Differences in self-rated health by immigrant status and language preference among Arab Americans in the Detroit Metropolitan Area

Arab Americans are a growing minority in the U.S., yet only a few studies have examined their health utilizing representative samples. Using data from the 2003 Detroit Arab American Study, which is based on a probability sample, we examined the self-rated health (SRH) of Arab Americans by two measures of acculturation - immigrant status and language preference. We specified logistic regression models to test whether immigrants report better or poorer health status compared to U.S.-born Arab Americans and whether language preference among the immigrant generation accounts for the association between immigrant status and SRH. Our findings reveal that the health status of Arab Americans improves with acculturation. Arab immigrants are more likely to report poorer SRH compared to U.S.-born Arab Americans. When language preference is taken into account, Arabic-speaking immigrants are more likely to report poorer SRH compared to both U.S.-born Arab Americans and to English-speaking immigrants. We discuss these findings in light of similar ones obtained in the literature on SRH among other immigrant groups in the U.S. We conclude by arguing that language is an important measure to include in SRH studies among Arab Americans as well as other non-English speaking ethnic groups. (C) 2009 Elsevier Ltd. All rights reserved.