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RACIAL/ETHNIC DISPARITIES IN INFANT MORTALITY AMONG U.S. LATINOS

A Test of the Segmented Racialization Hypothesis1

Published online by Cambridge University Press:  10 June 2013

Brenda L. Henry-Sanchez*
Affiliation:
Robert Wood Johnson Foundation
Arline T. Geronimus
Affiliation:
School of Public Health and Institute for Social Research, University of Michigan, Ann Arbor
*
Brenda Liz Henry-Sanchez, Senior Program Officer, Robert Wood Johnson Foundation, Route 1 and College Road East, Princeton, NJ 08543. E-mail: [email protected]

Abstract

Despite shared colonization histories between the United States and Latin America, research examining racial disparities in health in the United States has often neglected Latinos. Additionally, descendants from Latin America residing in the United States are often categorized under the pan-ethnic label of Hispanic or Latino. This categorization obscures the group's heterogeneity, which is illuminated by research showing consistent differences in health for the three largest segments of the Latino population—Mexicans, Puerto Ricans, and Cubans. We examine whether the patterns of infant mortality associated with race in the non-Latino population also follow for Latinos. We also examine whether we can attribute patterns of infant mortality between the three largest Latino sub-groups to a process we term segmented racialization. We find that race operates for Latinos the same way it does for the non-Latino population and that there seems to be some evidence to support our segmented racialization hypothesis. The results point to the need to abandon the practices of combining Latino sub-groups as well as ignoring the racial diversity within the Latino population in health research.

Type
State of the Art
Copyright
Copyright © W.E.B. Du Bois Institute for African and African American Research 2013 

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Footnotes

1

The authors wish to acknowledge Ana Diez-Roux, Gilbert Gee, Harold Neighbors, and three anonymous reviewers for comments on an earlier draft of this paper. Study analyses were supported, in part, by the University of Michigan's Rackham Merit Fellowship Program, Rackham One-Term Dissertation Program, and Center for Research on Ethnicity, Culture, and Health Doctoral Training Program (funded by the National Institute of General Medical Sciences), and a fellowship from the Center for Advanced Study in the Behavioral Sciences at Stanford University.

