Immigration Status, Socioeconomic Status, and Self-Rated Health in Europe.

Immigration Status, Socioeconomic Status, and Self-Rated Health in Europe.
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DOI:
10.3390/ijerph192315657
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发表时间:
2022-11-25
影响因子:
--
通讯作者:
Najand, Babak
Najand, Babak
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Siddiq, Hafifa;Najand, Babak

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文献已经建立了社会经济地位(SES)指标对健康的保护作用。然而,至少在美国,这些社会经济地位指标往往为包括移民在内的边缘化群体带来较少的健康收益。由于这些文献主要来自美国,因此有必要研究这些指标是否与欧洲外国出生和本土出生的个人的健康状况相似。本研究基于边际化相关收益递减(MDRs)理论,比较了三个社会经济地位指标(父母教育程度、自身教育程度和收入)对移民和本地出生个体自测健康(SRH)的影响。我们使用了2020年欧洲社会调查(ESS 2020)的数据。参与者包括14,213名被确定为本地出生(n = 9052)或外国出生(n = 508)的人。受教育程度、收入、父母教育程度为自变量。自测健康(SRH)是结果。年龄和性别为协变量。数据分析采用线性回归和Logistic回归。总的来说,高教育、收入和父母教育程度与性健康和生殖健康不良的几率较低相关。我们记录了移民身份和父母教育之间的统计相互作用,表明父母教育和不良的SRH外国出生的比本地出生的个人之间的负相关较弱。在欧洲,一些但不是所有的社会经济地位指标之间的联系在外国出生和本土出生的个人之间存在差异。东道国似乎低估了外国出生家庭的父母教育程度。未来的研究应探讨时间,时期,队列和原籍国以及东道国和相关政策的作用,在均衡回报的社会经济地位指标的健康人口亚群。鉴于大多数关于MDR的研究都是在美国进行的,而对欧洲的了解较少,因此这些结果很重要。考虑到欧洲和世界其他地区日益增长的反移民情绪和民族主义运动,这一结果也非常重要。
The literature has established a protective effect of socioeconomic status (SES) indicators on health. However, at least in the US, these SES indicators tend to generate fewer health gains for marginalized groups including immigrants. As this literature mainly originated in the US, it is necessary to study whether these indicators similarly correlate with the health of foreign-born and native-born individuals in Europe. The current study was based on the Marginalization-related Diminished Returns (MDRs) theory and compared the effects of three SES indicators, namely parental education, own education and income, on self-rated health (SRH) of immigrant and native-born individuals. We used data from the European Social Survey 2020 (ESS 2020). Participants included 14,213 individuals who identified as either native-born (n = 9052) or foreign-born (n = 508). Education, income, and parental education were the independent variables. Self-rated health (SRH) was the outcome. Age and sex were covariates. Linear regression and logistic regression were used for data analysis. Overall, high education, income, and parental education were associated with lower odds of poor SRH. We documented a statistical interaction between immigration status and parental education, indicating a weaker inverse association between parental education and poor SRH for foreign-born than native-born individuals. The links between some but not all SES indicators vary across foreign-born and native-born individuals in Europe. Host countries seem to undervalue the parental educational attainment of foreign-born families. Future research should explore the role of time, period, cohort and country of origin as well as host country and associated policies in equalizing returns of SES indicators on the health of population subgroups. The results are important given that most studies on MDRs are developed in the US, and less is known about Europe. The results are also very important given the growing anti-immigrant sentiment and nationalist movements in Europe and the rest of the world.
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