Health inequalities in Germany: differences in the ‘Healthy migrant effect’ of European, non-European and internal migrants

Holz, Manuel

doi:10.1080/1369183x.2021.1901675

Cited by 13 publications

(8 citation statements)

References 60 publications

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“…Migration can cause an increased financial burden and stress on families and couples [ 69 – 71 ]. This expenditure and instability may contribute to the increased use of contraception by those who have recently moved found in this study, as these couples or families may not be ready for a child.…”

Section: Discussionmentioning

confidence: 99%

“…A recent review on sexual and reproductive health rights among Bangladeshi adolescents found that the internet is now the second most used form of mass media (still behind TV) and is a promising platform for sexual health messaging [12]. Migration can cause an increased financial burden and stress on families and couples [69][70][71]. This expenditure and instability may contribute to the increased use of contraception by those who have recently moved found in this study, as these couples or families may not be ready for a child.…”

Section: Plos Global Public Healthmentioning

confidence: 99%

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Role of internet use, mobile phone, media exposure and domestic migration on reproductive health service use in Bangladeshi married adolescents and young women

Pickard,

Islam,

Ahmed

et al. 2024

PLOS Glob Public Health

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Numerous studies have identified factors that are associated with increased access to reproductive health services in lower-middle-income countries (LMICs). However, limited studies examined the influence of access to internet or a mobile phone, media exposure and domestic migration on reproductive health services use in LMICs like Bangladesh. This study investigated the role of such factors on the use of contraceptives, antenatal care (ANC) and postnatal care (PNC) by married adolescents and young women in Bangladesh and whether it was varied by area. Secondary data for 1665 married women aged 15–24 years, sourced from the 2019 Multiple Indicator Cluster Surveys, were included in both bivariate analyses and logistic regression modelling to examine the role of access to internet and/or mobile phone, media exposure and domestic migration on the outcome variables (contraceptive, ANC and PNC). All regression models were controlled for age, wealth, education and number of existing children. Among all participants, 69.8% were aged 20–24 years and 85.6% lived in rural areas. Of the total sample, 67.5% used contraceptives, 75.7% utilised ANC and 48.7% accessed PNC. Domestic migration significantly increased contraceptive use, with women who had moved locally within the last five years 1.84 times more likely to use contraception than those who had never moved (95% CI: 1.41–2.41, p<0.001). Women with internet or mobile phone access were more likely to receive ANC (aOR: 1.57, 95% CI: 1.22–2.00, p<0.001) compared to those without internet/mobile phone access. Media exposure was found to increase the likelihood of receiving ANC in urban areas. No significant influence was found on the use of PNC. Internet/mobile-based platforms are promising avenues for public health messaging regarding ANC in Bangladeshi married adolescents and young women. Further research is required into determinants of PNC service use in low-resource settings.

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Section: Discussionmentioning

confidence: 99%

Section: Plos Global Public Healthmentioning

confidence: 99%

Role of internet use, mobile phone, media exposure and domestic migration on reproductive health service use in Bangladeshi married adolescents and young women

Pickard,

Islam,

Ahmed

et al. 2024

PLOS Glob Public Health

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“…The results presented in this article reveal high levels of mental health symptomatology in immigrants [ 20 , 27 ], which contrasts with the healthy immigrant phenomenon described in the literature. According to Holz [ 94 ], immigrants are reported to have a better general health status than the host population upon arrival in the host country [ 93 , 94 , 95 , 96 ]. However, these studies focus on aspects associated with physical health, which cannot be equated with the complex aspects of mental health such as those considered in this study.…”

Section: Discussionmentioning

confidence: 99%

“…A possible explanation for the above is the healthy immigrant phenomenon, which indicates that those who migrate are people who have better general health conditions, even better than those people with similar sociodemographic characteristics in the host country [ 93 , 94 , 95 , 96 , 97 ]. However, research conducted in North America, Europe, and Chile has revealed that the healthy immigrant phenomenon disappears over time, as with time, immigrants exhibit worse health indicators than the host population [ 23 , 89 , 90 , 98 , 99 ].…”

Section: Introductionmentioning

confidence: 99%

Acculturative Stress, Perceived Social Support, and Mental Health: The Mediating Effect of Negative Emotions Associated with Discrimination

Baeza-Rivera

Salazar-Fernández

Manríquez-Robles

et al. 2022

IJERPH

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The role of perceived social support in the acculturation process of immigrants remains unclear. In this study, we jointly evaluated the associations between acculturative stress and negative emotions associated with discrimination as antecedents of anxiety, depression, and stress symptoms in 283 immigrants living in Chile. Three competing models were tested via structural equation modelling to assess (1) the association among these variables and mental health symptoms and (2) to clarify the role of perceived social support. The third model was theoretically more adequate, showed a better fit, and explained 42.7% of the variance of mental health symptoms. In this model, perceived social support was associated with acculturative stress by reducing mental health symptomatology. Moreover, a direct relationship and an indirect relationship were found between acculturative stress (through negative emotions associated with discrimination) and mental health symptomatology. These results contribute to the understanding of the acculturation process experienced by immigrants in Chile and provide empirical evidence to be used to improve migration policies.

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“…The spread of infectious diseases by travel enables infectious individuals to move in short time intervals across multiple national borders [ 6 ]. The negative effect of the net migration variable may point to a “Healthy migrant effect” [ 30 , 31 ] on an aggregate level. This effect describes that those migrants who arrive in the host country typically have higher average health levels than the host population, which, inter alia, is attributed to health selection effects.…”

Section: Discussionmentioning

confidence: 99%

Early days of the pandemic—The association of economic and socio-political country characteristics with the development of the COVID-19 death toll

Holz

Mayerl

2021

PLoS ONE

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This article examines cross-national differences in growth of deaths by COVID-19 over time in the first phase of the pandemic, during the time period of 31st December 2019 to 2nd April 2020. We seek to understand and explain country level reaction in the initial period of the pandemic. We explore socio-economic and socio-political country characteristics as determinants of deaths per day and we examine whether country characteristics act as moderating factors for different growth patterns of deaths per day over time. The country characteristics include variables about economy, globalization, health care and demography. We examine data published by the European Center of Disease Prevention and Control (ECDC) in combination with World Bank data and a webscraping approach. Using a conditional growth model specified as a multilevel regression model with deaths by COVID-19 per day as the outcome variable, we show that economic variables are not significantly associated with decrease or increase of deaths by COVID-19. In contrast, variables about national health care mitigate the impact of the pandemic. Demography shows expected effects with an increase of growth of deaths in countries with a higher percentage of people older than 65 years. Globalization predicts the death toll as well: Social interaction between people is deadly on a short-term scale (in the form of tourism). Our results mirror frequent demands for global investment in national health systems.

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Health inequalities in Germany: differences in the ‘Healthy migrant effect’ of European, non-European and internal migrants

Cited by 13 publications

References 60 publications

Role of internet use, mobile phone, media exposure and domestic migration on reproductive health service use in Bangladeshi married adolescents and young women

Role of internet use, mobile phone, media exposure and domestic migration on reproductive health service use in Bangladeshi married adolescents and young women

Acculturative Stress, Perceived Social Support, and Mental Health: The Mediating Effect of Negative Emotions Associated with Discrimination

Early days of the pandemic—The association of economic and socio-political country characteristics with the development of the COVID-19 death toll

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