Familism and the Hispanic health advantage: the role of immigrant status
Abstract
It is well known that Hispanic immigrants exhibit better physical and mental health than their U.S.-born counterparts. Scholars theorize that stronger orientations toward the family, also known as familism, could contribute to this immigrant advantage. Yet, little work directly tests whether familial attitudes may be responsible for the favorable health of foreign-born Hispanics. We investigate this possibility using biomarkers, anthropometrics, and mental health assessments from the Hispanic Community Health Study/Study of Latinos (N = 4,078). Results demonstrate that the relationship between familial attitudes and health vary depending on the outcome assessed. While Hispanics with strong attitudes toward familial support have fewer symptoms of depression and anxiety, those who report high referent familism display worse mental health outcomes. We find little evidence that familism is linked to physical health or that immigrant generation moderates the relationship of interest. Our results challenge assumptions that familism is responsible for the comparably better health of foreign-born Hispanics.
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Research has identified the family as a particularly important source of health-related support among Latinos, including for HIV care.
“Research has also identified the family as a particularly important source of health-related support among Latinos (Diaz & Niño, 2019;Gallegos & Segrin, 2021;Velasco-Mondragon, Jimenez, Palladino-Davis, Davis, & Escamilla-Cejuda, 2016), including for HIV care”
From Nurse-led approaches to address social determinants of health and advance health equity: A new framework and its implications (2023) · cites this paper as Diaz & Niño, 2019
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- Authors
- Diaz, C. J., & Niño, M.
- Affiliations
- University of Arizona (US)
- Willamette University (US)
- Corresponding author
- Diaz, Christina J.
- Venue
- Journal of Health and Social Behavior
- Publisher
- SAGE Publications
- Published
- 2019-09
- Volume
- 60
- Issue
- 3
- Pages
- 274-290
- ISSN
- 0022-1465 (ISSN-L)
- 2150-6000
- OpenAlex
- W2970913256
- Cited by
- 40
- References
- 104
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 5 · 2023: 7 · 2022: 8 · 2021: 4 · 2020: 3
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health and Social Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Woodrow Wilson National Fellowship Foundation (Career Enhancement Fellowship)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- familism, Latino immigrants, family orientation, mental health, depression, anxiety, physical health, immigrant generations, Hispanic Community Health Study/Study of Latinos, biomarkers, anthropometry
- MeSH terms
- Adult, Aged, Family Relations, Female, Health Status, Health Surveys, Hispanic or Latino, Humans, Male, Mental Health, Middle Aged, Databases, Factual, Emigrants and Immigrants, Young Adult
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