Perceived discrimination and health among immigrants in europe according to national integration policies
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Palència, Laia (Institut d'Investigació Biomèdica Sant Pau)
Bartoll, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Ikram, Umar (University of Amsterdam)
Malmusi, Davide (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Universitat Autònoma de Barcelona

Data:	2015
Resum:	Background: Discrimination harms immigrants' health. The objective of this study was to analyze the association between perceived discrimination and health outcomes among first and second generation immigrants from low-income countries living in Europe, while accounting for sex and the national policy on immigration. Methods: Cross-sectional study including immigrants from low-income countries aged ≥15 years in 18 European countries (European Social Survey, 2012) (sample of 1271 men and 1335 women). The dependent variables were self-reported health, symptoms of depression, and limitation of activity. The independent variables were perceived group discrimination, immigrant background and national immigrant integration policy. We tested for association between perceived group discrimination and health outcomes by fitting robust Poisson regression models. Results: We only observed significant associations between perceived group discrimination and health outcomes in first generation immigrants. For example, depression was associated with discrimination among both men and women (Prevalence Ratio-, 1. 55 (95% CI: 1. 16-2. 07) and 1. 47 (95% CI: 1. 15-1. 89) in the multivariate model, respectively), and mainly in countries with assimilationist immigrant integration policies. Conclusion: Perceived group discrimination is associated with poor health outcomes in first generation immigrants from low-income countries who live in European countries, but not among their descendants. These associations are more important in assimilationist countries.
Ajuts:	Ministerio de Economía y Competitividad INT13/00252
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Depression ; Discrimination ; Immigrant generation ; Low income countries ; National immigrant integration policy ; Perceived health
Publicat a:	International journal of environmental research and public health, Vol. 12 Núm. 9 (31 2015) , p. 10687-10699, ISSN 1660-4601

DOI: 10.3390/ijerph120910687
PMID: 26334284

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