Abstract:
INTRODUCTION:Studies have documented poorer health among migrants than natives of several European countries, but little is known for Switzerland. We assessed the association between country of birth, socioeconomic factors and self-reported health (SRH) in a prospective cohort of adults living in Lausanne, Switzerland. METHODS:We used the data from the Colaus panel data study for three periods: 2003-2006 (n=6733), 2009-2012 (n=5064) and 2014-2017 (n=4555) corresponding to 35% of the source population. The response variable was SRH. Main explanatory variables were socioeconomic status, educational level, professional status, income, gender, age and years in Switzerland. The main covariate was country of birth, dichotomised as born in Switzerland or not. We specified random effects logistic regressions and used Bayesian methods for the inference. RESULTS:Being born outside of Switzerland was not associated with worse SRH (OR 1.09, 95% CI 0.52 to 2.31). Several other patient variables were, however, predictive of poor health. Educational level was inversely associated with the risk of reporting poor health. Monthly household income showed a gradient where higher income was associated with lower odds of reporting poor SRH, for both for migrants and non-migrants. Migrant women had lower odds of reporting poor SRH than men (OR 0.73, 95% CI 0.55 to 0.98). Migrant people living in couple have less risk of reporting poor SRH than people who live alone and the risk is lower for migrant people living in couple with children (OR 0.66, 95% CI 0.55 to 0.80). DISCUSSION:Migrant status was not associated with poorer SRH. However, differences in SRH were observed based on gender, age and several social determinants of health.
journal_name
BMJ Openjournal_title
BMJ openauthors
Mota P,Saez M,Selby K,Bodenmann Pdoi
10.1136/bmjopen-2019-035812subject
Has Abstractpub_date
2020-08-13 00:00:00pages
e035812issue
8issn
2044-6055pii
bmjopen-2019-035812journal_volume
10pub_type
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