IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v70y2010i4p561-569.html
   My bibliography  Save this article

Education and self-rated health: An individual and neighborhood level analysis of Asian Americans, Hawaiians, and Caucasians in Hawaii

Author

Listed:
  • Zhang, Wei
  • McCubbin, Hamilton
  • McCubbin, Laurie
  • Chen, Qi
  • Foley, Shirley
  • Strom, Ida
  • Kehl, Lisa

Abstract

Focusing on Asian Americans, Hawaiians, and Caucasians in Hawaii, this study contributes to the literature by examining (1) the geographical distributions of education in relation to self-rated general health at neighborhood levels, and (2) the individual variations in self-rated health by ethnicity and education at both individual and neighborhood levels. Using the 2007 Hawaii Health Survey with linked zip-code information, and applying GIS (Geographic Information System) and binary logistic regression models, this study found that (1) there are significant between ethnic differences in self-rated health in Hawaii, with Hawaiians being the most disadvantaged population compared to Japanese, Chinese, and Caucasians; (2) individual socioeconomic characteristics are all related to self-rated health, and education (in particular) mediates the Japanese vs. Hawaiian and Chinese vs. Hawaiian health differences; (3) the neighborhood level of education has an independent effect on self-rated health over and above individual characteristics for the whole sample and it partially mediates the between ethnic health differences; and (4) the relative importance of education to self-rated health is more significant and salient for Caucasians and Japanese/Chinese than for Filipinos and Hawaiians. In sum, this study not only demonstrates a geographical profile of health and education distributions in Hawaii, but also reveals significant mediating effects of education, at both individual and neighborhood levels, in explaining the between and within ethnic differentials in self-rated health.

