Migration-related health inequalities: Showing the complex interactions between gender, social class and place of origin
Migration-related health inequalities: Showing the complex interactions between gender, social class and place of origin
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DOI：
10.1016/j.socscimed.2010.07.043
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发表时间：
2010-11-01
影响因子：
5.4
通讯作者：
Benach, Joan
中科院分区：
文献类型：
--
作者：
Malmusi, Davide;Borrell, Carme;Benach, Joan
在本文中，我们简要回顾了从健康公平的角度对移民和健康的理论和研究结果，然后分析与移民相关的健康不平等考虑到性别，社会阶层和移民的特点，在25-64岁的成年人口生活在加泰罗尼亚，西班牙。根据审查得出的移民类型的特点，我们区分了来自西班牙其他地区的移民和来自其他国家的移民，在每个群体中，来自富裕或贫穷地区的移民，来自低收入国家的外国移民也根据居住时间进行了区分。进一步按性别和社会阶层分层。在两项基于人口的跨部门调查中，对各群体的自我评估健康状况进行了比较，在一项调查中，对各群体的社会经济状况指标（个人收入、物质和金融资产指数以及就业不稳定指数）进行了比较。社会阶层和性别不平等在健康和社会经济条件方面都很明显，在本地和移民分组中都是如此。与移徙有关的健康不平等影响到国内和国际移民，但主要限于来自贫困地区的移民，一般与他们的社会经济贫困相一致，来自贫穷国家的外国移民的社会经济状况最差，但健康状况相对较好（特别是居住时间较短的男性）。我们对来自西班牙的移民的研究结果强调了“健康移民效应”的短暂性，不应推迟对影响移民群体的社会经济决定因素的不平等采取行动。(C)2010爱思唯尔有限公司版权所有
In this paper, we briefly review theories and findings on migration and health from the health equity perspective, and then analyse migration-related health inequalities taking into account gender, social class and migration characteristics in the adult population aged 25-64 living in Catalonia, Spain. On the basis of the characterisation of migration types derived from the review, we distinguished between immigrants from other regions of Spain and those from other countries, and within each group, those from richer or poorer areas, foreign immigrants from low-income countries were also distinguished according to duration of residence. Further stratification by sex and social class was applied. Groups were compared in relation to self-assessed health in two cross-sectional population-based surveys, and in relation to indicators of socio-economic conditions (individual income, an index of material and financial assets, and an index of employment precariousness) in one survey. Social class and gender inequalities were evident in both health and socio-economic conditions, and within both the native and immigrant subgroups Migration-related health inequalities affected both internal and international immigrants, but were mainly limited to those from poor areas, were generally consistent with their socio-economic deprivation, and apparently more pronounced in manual social classes and especially for women Foreign immigrants from poor countries had the poorest socio-economic situation but relatively better health (especially men with shorter length of residence). Our findings on immigrants from Spain highlight the transitory nature of the 'healthy immigrant effect', and that action on inequality in socioeconomic determinants affecting migrant groups should not be deferred. (C) 2010 Elsevier Ltd. All rights reserved