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The Educational Gradient in Health Among Children in Immigrant Families

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Abstract

Educational inequality in the health of US children—what social scientists refer to as the “educational gradient” in health—is present at birth for virtually every marker of health and increases throughout childhood. However, a puzzling contradiction to this pattern has been observed among the growing population of youth in immigrant families. Some evidence suggests an ambiguous relationship between education and health among immigrant families, with a flat relationship between maternal education and maternal health behaviors and children’s birth outcomes, and a stronger relationship as children become adolescents. Does an educational gradient in health emerge among children in immigrant families during childhood and adolescence? To date, we lack a prospective examination of how the gradient changes from birth throughout childhood and adolescence among this population. Moreover, while the dominant explanation for a weaker gradient among children with immigrant parents centers on the family setting, we know little about family-level dynamics among the same immigrant families as children age. Using national, longitudinal data from the Fragile Families and Child Well-Being Study, we examine the association between maternal education and children’s health (measured by mothers’ ratings) over the early life course (birth through age 15) among children of immigrants and children of native-born parents and consider whether changes in children’s economic status and family composition contribute to the educational gradient, or lack thereof, in child health. Analyses reveal that: (1) maternal education is strongly predictive of health, even among children of immigrants; (2) immigrant status does not appear to be protective for health within educational groups, as evidenced by poorer health among children of immigrants whose mothers have the lowest level of education, as compared to children of natives; (3) children in the least-educated immigrant families are experiencing better health trajectories as they age than children in similar native-born families; and (4) accounting for household economic conditions and family composition does not reduce the size of the education gradient over time among children of immigrants.

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Notes

  1. It is also important to point out that, though race is highly correlated with socioeconomic resources, abundant evidence documents an independent association between race and health. At all levels of socioeconomic status, black children are more likely than both their white and nonwhite peers to be born with a low birthweight, to have asthma and other chronic physical health conditions, and to be overweight or obese (Currie 2005; Lu and Halfon 2003; McDaniel et al. 2006).

  2. For example, the Early Childhood Longitudinal Study-Birth Cohort tracks children from birth only through kindergarten entry. The National Longitudinal Survey of Youth 1979 (NLSY79) Children and Young Adults collects information on children born only to NLSY79 mothers.

References

  • Abraido-Lanza, A. F., Dohrenwend, B. P., Ng-Mak, D. S., & Turner, J. B. (1999). The Latino mortality paradox: A test of the ‘‘salmon bias’’ and healthy migrant hypotheses. American Journal of Public Health,89, 1543–1548.

    Google Scholar 

  • Adler, N. E., Boyce, T., Chesney, M. A., Cohen, S., Folkman, S., Kahn, R. L., et al. (1994). Socioeconomic status and health: The challenge of the gradient. American Psychologist,49, 15–24.

    Google Scholar 

  • Akresh, I. R. (2007). Dietary assimilation and health among Hispanic immigrants to the United States. Journal of Health and Social Behavior,48, 404.

    Google Scholar 

  • Akresh, I. R. (2008). Occupational trajectories of legal US immigrants: Downgrading and recovery. Population and Development Review,34, 435–456.

    Google Scholar 

  • Akresh, I. R. (2011). Wealth accumulation among U.S. immigrants: A study of assimilation and differentials. Social Science Research,40, 1390–1401.

    Google Scholar 

  • Allison, P. D. (2001). Missing data (Vol. 136). Thousand Oaks: Sage Publications.

    Google Scholar 

  • Amato, P. R. (2005). The impact of family formation change on the cognitive, social, and emotional well-being of the next generation. The Future of Children,15, 75–96.

    Google Scholar 

  • Anderson, L. M., Wood, D. L., & Sherbourne, C. D. (1997). Maternal acculturation and childhood immunization levels among children in Latino families in Los Angeles. American Journal of Public Health,87, 2018–2021.

    Google Scholar 

  • Antecol, H., & Bedard, K. (2006). Unhealthy assimilation: Why do immigrants converge to American health status levels? Demography,43, 337.

    Google Scholar 

  • Balistreri, K. S., & Van Hook, J. (2009). Socioeconomic status and body mass index among Hispanic children of immigrants and children of natives. American Journal of Public Health,99, 2238–2246.

    Google Scholar 

  • Boardman, J. (2006). Self-rated health among US adolescents. Journal of Adolescent Health,38, 401–408.

