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Region of Birth and Child Mortality among Black Migrants to South Africa: Is there a foreign-born advantage?

Tiffany L Green, Amos C Peters


Much of the existing evidence for the healthy immigrant advantage comes from developed countries. We investigate whether an immigrant health advantage exists in South Africa, an important emerging economy.  Using the 2001 South African Census, this study examines differences in child mortality between native-born South African and immigrant blacks.  We find that accounting for region of origin is critical: immigrants from southern Africa are more likely to experience higher lifetime child mortality compared to the native-born population.  Further, immigrants from outside of southern Africa are less likely than both groups to experience child deaths.  Finally, in contrast to patterns observed in developed countries, we detect a strong relationship between schooling and child mortality among black immigrants.


Migration; South Africa; Child Mortality; Health disparities; south-south immigration

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Acevedo-Garcia, D., Bates, L. M., Osypuk, T. L., & McArdle, N. (2010). The effect of immigrant generation and duration on self-rated health among US adults 2003-2007. [Research Support, Non-U.S. Gov't]. Soc Sci Med, 71(6), 1161-1172. doi: 10.1016/j.socscimed.2010.05.034

Acevedo-Garcia, D., Bates, L. M., Osypuk, T. L., & McArdle, N. (2010). The effect of immigrant generation and duration on self-rated health among US adults 2003–2007. Social Science & Medicine, 71(6), 1161-1172.

Acevedo-Garcia, D., Soobader, M. J., & Berkman, L. F. (2005). The differential effect of foreign-born status on low birth weight by race/ethnicity and education. [Research Support, Non-U.S. Gov't]. Pediatrics, 115(1), e20-30. doi: 10.1542/peds.2004-1306

Adepoju, A. (2003). Continuity and changing configurations of migration to and from the Republic of South Africa. International Migration, 41(1), 3-28.

Akresh, I. R., & Frank, R. (2008). Health Selection Among New Immigrants. Am J Public Health, 98(11), 2058-2064. doi: 10.2105/ajph.2006.100974

Antecol, H., & Bedard, K. (2006). Unhealthy assimilation: why do immigrants converge to American health status levels? Demography, 43(2), 337-360.

Buekens, P., Masuy-Stroobant, G., & Delvaux, T. (1998). High birthweights among infants of north African immigrants in Belgium. Am J Public Health, 88(5), 808-811.

Cacciani, L., Asole, S., Polo, A., Franco, F., Lucchini, R., De Curtis, M., . . . Guasticchi, G. (2011). Perinatal outcomes among immigrant mothers over two periods in a region of central Italy. Bmc Public Health, 11(1), 294.

Collins, J. W., Jr., Wu, S. Y., & David, R. J. (2002). Differing intergenerational birth weights among the descendants of US-born and foreign-born Whites and African Americans in Illinois. [Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.]. Am J Epidemiol, 155(3), 210-216.

Collinson, M. A., Tollman, S. M., & Kahn, K. (2007). Migration, settlement change and health in post-apartheid South Africa: Triangulating health and demographic surveillance with national census data1. Scandinavian Journal of Public Health, 35(69 suppl), 77-84.

Coovadia, H., Jewkes, R., Barron, P., Sanders, D., & McIntyre, D. (2009). The health and health system of South Africa: historical roots of current public health challenges. The Lancet, 374(9692), 817-834.

Crush, J., & McDonald, D. A. (2001). Introduction to special issue: evaluating South African immigration policy after apartheid. Africa Today, 1-13.

Crush, J., & Williams, V. (2010). Labour migration trends and policies in Southern Africa. SAMP Policy Brief, 23.

