Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education

Background: The ability to age healthily is highly dependent on individual characteristics that include gender, social class, a range of biological and contextual factors, and migrant background. Indeed, immigration has changed the demographic composition and social structure of many European countr...

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Autores: Solé Auró, Aïda, Sáenz-Hernández, Isabel, Ratniece, Luïze
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2025
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/71803
Acceso en línea:http://hdl.handle.net/10230/71803
http://dx.doi.org/10.1177/08982643241303973
Access Level:acceso abierto
Palabra clave:Immigrant health
Health inequalities
Education level
Age-related trajectories
Longitudinal analysis
Europe
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spelling Age-related trajectories of health decline among immigrants and natives in Europe: the effect of educationSolé Auró, AïdaSáenz-Hernández, IsabelRatniece, Luïze Immigrant healthHealth inequalitiesEducation levelAge-related trajectoriesLongitudinal analysisEuropeBackground: The ability to age healthily is highly dependent on individual characteristics that include gender, social class, a range of biological and contextual factors, and migrant background. Indeed, immigration has changed the demographic composition and social structure of many European countries, generating an increasing interest in how societies, and immigrants in particular, are aging. Research Design: This paper compares the age-related trajectories of health decline in three health measures (activity limitation indicator, self-perceived health, and chronic conditions) among 7,429 immigrants and 81,424 native-born populations aged 50 years old and over using longitudinal data from seven waves of the Survey of Health, Ageing and Retirement in Europe (SHARE) (2004-2020). Analysis: We use descriptive and multivariate models (random-effects regression models) to analyze the association between migration status and each health outcome. We are particularly interested in determining the age-related trajectory of this association across three levels of education, exploring at the same time the effect of the interaction between immigration status and age on health. Results: Our results highlight potential gaps in health between immigrants and native-born people that are particularly large for the low-educated group. In other words, the health decline is more marked for low-educated immigrants compared to native-born populations in particular for activity limitation indicator and self-perceived health, while it is less pronounced with the accumulation of chronic conditions. Conclusions: Our findings should serve to enhance the design of the provision of social services and support and the promotion of equal opportunities.The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Aïda Solé-Auró obtained financial support for this research from the Spanish Ministry of Science and Innovation under the program "Generación de Conocimiento" Project LONGHEALTH (PID2021-128892OB-I00; PI: Iñaki Permanyer [CED-CERCA]; Aïda Solé-Auró [Universitat Pompeu Fabra]). This paper received support from the 2021 SGR 00957 project (PI: Aïda Solé-Auró) funded by the Agency for Management of University and Research Grants (AGAUR). Isabel Sáenz-Hernández acknowledges funding from the Investigo Program (funded by Next Generation EU, 2023; ref. BDNS 664047).SAGE Publications2025202520262025info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/71803http://dx.doi.org/10.1177/08982643241303973reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésJournal of Aging and Health. 2026 Jan;38(1-2):3-18info:eu-repo/grantAgreement/ES/3PE/PID2021-128892OB-I00Solé-Auró A, Sáenz-Hernández I, Ratniece L, Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education, Journal of Aging and Health 2024 Nov 29. © The Author(s) 2024. DOI: 10.1177/08982643241303973.info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/718032026-06-12T07:21:37Z
dc.title.none.fl_str_mv Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education
title Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education
spellingShingle Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education
Solé Auró, Aïda
Immigrant health
Health inequalities
Education level
Age-related trajectories
Longitudinal analysis
Europe
title_short Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education
title_full Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education
title_fullStr Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education
title_full_unstemmed Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education
title_sort Age-related trajectories of health decline among immigrants and natives in Europe: the effect of education
dc.creator.none.fl_str_mv Solé Auró, Aïda
Sáenz-Hernández, Isabel
Ratniece, Luïze
author Solé Auró, Aïda
author_facet Solé Auró, Aïda
Sáenz-Hernández, Isabel
Ratniece, Luïze
author_role author
author2 Sáenz-Hernández, Isabel
Ratniece, Luïze
author2_role author
author
dc.subject.none.fl_str_mv Immigrant health
Health inequalities
Education level
Age-related trajectories
Longitudinal analysis
Europe
topic Immigrant health
Health inequalities
Education level
Age-related trajectories
Longitudinal analysis
Europe
description Background: The ability to age healthily is highly dependent on individual characteristics that include gender, social class, a range of biological and contextual factors, and migrant background. Indeed, immigration has changed the demographic composition and social structure of many European countries, generating an increasing interest in how societies, and immigrants in particular, are aging. Research Design: This paper compares the age-related trajectories of health decline in three health measures (activity limitation indicator, self-perceived health, and chronic conditions) among 7,429 immigrants and 81,424 native-born populations aged 50 years old and over using longitudinal data from seven waves of the Survey of Health, Ageing and Retirement in Europe (SHARE) (2004-2020). Analysis: We use descriptive and multivariate models (random-effects regression models) to analyze the association between migration status and each health outcome. We are particularly interested in determining the age-related trajectory of this association across three levels of education, exploring at the same time the effect of the interaction between immigration status and age on health. Results: Our results highlight potential gaps in health between immigrants and native-born people that are particularly large for the low-educated group. In other words, the health decline is more marked for low-educated immigrants compared to native-born populations in particular for activity limitation indicator and self-perceived health, while it is less pronounced with the accumulation of chronic conditions. Conclusions: Our findings should serve to enhance the design of the provision of social services and support and the promotion of equal opportunities.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2025
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/71803
http://dx.doi.org/10.1177/08982643241303973
url http://hdl.handle.net/10230/71803
http://dx.doi.org/10.1177/08982643241303973
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Aging and Health. 2026 Jan;38(1-2):3-18
info:eu-repo/grantAgreement/ES/3PE/PID2021-128892OB-I00
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
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
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