    Google Scholar 

  • Case, A., Lubotsky, D., & Paxson, C. (2002). Economic status and health in childhood: The origins of the gradient. American Economic Review,92, 1308–1334.

    Google Scholar 

  • Chen, E., Martin, A. D., & Matthews, K. A. (2006). Socioeconomic status and health: Do gradients differ within childhood and adolescence? Social Science and Medicine,62, 2161–2170.

    Google Scholar 

  • Chen, E., Matthews, K. A., & Boyce, W. T. (2002). Socioeconomic differences in children’s health: How and why do these relationships change with age? Psychological Bulletin,128(2), 295–329.

    Google Scholar 

  • Conley, D., & Bennett, N. G. (2000). Is biology destiny? Birth weight and life chances. American Sociological Review,65, 458–467.

    Google Scholar 

  • Currie, J. (2005). Health disparities and gaps in school readiness. Future of Children,15, 117–138.

    Google Scholar 

  • Currie, J., & Stabile, M. (2003). Socioeconomic status and child health: Why is the relationship stronger for older children? The American Economic Review,93, 1813–1823.

    Google Scholar 

  • Currie, J., & Stabile, M. (2006). Child mental health and human capital accumulation: The case of ADHD. Journal of Health Economics,25, 1094–1118.

    Google Scholar 

  • Dadds, M. R., Stein, R. E. K., & Silver, E. J. (1995). The role of maternal psychological adjustment in the measurement of children’s functional status. Journal of Pediatric Psychology,20(4), 527–544.

    Google Scholar 

  • Denice, P. (2017). Back to school: Racial and gender differences in adults’ participation in formal schooling, 1978–2013. Demography,54(3), 1147–1173.

    Google Scholar 

  • Duleep, H. O. (2002). Insights from longitudinal data on the earnings growth of U.S. Foreign-born men. Demography,39, 485–503.

    Google Scholar 

  • Duncan, G. J., Yeung, W. J., Brooks-Gunn, J., & Smith, J. R. (1998). How much does childhood poverty affect the life chances of children? American Sociological Review,63, 406–423.

    Google Scholar 

  • Duncan, G. J., Ziol-Guest, K. M., & Kalil, A. (2010). Early-childhood poverty and adult attainment, behavior, and health. Child Development,81, 306–325.

    Google Scholar 

  • Edin, K., Kefalas, M. J., & Reed, J. M. (2004). A peek inside the black box: What marriage means for poor unmarried parents. Journal of Marriage and Family,66, 1007–1014.

    Google Scholar 

  • Ellwood, D. T., & Jencks, Christopher. (2004). The uneven spread of single-parent families: What do we know? Where do we look for answers? In K. M. Neckerman (Ed.), Social inequality (pp. 3–77). New York: Russell Sage Foundation.

    Google Scholar 

  • Finch, B. K. (2003). Early origins of the gradient: The relationship between socioeconomic status and infant mortality in the United States. Demography,40, 675–699.

    Google Scholar 

  • Finch, B. K., Frank, R., & Vega, W. (2004). Acculturation and acculturation stress: A social-epidemiological approach to Mexican migrant farmworkers’ health. International Migration Review,38, 236–262.

    Google Scholar 

  • Flores, G., Olson, L., & Tomany-Korman, S. C. (2005). Racial and ethnic disparities in early childhood health and health care. Pediatrics,115(2), e183.

    Google Scholar 

  • Flores, G., & Tomany-Korman, S. C. (2008). Racial and ethnic disparities in medical and dental health, access to care, and use of services in US children. Pediatrics,121(2), e286–e298.

    Google Scholar 

  • Franzini, L., & Fernandez-Esquer, M. E. (2004). Socioeconomic, cultural, and personal influences on health outcomes in low income mexican-origin individuals in Texas. Social Science and Medicine,59, 1629–1646.

    Google Scholar 

  • Fuligni, A. J. (2001). A comparative longitudinal approach to acculturation among children in immigrant families. Harvard Educational Review,71, 566–579.

    Google Scholar 

  • George, L. K., & Lynch, S. M. (2003). Race differences in depressive symptoms: A dynamic perspective on stress exposure and vulnerability. Journal of Health and Social Behavior,44, 353–369.

    Google Scholar 

  • Glick, J. E., Bean, F. D., & Van Hook, J. V. W. (1997). Immigration and changing patterns of extended family household structure in the United States: 1970-1990. Journal of Marriage and the Family,59, 177–191.

