Utilizing the 5% Public Use Micro Data Sample (PUMS) from the 2000 Census of Population and 2000-2006 waves of the National Health Interview Survey (NHIS), we examine differences in disability, self-rated health and chronic conditions among native-born and foreign-born black US residents. Among the foreign-born, we distinguish among immigrants from the Caribbean /West Indies, Africa, Europe and other regions of the world, as well as by Hispanic origin. Results from both data sets point to an immigrant health advantage across all measures of health for all groups except for the European-born. Black immigrants from Europe reported similar levels of hypertension as U.S.-born non-Hispanic blacks. Our results also suggest that the Hispanic health “paradox” does not apply to Hispanics who self-identify as black.