Suggested Citation

  • Zhang, Wei & McCubbin, Hamilton & McCubbin, Laurie & Chen, Qi & Foley, Shirley & Strom, Ida & Kehl, Lisa, 2010. "Education and self-rated health: An individual and neighborhood level analysis of Asian Americans, Hawaiians, and Caucasians in Hawaii," Social Science & Medicine, Elsevier, vol. 70(4), pages 561-569, February.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:4:p:561-569
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(09)00764-3
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Jan Mutchler & Archana Prakash & Jeffrey Burr, 2007. "The demography of disability and the effects of immigrant history: Older Asians in the United States," Demography, Springer;Population Association of America (PAA), vol. 44(2), pages 251-263, May.
    2. Waitzman, N.J. & Smith, K.R., 1998. "Phantom of the area: Poverty-area residence and mortality in the United States," American Journal of Public Health, American Public Health Association, vol. 88(6), pages 973-976.
    3. Winkleby, M. & Cubbin, C. & Ahn, D., 2006. "Effect of cross-level interaction between individual and neighborhood socioeconomic status on adult mortality rates," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2145-2153.
    4. Rehkopf, D.H. & Haughton, L.T. & Chen, J.T. & Waterman, P.D. & Subramanian, S.V. & Krieger, N., 2006. "Monitoring socioeconomic disparities in death: Comparing individual-level education and area-based socioeconomic measures," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2135-2138.
    5. Galea, S. & Ahern, J., 2005. "Distribution of education and population health: An ecological analysis of New York City neighborhoods," American Journal of Public Health, American Public Health Association, vol. 95(12), pages 2198-2205.
    6. Scott Lynch, 2003. "Cohort and life-course patterns in the relationship between education and health: A hierarchical approach," Demography, Springer;Population Association of America (PAA), vol. 40(2), pages 309-331, May.
    7. Franzini, Luisa & Fernandez-Esquer, Maria Eugenia, 2004. "Socioeconomic, cultural, and personal influences on health outcomes in low income Mexican-origin individuals in Texas," Social Science & Medicine, Elsevier, vol. 59(8), pages 1629-1646, October.
    8. Malmström, M. & Sundquist, J. & Johansson, S.-E., 1999. "Neighborhood environment and self-reported health status: A multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 89(8), pages 1181-1186.
    9. Diane Lauderdale & Bert Kestenbaum, 2002. "Mortality rates of elderly Asian American populations based on medicare and social security data," Demography, Springer;Population Association of America (PAA), vol. 39(3), pages 529-540, August.
    10. Mossey, J.M. & Shapiro, E., 1982. "Self-rated health: a predictor of mortality among the elderly," American Journal of Public Health, American Public Health Association, vol. 72(8), pages 800-808.
    11. Liu, Hui & Hummer, Robert A., 2008. "Are Educational Differences in U.S. Self-Rated Health Increasing?: An Examination by Gender and Race," Social Science & Medicine, Elsevier, vol. 67(11), pages 1898-1906, December.
    12. Linda G. Martin & Robert F. Schoeni & Vicki A. Freedman & Patricia Andreski, 2007. "Feeling Better? Trends in General Health Status," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(1), pages 11-21.
    13. Waitzman, N.J. & Smith, K.R., 1998. "Erratum: Phantom of the area: Poverty-area residence and mortality in the United States (American Journal of Public Health (1998) 88 (973-976))," American Journal of Public Health, American Public Health Association, vol. 88(7), pages 1122-1122.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Behrman, Jere R. & Xiong, Yanyan & Zhang, Junsen, 2015. "Cross-sectional schooling-health associations misrepresented causal schooling effects on adult health and health-related behaviors: Evidence from the Chinese Adults Twins Survey," Social Science & Medicine, Elsevier, vol. 127(C), pages 190-197.
    2. Lee, Min-Ah, 2011. "Disparity in disability between native-born non-Hispanic white and foreign-born Asian older adults in the United States: Effects of educational attainment and age at immigration," Social Science & Medicine, Elsevier, vol. 72(8), pages 1249-1257, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Zhang, Wei & Ta, Van M., 2009. "Social connections, immigration-related factors, and self-rated physical and mental health among Asian Americans," Social Science & Medicine, Elsevier, vol. 68(12), pages 2104-2112, June.
    2. Anna Zajacova & Jennifer Karas Montez & Pamela Herd, 2014. "Socioeconomic Disparities in Health Among Older Adults and the Implications for the Retirement Age Debate: A Brief Report," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 69(6), pages 973-978.
    3. Liliya Leopold, 2019. "Health Measurement and Health Inequality Over the Life Course: A Comparison of Self-rated Health, SF-12, and Grip Strength," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 763-784, April.
    4. Zick, Cathleen D. & Smith, Ken R. & Fan, Jessie X. & Brown, Barbara B. & Yamada, Ikuho & Kowaleski-Jones, Lori, 2009. "Running to the Store? The relationship between neighborhood environments and the risk of obesity," Social Science & Medicine, Elsevier, vol. 69(10), pages 1493-1500, November.
    5. Justin T. Denney & Jarron M. Saint Onge & Jeff A. Dennis, 2018. "Neighborhood Concentrated Disadvantage and Adult Mortality: Insights for Racial and Ethnic Differences," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(2), pages 301-321, April.
    6. Liliya Leopold & Thomas Leopold, 2016. "Education and Health across Lives and Cohorts: A Study of Cumulative Advantage in Germany," SOEPpapers on Multidisciplinary Panel Data Research 835, DIW Berlin, The German Socio-Economic Panel (SOEP).
    7. Islam, M. Kamrul & Gerdtham, Ulf-G. & Gullberg, Bo & Lindström, Martin & Merlo, Juan, 2008. "Social capital externalities and mortality in Sweden," Economics & Human Biology, Elsevier, vol. 6(1), pages 19-42, March.
    8. Regidor, Enrique & Vallejo, Fernando & Reques, Laura & Cea, Lucía & Miqueleiz, Estrella & Barrio, Gregorio, 2015. "Area-level socioeconomic context, total mortality and cause-specific mortality in Spain: Heterogeneous findings depending on the level of geographic aggregation," Social Science & Medicine, Elsevier, vol. 141(C), pages 142-150.
    9. Chiara Acquati & Tzuan A. Chen & Isabel Martinez Leal & Shahnjayla K. Connors & Arooba A. Haq & Anastasia Rogova & Stephanie Ramirez & Lorraine R. Reitzel & Lorna H. McNeill, 2021. "The Impact of the COVID-19 Pandemic on Cancer Care and Health-Related Quality of Life of Non-Hispanic Black/African American, Hispanic/Latina and Non-Hispanic White Women Diagnosed with Breast Cancer ," IJERPH, MDPI, vol. 18(24), pages 1-16, December.
    10. Jona Schellekens & Anat Ziv, 2020. "The role of education in explaining trends in self-rated health in the United States, 1972–2018," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 42(12), pages 383-398.
    11. Wen, Ming & Hawkley, Louise C. & Cacioppo, John T., 2006. "Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois," Social Science & Medicine, Elsevier, vol. 63(10), pages 2575-2590, November.
    12. Jacob, Brian A. & Ludwig, Jens & Miller, Douglas L., 2013. "The effects of housing and neighborhood conditions on child mortality," Journal of Health Economics, Elsevier, vol. 32(1), pages 195-206.
    13. McGrath, Jennifer J. & Matthews, Karen A. & Brady, Sonya S., 2006. "Individual versus neighborhood socioeconomic status and race as predictors of adolescent ambulatory blood pressure and heart rate," Social Science & Medicine, Elsevier, vol. 63(6), pages 1442-1453, September.
    14. Nazeem Muhajarine & Ronald Labonte & Allison Williams & James Randall, 2008. "Person, Perception, and Place: What Matters to Health and Quality of Life," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 85(1), pages 53-80, January.
    15. Mamelund, Svenn-Erik, 2006. "A socially neutral disease? Individual social class, household wealth and mortality from Spanish influenza in two socially contrasting parishes in Kristiania 1918-19," Social Science & Medicine, Elsevier, vol. 62(4), pages 923-940, February.
    16. Do, D. Phuong & Finch, Brian Karl & Basurto-Davila, Ricardo & Bird, Chloe & Escarce, Jose & Lurie, Nicole, 2008. "Does place explain racial health disparities? Quantifying the contribution of residential context to the Black/white health gap in the United States," Social Science & Medicine, Elsevier, vol. 67(8), pages 1258-1268, October.
    17. Bauldry, Shawn, 2014. "Conditional health-related benefits of higher education: An assessment of compensatory versus accumulative mechanisms," Social Science & Medicine, Elsevier, vol. 111(C), pages 94-100.
    18. Mark E. Votruba & Jeffrey R. Kling, 2005. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 95, Princeton University, Department of Economics, Center for Economic Policy Studies..
    19. Votruba, Mark Edward & Kling, Jeffrey R., 2009. "Effects of neighborhood characteristics on the mortality of black male youth: Evidence from Gautreaux, Chicago," Social Science & Medicine, Elsevier, vol. 68(5), pages 814-823, March.
    20. Wen, Ming & Cagney, Kathleen A. & Christakis, Nicholas A., 2005. "Effect of specific aspects of community social environment on the mortality of Individuals diagnosed with serious illness," Social Science & Medicine, Elsevier, vol. 61(6), pages 1119-1134, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:70:y:2010:i:4:p:561-569. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.