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Int. J. Environ. Res. Public Health 2015, 12(9), 10687-10699; doi:10.3390/ijerph120910687

Perceived Discrimination and Health among Immigrants in Europe According to National Integration Policies

1
Agència de Salut Pública de Barcelona, Barcelona 08023, Spain
2
Ciber de Epidemiología y Salud Pública, 28029, Spain
3
Universitat Pompeu Fabra, Barcelona 08003, Spain
4
Institut de Recerca Biomèdica Sant Pau (IIB Sant Pau), Barcelona 08025, Spain
5
Academic Medical Center, University of Amsterdam, Amsterdam 1100 DD, the Netherlands
*
Author to whom correspondence should be addressed.
Academic Editor: Sloane Burke Winkelman
Received: 22 July 2015 / Revised: 19 August 2015 / Accepted: 25 August 2015 / Published: 31 August 2015
(This article belongs to the Special Issue Migrant Health)
View Full-Text   |   Download PDF [714 KB, uploaded 31 August 2015]   |  

Abstract

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. View Full-Text
Keywords: discrimination; immigrant generation; national immigrant integration policy; low income countries; perceived health; depression discrimination; immigrant generation; national immigrant integration policy; low income countries; perceived health; depression
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Borrell, C.; Palència, L.; Bartoll, X.; Ikram, U.; Malmusi, D. Perceived Discrimination and Health among Immigrants in Europe According to National Integration Policies. Int. J. Environ. Res. Public Health 2015, 12, 10687-10699.

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