NO REAL PROGRESS TOWARDS EQUITY - HEALTH OF MIGRANTS AND ETHNIC-MINORITIES ON THE EVE OF THE YEAR 2000
NO REAL PROGRESS TOWARDS EQUITY - HEALTH OF MIGRANTS AND ETHNIC-MINORITIES ON THE EVE OF THE YEAR 2000
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DOI：
10.1016/0277-9536(94)00386-8
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发表时间：
1995-09-01
影响因子：
5.4
通讯作者：
SIEM, H
中科院分区：
文献类型：
--
作者：
BOLLINI, P;SIEM, H
该文件审查了现有的证据，获得医疗保健和两个健康结果，围产期死亡率和事故/残疾，在选定的接收工业化国家的移民和少数民族。这些社区的健康分析使用的权利的方法，认为健康的产品，个人的私人禀赋和社会环境，他或她面临的。移徙者，特别是第一代和第二代移徙者以及少数民族在接受国社会的权利往往减少。她们不仅面临本身就是健康状况不佳决定因素的恶劣工作和生活条件，而且她们获得保健的机会也减少，行政和文化方面的原因，而这些原因在土著人口中并不一定存在。与本地人口相比，在许多移民群体中观察到的残疾问题与他们在接收国社会中应享权利较低有关。在采取旨在缩小这种健康差距的政策的同时，还需要作出更广泛的努力，减少不平等现象，促进这些群体充分参与社会主流。
The paper reviews the available evidence on access to health care and two health outcomes, perinatal mortality and accident/disability, for migrant and ethnic minorities in selected receiving industrialized countries. The health of these communities is analyzed using the entitlement approach, which considers health as the product of both the individual's private endowments and the social environment he or she faces. Migrants, especially first and second generations, and ethnic minorities often have reduced entitlements in receiving societies. Not only are they exposed to poor working and living conditions, which are per se determinants of poor health, but they also have reduced access to health care for a number of political, administrative and cultural reasons which are not necessarily present for the native population.The paper argues that the higher rates of perinatal mortality and accidents/disability observed in many migrant groups compared to the native population are linked to their lower entitlements in the receiving societies. Policies aimed at reducing such health gaps need to be accompanied by a more general effort to reduce inequalities and to promote full participation of these groups in the mainstream of society.