FCCC LOGO Faculty Publications
Li K , Wen M , Henry KA
Ethnic density, immigrant enclaves, and Latino health risks: A propensity score matching approach
Soc Sci Med. 2017 Sep;189 :44-52
PMID: 28780439    PMCID: PMC5573190    URL: https://www.ncbi.nlm.nih.gov/pubmed/28780439
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Abstract
Whether minority concentration in a neighborhood exposes residents to, or protects them from, health risks has generated burgeoning scholarly interests; yet endogeneity as a result of neighborhood selection largely remains unclear in the literature. This study addresses such endogeneity and simultaneously investigates the roles of co-ethnic density and immigrant enclaves in influencing high blood pressure and high cholesterol level among Latinos, the largest minority group in the United States. Pooled cross-sectional data that included both native and foreign-born Latinos of Puerto Rican, Mexican, and other origins (N = 1563) from the 2006 and 2008 Southeastern Pennsylvania Household Health Survey were linked to census-tract profiles from the 2005-2009 American Community Survey. Results from both multilevel regression and propensity score matching analysis confirmed the deleterious effect of residential co-ethnic density on Latino adults' health risks over and above individual risk factors. We also found selection bias associated with the observed protective effect of immigrant concentration, which is likely a result of residential preference.
Notes
1873-5347 Li, Kelin Wen, Ming Henry, Kevin A R01 CA140319/CA/NCI NIH HHS/United States Journal Article England Soc Sci Med. 2017 Sep;189:44-52. doi: 10.1016/j.socscimed.2017.07.019. Epub 2017 Jul 25.