References

REFERENCES

Acevedo-García, Dolores and Bates, Lisa M. (2008). Latino Health Paradoxes: Empirical Evidence, Explanations, Future Research, and Implications. In Rodriguez, Havidan, Saenz, Rogelio, and Menjivar, Cecilia (Eds.), Latino/As in the United States: Changing the Face of America, pp. 101113. New York: Springer.Google Scholar
Acevedo-García, Dolores, Soobader, Mah-J, and Berkman, Lisa F. (2007). Low Birthweight among U.S. Hispanic/Latino Subgroups: The Effect of Maternal Foreign-Born Status and Education. Social Science and Medicine, 65: 25032516.Google Scholar
Alcoff, Linda Martin (2000). Is Latina/o Identity a Racial Identity? In Gracia, Jorge J. E. and De Greiff, Pablo (Eds.), Hispanics/Latinos in the United States: Ethnicity, Race, and Rights, pp. 2344. New York: Routledge.Google Scholar
Appelbaum, Nancy P., Macpherson, Anne S., and Rosemblatt, Karin A. (2003). Racial Nations. In Appelbaum, Nancy P., Macpherson, Anne S., and Rosemblatt, Karin A. (Eds.), Race & Nation in Modern Latin America, pp. 131. Chapel Hill, NC: University of North Carolina Press.Google Scholar
Barot, Rohit and Bird, John (2001). Racialization: The Genealogy and Critique of a Concept. Ethnic and Racial Studies, 24(4): 601618.Google Scholar
Bashi, Vilna and McDaniel, Antonio (1997). A Theory of Immigration and Racial Stratification. Journal of Black Studies, 27(5): 668682.Google Scholar
Bonilla-Silva, Eduardo (2004). From Bi-Racial to Tri-Racial: Towards a New System of Racial Stratification in the U.S.A. Ethnic and Racial Studies, 27(6): 931950.Google Scholar
Borrell, Luisa N. (2006). Self-Reported Hypertension and Race among Hispanics in the National Health Interview Survey. Ethnicity and Disease, 16: 7177.Google Scholar
Borrell, Luisa N. and Crawford, Natalie (2006). Race, Ethnicity, and Self-Rated Health Status in the Behavioral Risk Factor Surveillance System Survey. Hispanic Journal of Behavioral Sciences, 38(3): 387403.Google Scholar
Borrell, Luisa N. and Dallo, Florence (2008). Self-Rated Health and Race among Hispanic and Non-Hispanic Adults. Journal of Immigrant and Minority Health, 10(3): 229238.Google Scholar
Carbado, Devon W. (2005). Racial Naturalization. American Quarterly, 57(3): 633658.Google Scholar
Carter-Pokras, Olivia and Zambrana, Ruth E. (2001). Latino Health Status. In Aguirre-Molina, Marilyn, Molina, Carlos W., and Zambrana, Ruth E. (Eds.), Health Issues in the Latino Community, pp. 2354. San Francisco, CA: Jossey-Bass.Google Scholar
Chomitz, Virgina R., Cheung, Lillian W.Y., and Lieberman, Ellice (1995). The Role of Lifestyle in Preventing Low Birth Weight. The Future of Children, 5: 121138.Google Scholar
Colen, Cynthia G. (2011). Addressing Racial Disparities in Health Using Life Course Perspectives: Toward a Constructive Criticism. Du Bois Review, 8(1): 7994.Google Scholar
Colen, Cynthia G., Geronimus, Arline T., Bound, John, and James, Sherman (2006). Maternal Upward Socioeconomic Mobility and Black-White Disparities in Infant Birthweight. American Journal of Public Health, 96(11): 20322039.Google Scholar
Crenshaw, Carrie (1997). Resisting Whiteness' Rhetorical Silence. Western Journal of Communication, 61(3): 253278.Google Scholar
Dulitsky, Ariel E. (2005). A Region in Denial: Racial Discrimination and Racism in Latin America. In Dzidzienyo, Anani and Oboler, Susan (Eds.), Neither Enemies nor Friends: Latinos, Blacks, Afro-Latinos, pp. 3960. New York: Palgrave Macmillan.Google Scholar
Engle, William A. and the Committee on Fetus and Newborn (2008). Surfactant-Replacement Therapy for Respiratory Distress in the Preterm and Term Neonate. Pediatrics, 121: 419432.Google Scholar
Escarce, Jose J., Morales, Leo S., and Rumbaut, Ruben G. (2006). The Health Status and Health Behaviors of Hispanics. In Tienda, Marta and Mitchell, Faith (Eds.), Hispanics and the Future of America, pp. 362409. Washington, DC: The National Academies Press.Google Scholar
Fisher, Sue and Groce, Stephen B. (1985). Doctor-Patient Negotiation of Cultural Assumptions. Sociology of Health and Illness, 7(3): 342–74.Google Scholar
Forman, Tyrone, Goar, Carla, and Lewis, Amanda E. (2004). Neither Black nor White?: An Empirical Test of the Latin Americanization Thesis. Race and Society, 5(1): 6584.Google Scholar