    Google Scholar 

  • Goldin, C., & Katz, L. F. (1999). The returns to skill in the United States across the twentieth century. National Bureau of Economic Research Working Paper No. w7126.

  • Goldman, N., Kimbro, R. T., Turra, C. M., & Pebley, A. R. (2006). “Another Hispanic Paradox: Differences in socioeconomic gradients in health between White and Mexican-Origin populations. American Journal of Public Health,96, 2186–2193.

    Google Scholar 

  • Gordon-Larsen, P., Adair, L. S., & Popkin, B. M. (2003). The relationship of ethnicity, socioeconomic factors, and overweight in US adolescents. Obesity,11(1), 121–129.

    Google Scholar 

  • Harding, J. F., Morris, P. A., & Hughes, D. (2015). The relationship between maternal education and children’s academic outcomes: A theoretical framework. Journal of Marriage and Family,77(1), 60–76.

    Google Scholar 

  • Heuveline, P., Timberlake, J. M., & Furstenberg, F. F. (2003). Shifting childrearing to single mothers: Results from 17 Western countries. Population and Development Review,29, 47–71.

    Google Scholar 

  • Hummer, R. A., Biegler, M., De Turk, P. B., et al. (1999). Race/ethnicity, nativity, and infant mortality in the United States. Social Forces,77(3), 1083–1117.

    Google Scholar 

  • Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior,38, 21–37.

    Google Scholar 

  • Jackson, M. I. (2009). Understanding links between adolescent health and educational attainment. Demography,46, 671–694.

    Google Scholar 

  • Jackson, M. I. (2010). A life course perspective on child health, cognition and occupational skill qualifications in adulthood: Evidence from a British Cohort. Social Forces,89, 89–116.

    Google Scholar 

  • Jackson, M. I. (2011). Nativity differences in youths’ weight trajectories: Foreign-born integration during the transition to adulthood. Social Science Research,40(5), 1419–1433.

    Google Scholar 

  • Jackson, M. I., Kiernan, K., & McLanahan, S. (2012). Immigrant-native differences in child health: Does maternal education narrow or widen the gap? Child Development,83(5), 1501–1509.

    Google Scholar 

  • Jasso, G., Massey, D. S., Rosenzweig, M. R., & Smith, J. P. (2004). Immigrant health—Selectivity and acculturation. In N. B. Anderson, B. Cohen, A. Randy, & B. Cohen (Eds.), Critical perspectives on racial and ethnic differences in health in late life (pp. 227–266). Washington, DC: National Academy Press.

    Google Scholar 

  • Kalil, A., Ryan, R., & Corey, M. (2012). Diverging destinies: Maternal education and the developmental gradient in time with children. Demography,49(4), 1361–1383.

    Google Scholar 

  • Kimbro, R. T., Bzostek, S., Goldman, N., & Rodríguez, G. (2008). Race, ethnicity, and the education gradient in health. Health Affairs,27, 361–372.

    Google Scholar 

  • Landale, N. S., Oropesa, R. S., & Bradatan, C. (2006). Hispanic families in the United States: Family structure and process in an era of family change. In M. Tienda & F. Mitchell (Eds.), Hispanics and the future of America (pp. 138–179). Washington, DC: National Academies Press.

    Google Scholar 

  • Landale, N. S., Oropesa, R. S., & Gorman, B. K. (1999). Immigration and infant health: Birth outcomes of immigrant and native-born women. In D. J. Hernandez (Ed.), Children of immigrants: Health, adjustment and public assistance (pp. 244–285). Washington, DC: National Academy Press.

    Google Scholar 

  • Landale, N. S., Thomas, K. J. A., & Hook, J. V. (2011). The living arrangements of children of immigrants. The Future of Children,21, 43–70.

    Google Scholar 

  • Lara, M., Gamboa, C., Kahramanian, M. I., Morales, L. S., & Hayes Bautista, D. E. (2005). Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annual Review of Public Health,26, 367–397.

    Google Scholar 

  • Lu, M. C., & Halfon, N. (2003). Racial and ethnic disparities in birth outcomes: A life-course perspective. Maternal and Child Health Journal,7, 13–30.

    Google Scholar 

  • Lynch, S. M. (2003). Cohort and life-course patterns in the relationship between education and health: A hierarchical approach. Demography,40, 309–331.

    Google Scholar 

  • Markides, K. S., & Coreil, J. (1986). The health of Hispanics in the Southwestern United States: An epidemiologic paradox. Public Health Reports,101, 253–265.

