Health and mortality patterns among migrants in France

Khlat, Myriam; Guillot, Michel

doi:10.4337/9781785365973.00016

Cited by 16 publications

(39 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This expectation was met among males, but less so among females. Such findings are in line with a recent systematic review of the HIE literature in France (Khlat and Guillot 2017). By region of origin, at least among males, the existence of an HIE was consistent with the direction of their educational selectivity.…”

Section: Discussionsupporting

confidence: 91%

“…Despite similar educational selectivity, an HIE was not found among females. Khlat and Guillot (2017) ascribe this difference to men arriving primarily as workers and women arriving as "dependents" to reunify with their family. This assertion probably applies more to older migrant cohorts, which arrived at a time when gender norms and the position of women in the labor market in the origin and host countries were less egalitarian than they are now.…”

Section: Discussionmentioning

confidence: 99%

“…Women may also be more likely to report poor self-rated health due to the double discrimination they face in the host country, both as women and as ethnic minorities (Llacer 2007). One the other hand, chronic diseases and health limitations are more susceptible to being underreported; migrants who are not well integrated into the health care system may find the concept of chronic illness and health limitations difficult to comprehend and report (Khlat and Guillot 2017).…”

Section: Discussionmentioning

confidence: 99%

“…A recent review of the migrant health and mortality literature in France (Khlat and Guillot 2017) finds that the HIE is largely limited to studies of mortality. Most of the studies of health are in line with the representation of migrants as vulnerable populations, though there is more evidence of a disadvantage in self-rated health than in chronic diseases or health limitations (Khlat and Guillot 2017). Additionally, an important attenuating effect of duration of stay is often found (Attias-Donfut and Tessier 2005;Hamel and Moisy 2012;Jusot et al 2009).…”

Section: The Healthy Immigrant Effect (Hie)mentioning

confidence: 99%

“…Lastly, important gender differences were noted in the relative advantage enjoyed by males in contrast to the disadvantage experienced by females (Khlat and Guillot 2017). This is because, traditionally, females move for reasons of family reunification rather than work and so are less subject to selection in the "healthy worker effect" (Khlat and Guillot 2017). Women can arrive as either "dependent" and "independent" migrants that are integrated into the workforce (Llacer et al 2007).…”

Section: The Healthy Immigrant Effect (Hie)mentioning

confidence: 99%

See 4 more Smart Citations

The Healthy Immigrant Effect: The role of educational selectivity in the good health of migrants

Ichou¹,

Wallace²

2019

DemRes

View full text Add to dashboard Cite

BACKGROUND The Healthy Immigrant Effect (HIE) refers to the fact that recent migrants are in better health than the nonmigrant population in the host country. Central to explaining the HIE is the idea that migrants are positively selected in terms of their socioeconomic and health characteristics when compared to nonmigrants in their country of origin. However, due to a lack of reliable and comparable data, most existing studies rely on socioeconomic and health measures as collected in the host country after migration and do not actually measure selection. OBJECTIVE We directly test selection as an explanation of the HIE among migrants living in France. METHODS Using the French Trajectories and Origins (TeO) survey and Barro-Lee dataset, we construct a direct measure of migrants' educational selectivity. We then test its effect on health differences between migrants and nonmigrants using measures self-rated health, health limitations, and chronic illnesses, by fitting logistic regression and Karlson-Holm-Breen (KHB) decompositions. RESULTS After demonstrating that migrants in France experience an HIE, especially males, we also show that educational level as measured in the host country cannot account for the HIE. By contrast, we provide important evidence that educational selectivity constitutes a significant factor in explaining health disparities between migrant and nonmigrant populations. Ichou & Wallace: The role of educational selectivity in the good health of migrants http://www.demographic-research.org CONTRIBUTION Capitalizing on a novel measure of migrants' educational selectivity, we give credit to the oft-cited but rarely tested theory that the HIE is a consequence of migrants' positive selection.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: The Healthy Immigrant Effect (Hie)mentioning

confidence: 99%

Section: The Healthy Immigrant Effect (Hie)mentioning

confidence: 99%

See 3 more Smart Citations

The Healthy Immigrant Effect: The role of educational selectivity in the good health of migrants

Ichou¹,

Wallace²

2019

DemRes

View full text Add to dashboard Cite

show abstract

Poor health, low mortality? Paradox found among immigrants in England and Wales

Wallace

Darlington‐Pollock

2020

Population Space and Place

View full text Add to dashboard Cite

The 'healthy immigrant effect' and 'migrant mortality advantage' describe the better health and lower mortality of international immigrants as compared with the native‐born populations of high‐income countries. However, a growing body of evidence suggests that it is much more common to observe low mortality among immigrants than it is good health, pointing to the existence of a potential paradox that mirrors the well‐known gender paradox in health and mortality. To investigate this, we used the Office for National Statistics Longitudinal Study, a large‐scale representative 1% sample of the England and Wales resident population comprising linked individual‐level health, mortality, and socio‐demographic data. We compared health and mortality within and across major immigrant groups over 20 years using logistic regression for health and discrete‐time survival analysis for mortality, both before and after adjusting for socio‐demographic factors. Of the eight origin subgroups studied, we found persistent evidence of a health‐mortality paradox within three: men and women from India, Pakistan and Bangladesh, and the Caribbean. We discuss potential explanations and implications of this paradox and suggest that decision makers need to react to help these subgroups preserve their health in order to delay the onset of limiting illnesses and emergence of this paradox.

show abstract

Editorial introduction: Social and spatial inequalities in health and mortality: The analysis of longitudinal register data from selected European countries

Keenan

Kulu

Cox

2021

Population Space and Place

View full text Add to dashboard Cite

Health inequalities—systematic differences in health outcomes between social groups and across spatial units—are ubiquitous, but not necessarily inevitable. They are the product of a complex interplay of social and economic processes operating at various scales. The unequal pattern of infection and death seen in the Covid‐19 pandemic has served to highlight the stark social gradient in health that exists within many European countries. Although the complex social determinants of health have been studied for many decades, there is still a great deal of work to do to elucidate explanations for health inequalities across time and space. To rise to the challenge, we need high‐quality, representative data capable of capturing multi‐scalar longitudinal processes. This special issue brings together eight new studies which all use national population register data linked with various other sources of administrative data (e.g., residence, tax and health records) to investigate different vectors of inequalities in health and mortality, covering spatial, socioeconomic, ethnic and migrant status. This editorial outlines their contributions, argues for the invaluable role of population register data to understand health inequalities and suggests promising future research avenues.

show abstract

Health and mortality patterns among migrants in France

Cited by 16 publications

References 46 publications

The Healthy Immigrant Effect: The role of educational selectivity in the good health of migrants

The Healthy Immigrant Effect: The role of educational selectivity in the good health of migrants

Poor health, low mortality? Paradox found among immigrants in England and Wales

Editorial introduction: Social and spatial inequalities in health and mortality: The analysis of longitudinal register data from selected European countries

Contact Info

Product

Resources

About