low SES profile of Hispanic immigrants and their ongoing difficulties with educational and occupational opportunities, the health of Latinos is likely to decline more rapidly than that of Asians and to be worse than the U.S. average in the future. Consistent with this view, the gap in mortality between immigrants and the native born is smaller for Asians than for whites, black and Hispanics.103 Similarly, recent national data reveal that declines in subsequent generations in mental health were less marked for Asians than for blacks and Hispanics. For black Caribbean immigrants, the lifetime rate of psychiatric disorders increased from 19%, to 35%, to 55% for the first, second and third generation immigrants, respectively.111 Similarly, among Hispanics, the increased prevalence of psychiatric disorders went from 24%, to 30%, to 43% across the three generations.112 For Asian immigrants, there is an increase in the prevalence of lifetime psychiatric disorders from 15% to 24% from the first to the second generation, but there was no substantial increase for the third generation (26%).113 The lifetime rate for psychiatric disorder is 31% for African Americans and 37% for whites.114 Thus, black, Latino and Asian first generation immigrants all have lower disorder rates than the general