    Google Scholar 

  • Marmot, M. (2001). Inequalities in health. The New England Journal of Medicine,345, 134–136.

    Google Scholar 

  • Marmot, M. G., Davey Smith, G., Stansfeld, S., Patel, C., North, F., Head, J., et al. (1991). Health inequalities among British civil servants: The Whitehall II Study. Lancet,337, 1387–1393.

    Google Scholar 

  • McDaniel, M., Paxson, C., & Waldfogel, J. (2006). Racial disparities in childhood asthma in the United States: Evidence from the National Health Interview Survey, 1997 to 2003. Pediatrics,117, e868–e877.

    Google Scholar 

  • McLanahan, S. (2004). Diverging destinies: How children are faring under the second demographic transition. Demography,41, 607–627.

    Google Scholar 

  • McLanahan, S., & Percheski, C. (2008). Family structure and the reproduction if inequalities. Annual Review of Sociology,34, 257–276.

    Google Scholar 

  • McLanahan, S., Tach, L., & Schneider, D. (2013). The causal effects of father absence. Annual Review of Sociology,39(1), 399–427.

    Google Scholar 

  • Migration Policy Institute. (2016). Children in immigrant families. Accessed https://www.migrationpolicy.org/programs/data-hub/charts/children-immigrant-families. Accessed 14 Oct 2019.

  • Padilla, Y. C., Boardman, J. D., Hummer, R. A., & Espitia, M. (2002). The Mexican American “epidemiologic paradox” advantage at birth maintained through early childhood? Social Forces,80(3), 1101–1123.

    Google Scholar 

  • Palloni, A. (2006). Reproducing inequalities: Luck, wallets, and the enduring effects of childhood health. Demography,43, 587–615.

    Google Scholar 

  • Petersen, T., Saporta, I., & Seidel, M.-D. L. (2000). Offering a job: Meritocracy and social networks. The American Journal of Sociology,106, 763–816.

    Google Scholar 

  • Popkin, B. M., & Udry, J. R. (1998). Adolescent obesity increases significantly in second and third generation US immigrants: The National Longitudinal Study of Adolescent Health. The Journal of nutrition,128(4), 701–706.

    Google Scholar 

  • Portes, A., Haller, W. J., & Guarnizo, L. E. (2002). Transnational entrepreneurs: An alternative form of immigrant economic adaptation. American Sociological Review,67(2), 278–298.

    Google Scholar 

  • Smith, J. P. (2007). The impact of socioeconomic status on health over the life-course. Journal of Human Resources,XLII, 739–764.

    Google Scholar 

  • Torche, F. (2011). The effect of maternal stress on birth outcomes: Exploiting a natural experiment. Demography,48(4), 1473–1491.

    Google Scholar 

  • Van Hook, J., Bean, F. D., & Passel, J. (2005). Unauthorized migrants living in the United States: A mid-decade portrait. Migration Policy Institute Memo.

  • Viruell-Fuentes, E. A., Morenoff, J. D., Williams, D. R., & House, J. S. (2011). Language of interview, self-rated health, and the other Latino health puzzle. American Journal of Public Health,101, 1306–1313.

    Google Scholar 

  • von Hippel, Paul. (2009). How to impute interactions, squares and other transformed variables. Sociological Methodology,39(1), 265–291.

    Google Scholar 

  • Wagmiller, R. L., Jr., et al. (2006). The dynamics of economic disadvantage and children’s life chances. American Sociological Review,71(5), 847–866.

    Google Scholar 

  • West, Patrick. (1997). Health inequalities in the early years: Is there equalisation in youth? Social Science and Medicine,44(6), 833–858.

    Google Scholar 

  • West, Patrick, & Sweeting, Helen. (2004). Evidence on equalisation in health in youth from the West of Scotland. Social Science and Medicine,59(1), 13–27.

    Google Scholar 

  • Winkleby, M. A., Jatulis, D. E., Frank, E., & Fortmann, S. P. (1992). Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease. American Journal of Public Health,82, 816–820.

    Google Scholar 

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  1. Department of Sociology, Brown University, Box 1916, Providence, RI, 02912, USA

    Margot I. Jackson & Tate Kihara

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  1. Margot I. Jackson
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Jackson, M.I., Kihara, T. The Educational Gradient in Health Among Children in Immigrant Families. Popul Res Policy Rev 38, 869–897 (2019). https://doi.org/10.1007/s11113-019-09558-7

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