Health inequality between immigrants and natives in Spain: The loss of the healthy immigrant effect in times of economic crisis
Background: The immigrant population living in Spain grew exponentially in the early 2000s but has been particularly affected by the economic crisis. This study aims to analyse health inequalities between immigrants born in middle- or low-income countries and natives in Spain, in 2006 and 2012, taki...
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2015 |
| País: | España |
| Institución: | Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau) |
| Repositorio: | r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
| OAI Identifier: | oai:iibsantpau.fundanetsuite.com:p10426 |
| Acceso en línea: | https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10426 https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958170157&doi=10.1093%2feurpub%2fckv126&partnerID=40&md5=15edd8946c3f02466c75c5846a1b5b88 |
| Access Level: | acceso abierto |
| Palabra clave: | adolescent cross-sectional study daily life activity drug dependence epidemiology ethnology female health disparity health status health survey human male mental health middle aged migrant self report sex difference socioeconomics Spain statistics and numerical data time factor young adult Activities of Daily Living Adolescent Cross-Sectional Studies Emigrants and Immigrants Female Health Status Health Status Disparities Health Surveys Humans Male Mental Health Middle Aged Self Report Sex Factors Socioeconomic Factors Substance-Related Disorders Time Factors Young Adult |
| Sumario: | Background: The immigrant population living in Spain grew exponentially in the early 2000s but has been particularly affected by the economic crisis. This study aims to analyse health inequalities between immigrants born in middle- or low-income countries and natives in Spain, in 2006 and 2012, taking into account gender, year of arrival and socioeconomic exposures. Methods: Study of trends using two cross-sections, the 2006 and 2012 editions of the Spanish National Health Survey, including residents in Spain aged 1564 years (20 810 natives and 2950 immigrants in 2006, 14 291 natives and 2448 immigrants in 2012). Fair/poor self-rated health, poor mental health (GHQ-12 > 2), chronic activity limitation and use of psychotropic drugs were compared between natives and immigrants who arrived in Spain before 2006, adjusting robust Poisson regression models for age and socioeconomic variables to obtain prevalence ratios (PR) and 95% confidence interval (CI). Results: Inequalities in poor self-rated health between immigrants and natives tend to increase among women (age-adjusted PR2006 = 1.39; 95% CI: 1.241.56, PR2012 = 1.56; 95% CI: 1.331.82). Among men, there is a new onset of inequalities in poor mental health (PR2006 = 1.10; 95% CI: 0.861.40, PR2012 = 1.34; 95% CI: 1.061.69) and an equalization of the previously lower use of psychotropic drugs (PR2006 = 0.22; 95% CI: 0.110.43, PR2012 = 1.20; 95% CI: 0.732.01). Conclusions: Between 2006 and 2012, immigrants who arrived in Spain before 2006 appeared to worsen their health status when compared with natives. The loss of the healthy immigrant effect in the context of a worse impact of the economic crisis on immigrants appears as potential explanation. Employment, social protection and re-universalization of healthcare would prevent further deterioration of immigrants health status. © The Author 2015. |
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