In 1986, Markides and Coreil stated that “ . . . it can be concluded with some certainty that the health status of Hispanics in the Southwest is much more similar to the health status of other whites than that of blacks although socioeconomically, the status of Hispanics is closer to that of blacks.”1(p253) The authors termed this paradoxical finding “the epidemiologic paradox” and posited that cultural practices and immigration are related to this phenomenon. Subsequent authors, both in a systematic review of the literature2 and in research on the epidemiologic paradox (additionally referred to as the “Hispanic paradox”) in low birth weight,3 also identified cultural and immigration issues as possible explanatory factors.
Flores G, Brotanek J. The Healthy Immigrant EffectA Greater Understanding Might Help Us Improve the Health of All Children. Arch Pediatr Adolesc Med. 2005;159(3):295-297. doi:10.1001/archpedi.159.3.295