Franzini, Luisa, Ribble, John C., and Keddie, Arlene M. (2001). Understanding the Hispanic Paradox. Ethnicity and Disease, 11: 496518.Google Scholar
Frisbie, W. Parker, Forbes, Douglas, and Hummer, Robert A. (1998). Hispanic Pregnancy Outcomes: Additional Evidence. Social Science Quarterly, 79: 149169.Google Scholar
Frisbie, W. Parker, Song, Seung-eun, Powers, Daniel A., and Street, Julie A. (2004). The Increasing Racial Disparity in Infant Mortality: Respiratory Distress Syndrome and Other Causes. Demography, 41(4): 773800.Google Scholar
Fuentes-Afflick, Elena and Lurie, Peter (1997). Low Birth Weight and Latino Ethnicity. Examining the Epidemiologic Paradox. Archives of Pediatrics and Adolescent Medicine, 151(7): 665674.Google Scholar
Geronimus, Arline T. (1986). The Effects of Race, Residence, and Prenatal Care on the Relationship of Maternal Age to Neonatal Mortality. American Journal of Public Health, 76: 14161421.Google Scholar
Geronimus, Arline T. (1987). On Teenage Childbearing and Neonatal Mortality in the United States. Population and Development Review, 13(2): 245279.Google Scholar
Geronimus, Arline T. (1992). The Weathering Hypothesis and the Health of African American Women and Infants: Evidence and Speculations. Ethnicity and Disease, 2(3): 207221.Google Scholar
Geronimus, Arline T. (1996). Black/White Differences in the Relationship of Maternal Age to Birthweight: A Population-Based Test of the Weathering Hypothesis. Social Science and Medicine, 42(4): 589597.Google Scholar
Geronimus, Arline T. (2001). Understanding and Eliminating Racial Inequalities in Women's Health in the United States: The Role of the Weathering Conceptual Framework. Journal of the American Medical Women's Association, 56(4): 133136.Google Scholar
Geronimus, Arline T., Bound, John, Keene, Danya, and Hicken, Margaret (2007). Black-White Differences in Age Trajectories of Hypertension Prevalence among Adult Women and Men, 1999–2002. Ethnicity and Disease, 17(1): 4048.Google Scholar
Geronimus, Arline T., Hicken, Margaret, Keene, Danya, and Bound, John (2006). “Weathering” and Age-Patterns of Allostatic Load Scores among Blacks and Whites in the United States. American Journal of Public Health, 96(5): 826833.Google Scholar
Geronimus, Arline T., Hicken, Margaret T., Pearson, Jay A., Seashols, Sarah J., Brown, Kelly L., and Cruz, Tracey Dawson (2010). Do U.S. Black Women Experience Stress-Related Accelerated Biological Aging?: A Novel Theory and First Population-Based Test of Black-White Differences in Telomere Length. Human Nature, 21(1): 1938.Google Scholar
Geronimus, Arline T. and Korenman, Sanders (1993). Maternal Youth or Family Background?: On the Health Disadvantages of Infants with Teenage Mothers. American Journal of Epidemiology, 137(2): 213225.Google Scholar
Golash-Boza, Tanya (2006). Dropping the Hyphen? Becoming Latino(a)-American through Racialized Assimilation. Social Forces, 85(1): 2755.Google Scholar
Henry, Brenda L. (2007). Latinos and Race: An Overdue Examination into the Impact of Race on Latino Birth Outcomes. PhD Dissertation, Department of Health Behavior and Health Education, University of Michigan.Google Scholar
Holzman, C., Eyster, Janet, Kleyn, Mary, Messer, Lynn C., Kaufman, Jay S., Laraia, Barbara A., O'Campo, Patricia, Burke, Jessica G., Culhane, Jennifer, and Elo, Irma T. (2009). Maternal Weathering and Risk of Preterm Delivery. American Journal of Public Health, 99(10): 18641871.Google Scholar
Hummer, Robert A., Powers, Daniel A., Pullum, Starling G., Gossman, Ginger L., and Frisbie, W. Parker (2007). Paradox Found (Again): Infant Mortality among the Mexican-Origin Population in the United States. Demography, 44(3): 441457.Google Scholar
Klein, Herbert S. (1986). African Slavery in Latin American and the Caribbean. New York: Oxford University Press.Google Scholar
Kleinman, Joel C. and Kessel, Samuel S. (1987). Racial Differences in Low Birth Weight: Trends and Risk Factors. The New England Journal of Medicine, 317(12): 749753.Google Scholar
Koshy, Susan (2001). Morphing Race into Ethnicity: Asian Americans and Critical Transformations of Whiteness. Boundary 2, 28(1): 153194.CrossRefGoogle Scholar
