for how morbidity and mortality among Hispanics are measured within widely used national datasets.

西班牙裔健康悖论健康差异移民健康效应医疗可及性