David, R., & Collins, J., Jr. (2007). Disparities in infant mortality: what's genetics got to do with it? Am J Public Health, 97(7), 1191-1197. doi: 10.2105/AJPH.2005.068387

Elo, I. T., & Culhane, J. F. (2010). Variations in health and health behaviors by nativity among pregnant Black women in Philadelphia. [Research Support, N.I.H., Extramural Research Support, U.S. Gov't, P.H.S.]. Am J Public Health, 100(11), 2185-2192. doi: 0.2105/AJPH.2009.174755

Elo, I. T., Mehta, N. K., & Huang, C. (2011). Disability among native-born and foreign-born blacks in the United States. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't]. Demography, 48(1), 241-265. doi: 10.1007/s13524-010-0008-x

Essén, B., Hanson, B. S., Östergren, P.-O., Lindquist, P. G., & Gudmundsson, S. (2000). Increased perinatal mortality among sub-Saharan immigrants in a city-population in Sweden. Acta Obstetricia Et Gynecologica Scandinavica, 79(9), 737-743. doi: 10.1034/j.1600-0412.2000.079009737.x

Guendelman, S., Buekens, P., Blondel, B., Kaminski, M., Notzon, F. C., & Masuy-Stroobant, G. (1999). Birth outcomes of immigrant women in the United States, France, and Belgium. Maternal and Child Health Journal, 3(4), 177-187.

Hummer, R. A., Powers, D. A., Pullum, S. G., Gossman, G. L., & Frisbie, W. P. (2007). Paradox found (again): infant mortality among the Mexican-origin population in the United States. [Research Support, N.I.H., Extramural]. Demography, 44(3), 441-457.

Jasso, G., Massey, D. S., Rosenzweig, M. R., & Smith, J. P. (2004). Immigrant health: selectivity and acculturation Critical perspectives on racial and ethnic differences in health in late life (pp. 227-266).

Kent, M. M. (2007). Immigration and America's black population: Population Reference Bureau.

McDonald, D. A. (2000). On borders: Perspectives on international migration in Southern Africa: Macmillan.

Minnesota Population Center and Statistics South Africa. Integrated Public Use Microdata Series, International: Version 6.3 [Machine-readable database]. Minneapolis: University of Minnesota, 2014.

Molatseli, M. J., Hamilton, T. G., & Peters, A. C. (2014). The Healthy Immigrant: Investigating Disability Disparities Between Native Born Black South Africans and Their Foreign Born Counterparts. University of Cape Town, mimeo.

Nannan, N., Dorrington, R., Laubscher, R., Zinyakatira, N., Prinsloo, M., Darikwa, T., . . . Bradshaw, D. (2012). Under-5 mortality statistics in South Africa.

Papke, L. E., & Wooldridge, J. M. (2008). Panel data methods for fractional response variables with an application to test pass rates. Journal of Econometrics, 145(1), 121-133.

Posel, D. (2004). Have migration patterns in post-apartheid South Africa changed? Journal of Interdisciplinary Economics, 15(3/4), 277-292.

Republic of South Africa Department of Home Affairs. Permanent Residency (Immigration) Retrieved September 27, 2014, from

Singh, G. K., Kogan, M. D., & Stella, M. Y. (2009). Disparities in obesity and overweight prevalence among US immigrant children and adolescents by generational status. Journal of community health, 34(4), 271-281.

Thomas, K.J.A. 2007: “Child mortality and Socioeconomic Status: Differences among immigrants and the native-born in South Africa”, International Migration Review, 41(1) 40-74

United Nations, D. o. E. a. S. A., Population Division,. (2013). International Migration Report 2013.

Urquia, M. L., Glazier, R. H., Blondel, B., Zeitlin, J., Gissler, M., Macfarlane, A., . . . Gagnon, A. J. (2010). International migration and adverse birth outcomes: role of ethnicity, region of origin and destination. J Epidemiol Community Health, 64(3), 243-251.

Urquia, M. L., Glazier, R. H., Blondel, B., Zeitlin, J., Gissler, M., Macfarlane, A., . . . collaboration, f. t. R. (2010). International migration and adverse birth outcomes: role of ethnicity, region of origin and destination. J Epidemiol Community Health, 64(3), 243-251. doi: 10.1136/jech.2008.083535

Vahratian, A., Buekens, P., Delvaux, T., Boutsen, M., Wang, Y., & Kupper, L. L. (2004). Birthweight differences among infants of North African immigrants and Belgians in Belgium. The European Journal of Public Health, 14(4), 381-383.

Wingate, M. S., & Alexander, G. R. (2006). The healthy migrant theory: Variations in pregnancy outcomes among US-born migrants. Social Science & Medicine, 62(2), 491-498. doi:


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