Summary
This cross-sectional study utilizes the 2021–2022 CHIS 2-year public use dataset for adults aged 18 and over to examine the demographics, economic well-being, health status, healthcare access, health insurance access, health behaviors, and other social determinants of health of Sub-Saharan African (SSA) immigrants in California. Descriptive analyses were used to summarize the demographic and health characteristics of SSA immigrants.
Findings: Authors found a balanced gender distribution showing females slightly outnumbering males, with most identifying as heterosexual and residing in urban areas. SSA immigrants are generally well-educated, with 57% holding college degrees, and 66% employed full-time. However, 16% live below the poverty line, and 16% experience food insecurity, surpassing national averages. Health status indicates 16% report fair to poor health, with prevalent chronic conditions like asthma and diabetes. Despite 96% having health insurance, 18% delay necessary healthcare. Social determinants highlight high adverse childhood experiences and systemic discrimination, though resilience is evident through positive childhood experiences.