Kotelchuck, Milton (1994). An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index. American Journal of Public Health, 84(9): 14141420.Google Scholar
Landale, Nancy S. and Oropesa, Ralph S. (2005). What Does Skin Color Have to Do With Infant Health?: An Analysis of Low Birth Weight among Mainland and Island Puerto Ricans. Social Science and Medicine, 61(2): 379391.Google Scholar
Lillie-Blanton, Marsha, Parsons, P. Ellen, Gayle, Helene, and Dievler, Anne (1996). Racial Differences in Health: Not Just Black and White, But Shades of Gray. Annual Review of Public Health, 17(1): 411448.Google Scholar
Link, Bruce G. and Phelan, Jo (1995). Social Conditions as Fundamental Causes of Disease. Journal of Health and Social Behavior, (Extra Issue): 8094.Google Scholar
Link, Bruce G. and Phelan, Jo (1996). Understanding Sociodemographic Differences in Health: The Role of Fundamental Social Causes. American Journal of Public Health, 86: 471473.Google Scholar
Logan, John R. (2003). How Race Counts for Hispanic Americans. ⟨http://mumford.albany.edu/census/blacklatinoreport/blacklatinoreport.pdf⟩ (accessed February 10, 2004).Google Scholar
Love, Catherine, David, Richard J., Rankin, Kristin M., and Collins, James W. (2010). Exploring Weathering: Effects of Lifelong Economic Environment and Maternal Age on Low Birth Weight, Small for Gestational Age, and Preterm Birth in African-American and White Women. American Journal of Epidemiology, 172(2): 127134.Google Scholar
Lu, Michael C. and Halfon, Neal (2003). Racial and Ethnic Disparities in Birth Outcomes: A Life-Course Perspective. Maternal and Child Health Journal, 7(1): 1330.Google Scholar
Malloy, Michael H. and Freeman, Daniel H. (2000). Respiratory Distress Syndrome Mortality in the United States, 1987 to 1995. Journal of Perinatology, 20(7): 414420.Google Scholar
Markides, Kyriakos S. and Coreil, Jeannine (1986). The Health of Hispanics in the Southwestern United States: An Epidemiologic Paradox. Public Health Reports, 101(3): 253265.Google ScholarPubMed
Markides, Kyriakos S. and Eschbach, Karl (2005). Aging, Migration and Mortality: Current Status of Research on the Hispanic Paradox. Journals of Gerontology, Series B: Social Sciences and Psychological Sciences, 60(Special Issue 2): S68S75.Google Scholar
Marotta, Sylvia A. and Garcia, Jorge G. (2003). Latinos in the United States in 2000. Hispanic Journal of Behavioral Sciences, 25(1): 1334.Google Scholar
Martinez, Elizabeth (1993). Beyond Black/White: The Racisms of Our Time. Social Justice, 20(1-2): 2234.Google Scholar
Martinot, Steve (2003). The Rule of Racialization: Class, Identity, Governance. Philadelphia, PA: Temple University Press.Google Scholar
Massey, Douglas S. and Bitterman, Brooks (1985). Explaining the Paradox of Puerto Rican Segregation. Social Forces, 64(2): 306331.Google Scholar
Massey, Douglas S. and Denton, Nancy A. (1989). Hypersegregation in U.S. Metropolitan Areas: Black and Hispanic Segregation along Five Dimensions. Demography, 26(3): 373391.Google Scholar
Mays, Vickie M., Ponce, Ninez A., Washington, Donna L., and Cochran, Susan D. (2003). Classification of Race and Ethnicity: Implications for Public Health. Annual Review of Public Health, 24: 83110.CrossRefGoogle ScholarPubMed
McKenney, Nampeo R. and Bennett, Claudette E. (1994). Issues Regarding Data on Race and Ethnicity: The Census Bureau Experience. Public Health Reports, 109(1): 1625.Google Scholar
Mintz, Sidney W. (1989). Caribbean Transformations. New York: Columbia University Press.Google Scholar
O'Campo, Patricia, Xue, Xiaonan, Wang, Mei-Cheng, and Caughy, Margaret O'Brien (1997). Neighborhood Risk Factors for Low Birthweight in Baltimore: A Multilevel Analysis. American Journal of Public Health, 87(7): 11131118.Google Scholar
Osypuk, Theresa L. and Acevedo-García, Dolores (2008). Are Racial Disparities in Preterm Birth Larger in Hypersegregated Areas? American Journal of Epidemiology, 167(11): 12951304.Google Scholar
Palloni, Alberto and Arias, Elizabeth (2004). Paradox Lost: Explaining the Hispanic Adult Mortality Advantage. Demography, 41(3): 385415.Google Scholar
Palloni, Alberto and Morenoff, Jeffrey D. (2001). Interpreting the Paradoxical in the Hispanic Paradox: Demographic and Epidemiologic Approaches. The Annals of the New York Academy of Sciences, 954: 140174.Google Scholar
