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dc.contributor.authorHamilton, Erin
dc.contributor.authorHale, Jo Mhairi
dc.contributor.authorSavinar, Robin
dc.identifier.citationHamilton , E , Hale , J M & Savinar , R 2019 , ' Immigrant legal status and health : legal status disparities in chronic conditions and musculoskeletal pain among Mexican-born farm workers in the United States ' , Demography , vol. 56 , no. 1 , 1 , pp. 1-24 .
dc.identifier.otherPURE: 256752680
dc.identifier.otherPURE UUID: 1e1888b4-fff0-4a83-9502-48c85610687c
dc.identifier.otherScopus: 85058007610
dc.identifier.otherWOS: 000457495000001
dc.descriptionWe gratefully acknowledge support from the Western Center for Agricultural Health & Safety, which is funded by National Institute of Occupational Health and Safety Grant No. 2U54OH007550, and from the Max Planck Institute for Demographic Research.en
dc.description.abstractImmigrant legal status determines access to the rights and privileges of U.S. society. Legal status may be conceived of as a fundamental cause of health, producing a health disparity whereby unauthorized immigrants are disadvantaged relative to authorized immigrants, a perspective that is supported by research on legal status disparities in self-rated health and mental health. We conducted a systematic review of the literature on legal status disparities in physical health and examined whether a legal status disparity exists in chronic conditions and musculoskeletal pain among 17,462 Mexican-born immigrants employed as farm workers in the United States and surveyed in the National Agricultural Workers Survey between 2000 and 2015. We found that unauthorized, Mexican-born farm workers have a lower incidence of chronic conditions and lower prevalence of pain compared with authorized farm workers. Furthermore, we found a legal status gradient in health whereby naturalized U.S. citizens report the worst health, followed by legal permanent residents and unauthorized immigrants. Although inconsistent with fundamental cause theory, our results were robust to alternative specifications and consistent with a small body of existing research on legal status disparities in physical health. Although it is well known that Mexican immigrants have better-than-expected health outcomes given their social disadvantage, we suggest that an epidemiologic paradox may also apply to within-immigrant disparities by legal status. We offer several explanations for the counterintuitive result.
dc.rightsCopyright © Population Association of America 2018. This work has been made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at
dc.subjectLegal statusen
dc.subjectMexico-United Statesen
dc.subjectFarm workersen
dc.subjectHM Sociologyen
dc.titleImmigrant legal status and health : legal status disparities in chronic conditions and musculoskeletal pain among Mexican-born farm workers in the United Statesen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews.School of Geography & Sustainable Developmenten
dc.description.statusPeer revieweden

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