The effect of perceived discrimination on the health of immigrant workers in Spain

Background: Discrimination is an important determinant of health inequalities, and immigrants may be more vulnerable to certain types of discrimination than the native-born. This study analyses the relationship between immigrants' perceived discrimination and various self-reported health in...

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Autores: Agudelo Suárez, Andrés A, Ronda-Pérez, Elena, Gil González, Diana, Vives Cases, Carmen, García, Ana María, Ruiz Frutos, Carlos, Felt, Emily, Benavides, Fernando G. (Fernando García)
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/23414
Acceso en línea:http://hdl.handle.net/10230/23414
http://dx.doi.org/10.1186/1471-2458-11-652
Access Level:acceso abierto
Palabra clave:Emigració i immigració -- Aspectes psicològics
Emigració i immigració -- Espanya -- Estadístiques
Immigrants -- Salut i higiene
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spelling The effect of perceived discrimination on the health of immigrant workers in SpainAgudelo Suárez, Andrés ARonda-Pérez, ElenaGil González, DianaVives Cases, CarmenGarcía, Ana MaríaRuiz Frutos, CarlosFelt, EmilyBenavides, Fernando G. (Fernando García)Emigració i immigració -- Aspectes psicològicsEmigració i immigració -- Espanya -- EstadístiquesImmigrants -- Salut i higieneBackground: Discrimination is an important determinant of health inequalities, and immigrants may be more vulnerable to certain types of discrimination than the native-born. This study analyses the relationship between immigrants' perceived discrimination and various self-reported health indicators. Methods: A cross-sectional survey was conducted (2008) amongst a non-random sample of 2434 immigrants from Ecuador, Morocco, Romania and Colombia in four Spanish cities: Barcelona, Huelva, Madrid and Valencia. A factorial analysis of variables revealed three dimensions of perceived discrimination (due to immigrant status, due to physical appearance, and workplace-related). The association of these dimensions with self-rated health, mental health (GHQ-12), change in self-rated health between origin and host country, and other self-reported health outcomes was analysed. Logistic regression was used adjusting for potential confounders (aOR-95%CI). Subjects with worsening self-reported health status potentially attributable to perceived discrimination was estimated (population attributable proportion, PAP %). Results: 73.3% of men and 69.3% of women immigrants reported discrimination due to immigrant status. Moroccans showed the highest prevalence of perceived discrimination. Immigrants reporting discrimination were at significantly higher risk of reporting health problems than those not reporting discrimination. Workplace-related discrimination was associated with poor mental health (aOR 2.97 95%CI 2.45-3.60), and the worsening of self-rated health (aOR 2.20 95%CI 1.73- 2.80). 40% (95% CI 24-53) PAP of those reporting worse self-rated health could be attributable to discrimination due to immigrant status. Conclusions: Discrimination may constitute a risk factor for health in immigrant workers in Spain and could explain some health inequalities among immigrant populations in Spanish society.This work was supported by the following sources: Carolina Foundation (Spain), Healthcare Research Fund of the Spanish Ministry of Health and Consumption (references PI050497, PI052202, PI052334, PI061701, and PI0790470)BioMed Central201520152011info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/23414http://dx.doi.org/10.1186/1471-2458-11-652reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésBMC Public Health. 2011;11:652© Agudelo-Suarez AA, Ronda-Perez E, Gil-Gonzalez D, Vives-Cases C, Garcia AM, Ruiz-Frutos C, Felt E, Benavides FG. Creative Commons Attribution License http://creativecommons.org/licenses/by/2.0/http://creativecommons.org/licenses/by/2.0info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/234142026-06-12T07:21:37Z
dc.title.none.fl_str_mv The effect of perceived discrimination on the health of immigrant workers in Spain
title The effect of perceived discrimination on the health of immigrant workers in Spain
spellingShingle The effect of perceived discrimination on the health of immigrant workers in Spain
Agudelo Suárez, Andrés A
Emigració i immigració -- Aspectes psicològics
Emigració i immigració -- Espanya -- Estadístiques
Immigrants -- Salut i higiene
title_short The effect of perceived discrimination on the health of immigrant workers in Spain
title_full The effect of perceived discrimination on the health of immigrant workers in Spain
title_fullStr The effect of perceived discrimination on the health of immigrant workers in Spain
title_full_unstemmed The effect of perceived discrimination on the health of immigrant workers in Spain
title_sort The effect of perceived discrimination on the health of immigrant workers in Spain
dc.creator.none.fl_str_mv Agudelo Suárez, Andrés A
Ronda-Pérez, Elena
Gil González, Diana
Vives Cases, Carmen
García, Ana María
Ruiz Frutos, Carlos
Felt, Emily
Benavides, Fernando G. (Fernando García)
author Agudelo Suárez, Andrés A
author_facet Agudelo Suárez, Andrés A
Ronda-Pérez, Elena
Gil González, Diana
Vives Cases, Carmen
García, Ana María
Ruiz Frutos, Carlos
Felt, Emily
Benavides, Fernando G. (Fernando García)
author_role author
author2 Ronda-Pérez, Elena
Gil González, Diana
Vives Cases, Carmen
García, Ana María
Ruiz Frutos, Carlos
Felt, Emily
Benavides, Fernando G. (Fernando García)
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Emigració i immigració -- Aspectes psicològics
Emigració i immigració -- Espanya -- Estadístiques
Immigrants -- Salut i higiene
topic Emigració i immigració -- Aspectes psicològics
Emigració i immigració -- Espanya -- Estadístiques
Immigrants -- Salut i higiene
description Background: Discrimination is an important determinant of health inequalities, and immigrants may be more vulnerable to certain types of discrimination than the native-born. This study analyses the relationship between immigrants' perceived discrimination and various self-reported health indicators. Methods: A cross-sectional survey was conducted (2008) amongst a non-random sample of 2434 immigrants from Ecuador, Morocco, Romania and Colombia in four Spanish cities: Barcelona, Huelva, Madrid and Valencia. A factorial analysis of variables revealed three dimensions of perceived discrimination (due to immigrant status, due to physical appearance, and workplace-related). The association of these dimensions with self-rated health, mental health (GHQ-12), change in self-rated health between origin and host country, and other self-reported health outcomes was analysed. Logistic regression was used adjusting for potential confounders (aOR-95%CI). Subjects with worsening self-reported health status potentially attributable to perceived discrimination was estimated (population attributable proportion, PAP %). Results: 73.3% of men and 69.3% of women immigrants reported discrimination due to immigrant status. Moroccans showed the highest prevalence of perceived discrimination. Immigrants reporting discrimination were at significantly higher risk of reporting health problems than those not reporting discrimination. Workplace-related discrimination was associated with poor mental health (aOR 2.97 95%CI 2.45-3.60), and the worsening of self-rated health (aOR 2.20 95%CI 1.73- 2.80). 40% (95% CI 24-53) PAP of those reporting worse self-rated health could be attributable to discrimination due to immigrant status. Conclusions: Discrimination may constitute a risk factor for health in immigrant workers in Spain and could explain some health inequalities among immigrant populations in Spanish society.
publishDate 2011
dc.date.none.fl_str_mv 2011
2015
2015
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/23414
http://dx.doi.org/10.1186/1471-2458-11-652
url http://hdl.handle.net/10230/23414
http://dx.doi.org/10.1186/1471-2458-11-652
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv BMC Public Health. 2011;11:652
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/2.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/2.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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