Pedraza-Bailey, Silvia (1985). Political and Economic Migrants in America: Cubans and Mexicans. Austin, TX: University of Texas Press.Google Scholar
Portes, Alejandro and Zhou, Min (1993). The New Second Generation: Segmented Assimilation and its Variants. The Annals of the American Academy of Political and Social Science, 530(1): 7496.Google Scholar
Rauh, Virginia A., Andrews, Howard F., and Garfinkel, Robin S. (2001). The Contribution of Maternal Age to Racial Disparities in Birthweight: A Multilevel Perspective. American Journal of Public Health, 91(11): 18151824.Google Scholar
Reichman, Nancy E. and Pagnini, Deanna L. (1997). Maternal Age and Birth Outcomes: Data from New Jersey. Family Planning Perspectives, 29(6): 268–272, 295.Google Scholar
Rich-Edwards, Janet W., Buka, Stephen L., Brennan, Robert T., and Earls, Felton (2003). Diverging Associations of Maternal Age with Low Birthweight for Black and White Mothers. International Journal of Epidemiology, 32(1): 8390.Google Scholar
Rodriguez, Clara E. (2000). Changing Race: Latinos, the Census, and the History of Ethnicity in the United States. New York: New York University Press.Google Scholar
Rosenwaike, Ira M. (1987). Mortality Differentials among Persons Born in Cuba, Mexico, and Puerto Rico Residing in the United States, 1979–81. American Journal of Public Health, 77(5): 603606.Google Scholar
Schulman, Kevin A., Berlin, Jesse A., Harless, William, Kerner, Jon F., Sistrunk, Shryl, Gersh, Bernard J., Dube, Ross, Taleghani, Christopher K., Burke, Jennifer E., Williams, Sankey, Eisenberg, John M., and Escarce, Jose J. (1999). The Effect of Race and Sex on Physicians' Recommendations for Cardiac Catheterization. The New England Journal of Medicine, 340: 618626.Google Scholar
Scribner, Richard (1996). Editorial: Paradox as Paradigm—the Health Outcomes of Mexican Americans. American Journal of Public Health, 86(3): 303305.Google Scholar
Sharfstein, Daniel J. (2003). The Secret History of Race in the United States. The Yale Law Journal, 112(6): 14731509.Google Scholar
Singh, Gopal K. and van Dyck, Peter C. (2010). Infant Mortality in the United States, 1935–2007: Over Seven Decades of Progress and Disparities. A 75th Anniversary Publication. Health Resources and Services Administration, Maternal and Child Health Bureau. Rockville, MD: U.S. Department of Health and Human Services.Google Scholar
Singh, Gopal K. and Yu, Stella M. (1996). Adverse Pregnancy Outcomes: Differences Between US- and Foreign-Born Women in Major US Racial and Ethnic Groups. American Journal of Public Health, 86: 837843.Google Scholar
Smedley, Brian D., Stith, Adrienne Y., and Nelson, Alan R. (Eds.) (2003). Unequal Treatment: Confronting Racial Ethnic Disparities in Health Care. Washington, DC: The National Academies Press.Google Scholar
Torres-Saillant, Silvio (2005). Racism in the Americas and the Latino Scholar. In Dzidzienyo, Anani and Oboler, Suzanne (Eds.), Neither Enemies Nor Friends: Latinos, Blacks, Afro-Latinos, pp. 281304. New York: Palgrave Macmillan.Google Scholar
Valero de Bernabe, Javier, Soriano, Trinidad, Albaladejo, Romana, Juarranz, Margarita, Calle, Marisa Elisa, Martinez, David, and Dominquez-Roja, Vicente (2004). Risk Factors for Low Birth Weight: A Review. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 116(1): 315.Google Scholar
van Ryn, Michelle and Fu, Steven S. (2003). Paved with Good Intentions: Do Public Health and Human Service Providers Contribute to Racial/Ethnic Disparities in Health? American Journal of Public Health, 93(2): 248255.Google Scholar
Vega, William A. and Amaro, Hortensia (1994). Latino Outlook: Good Health, Uncertain Prognosis. Annual Review of Public Health, 15: 3967.Google Scholar
Wildsmith, Elizabeth M. (2002). Testing the Weathering Hypothesis among Mexican Origin Women. Ethnicity and Disease, 12: 470479.Google Scholar
Yancey, George (2003). Who Is White? Latinos, Asians, and the New Black/NonBlack Divide. Boulder, CO: Lynne Rienner.Google Scholar
Zhou, Min (1997). Segmented Assimilation: Issues, Controversies, and Recent Research on the New Second Generation. International Migration Review, 31(4): 9751008.Google Scholar