Health and social inequities in Switzerland

Lehmann, Philippe; Mamboury, Catherine; Minder, Christoph E.

doi:10.1016/0277-9536(90)90284-y

Cited by 29 publications

(12 citation statements)

References 7 publications

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“…Worse pregnancy outcomes have been reported for recent immigrants, compared with those who had lived in Switzerland longer and had reached a better social status. 20 Unfortunately, asylum seekers and illegal immigrants, who have been shown to be at particularly high risk of severe maternal morbidity in the Netherlands, 21 could not be included in our study. They do not have a personal identification number that is consistently used in the registers.…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Increased risk of severe maternal morbidity (near‐miss) among immigrant women in Sweden: a population register‐based study

Wahlberg¹,

Rööst²,

Haglund³

et al. 2013

BJOG

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Objective To determine if immigrant women from low-, middleand high-income countries have an increased risk of severe maternal morbidity (near-miss) when they deliver in Sweden.Design Population register-based study.Setting Nationwide study including all singleton deliveries (≥28 weeks of gestation) between 1998 and 2007.Population Women with a near-miss event; all women with a singleton delivery ≥28 weeks of gestation during the same period acted as reference group.Methods Near-miss was defined by a combined clinical and management approach with use of International Classification of Diseases, 10th revision codes for severe maternal morbidity. A woman's country of origin was designated as low-, middle-or high-income according to the World Bank Classification of 2009. Unconditional logistic regression models were used in the analysis.Main outcome measures Maternal near-miss frequencies per 1000 deliveries and odds ratios with 95% confidence intervals.Results There were 914 474 deliveries during the study period and 2655 near-misses (2.9 per 1000 deliveries). In comparison to Swedish-born women, those from low-income countries had an increased risk of near-miss (odds ratio 2.3, 95% confidence interval 1.9-2.8) that was significant in all morbidity groups except for cardiovascular diseases and sepsis. Women from middle-and high-income countries showed no increased risk of near-miss.Conclusions Women from low-income countries have an increased risk of maternal near-miss morbidity compared with women born in Sweden. Although the rate is low it should alert healthcare providers.Keywords Immigration, maternal near-miss, severe maternal morbidity.Please cite this paper as: Wahlberg Å , R€ o€ ost M, Haglund B, H€ ogberg U, Ess en B. Increased risk of severe maternal morbidity (near-miss) among immigrant women in Sweden: a population register-based study.

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Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Increased risk of severe maternal morbidity (near‐miss) among immigrant women in Sweden: a population register‐based study

Wahlberg¹,

Rööst²,

Haglund³

et al. 2013

BJOG

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“…[5][6][7] Furthermore, there are Swiss studies showing that lower socioeconomic classes are more likely to get incapacitated and that male blue-collar workers and employees with a basic educational level report more back pain than others. 8,9 With respect to gender it could be shown that the social gradient in health is more distinct for men, as women show smaller social inequalities in health.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic status, working conditions and self-rated health in Switzerland: explaining the gradient in men and women

Bauer

Huber

Jenny

et al. 2009

Int J Public Health

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ObjectivesEpidemiological research has confirmed the association between socioeconomic status (SES) and health, but only a few studies considered working conditions in this relationship. This study examined the contribution of physical and psychosocial working conditions in explaining the social gradient in self-rated health. MethodsA representative sample of 10 101 employees, 5003 women and 5098 men, from the Swiss national health survey 2002 was used. SES was assessed according to the EGP-scheme.Working conditions included exposure to physical disturbances, physical strain, job insecurity, monotonous work and handling simultaneous tasks. For data analysis logistic regression analyses were performed. ResultsData show a social gradient for self-rated health (SRH) as well as for physical and psychosocial working conditions. Logistic regression analysis controlling for age, gender and level of employment showed both physical and psychosocial working conditions to be significant predictors of SRH. Physical and psychosocial working conditions such as physical disturbances from work environment, physical strains in doing the job, monotony at work, job insecurity etc. could explain most of the social gradient of SRH in men and women. ConclusionThe study confirmed the relevance of modifiable physical and psychosocial working conditions for reducing social inequality in health. Gender differences need to be considered in epidemiological and intervention studies.3

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“…In both cases, a signifi cant rank correlation (Spearman) could be established between the rate in Swiss hospitals and the rate in the mother's country of origin (P < In Switzerland, the proportion of deliveries by mothers of foreign nationality is as high as 26 %, but hitherto, only few studies have addressed reproductive health outcomes for these women (Bollini & Wanner 2006;Bollini & Siem 1995;Lehmann et al 1990). Female migrants are considered to be a vulnerable group in respect to reproductive health (WHO Euro 2003).…”

mentioning

confidence: 99%

Caesarean sections and breastfeeding initiation among migrants in Switzerland

Merten

Wyss

Ackermann‐Liebrich

2007

Int J Public Health

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Our data confirms inequalities in reproductive health outcomes and responses to health promotion programmes among migrant women in Switzerland. These differences are dependent on educational level and on the mothers' nationality. The large variation suggests that different trans-national experiences play some role in health-related decision-making and access to health care. This should be considered when planning health promotion programs and the individual counselling of pregnant mothers in Switzerland.

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Health and social inequities in Switzerland

Cited by 29 publications

References 7 publications

Increased risk of severe maternal morbidity (near‐miss) among immigrant women in Sweden: a population register‐based study

Increased risk of severe maternal morbidity (near‐miss) among immigrant women in Sweden: a population register‐based study

Socioeconomic status, working conditions and self-rated health in Switzerland: explaining the gradient in men and women

Caesarean sections and breastfeeding initiation among migrants in Switzerland

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