The Hispanic health paradox across generations: the relationship of child generational status and citizenship with health outcomes

Abstract Objectives In examining the Hispanic health paradox, researchers rarely determine if the paradox persists across immigrant generations. This study examines immigrant respiratory health disparities among Hispanic children in terms of current asthma, bronchitis, and allergies using an expanded six-group immigrant cohort framework that includes citizenship and the fourth-plus generation. Study design Cross-sectional primary survey data from 1568 caretakers of Hispanic schoolchildren in El Paso, Texas (USA), were utilized. Methods Data were analyzed using generalized linear models. Results Results indicate that a healthy immigrant advantage lasts until the 2.5 generation for bronchitis and allergies ( P