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The effect of migration background characteristics on the association between unemployment and risk of suicide: A longitudinal study
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS).
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Objectives: To examine the extent to which generational status, region of origin, age at arrival, and duration of residence modify the relationship between employment status and suicide risk.

Methods: Population-based registers were used to conduct a longitudinal, open cohort study of native-origin and foreign-origin Swedish residents of working age (25-64 years) from 1993-2008. Hazard ratios and 95% confidence intervals for suicide mortality were estimated using gender-stratified Cox proportional hazards models.

Results: Elevated hazard ratios for suicide were observed among the majority of foreign-origin persons exposed to unemployment. Second generation Swedish men exposed to unemployment demonstrated significantly greater (p<0.05) excess risk of suicide than that observed among native-origin men exposed to unemployment.  In unemployed foreign-born men, younger age at arrival and longer duration of residence were associated with increased risk of suicide, whereas those who arrived as adults and had a shorter duration of residence did not show excess risk.

Conclusions: Overall, analyses indicated that the majority of the foreign-origin exposed to unemployment demonstrated excess risk of suicide that was often of a similar magnitude to that observed among their native-origin counterparts. There were notable differences in patterns of association by generational status, region of origin, age at arrival, and duration of residence.

National Category
Sociology
Research subject
Sociology
Identifiers
URN: urn:nbn:se:su:diva-141183OAI: oai:DiVA.org:su-141183DiVA: diva2:1086478
Available from: 2017-04-03 Created: 2017-04-03 Last updated: 2017-04-18Bibliographically approved
In thesis
1. Between Two Worlds: Studies of migration, work, and health
Open this publication in new window or tab >>Between Two Worlds: Studies of migration, work, and health
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis aims to investigate the extent to which work-related factors contribute to the health inequalities often observed between foreign-origin and native-origin persons in Sweden. Four empirical studies using survey data and population-based registers assessed the health impact of different labor market adversities among groups of foreign-origin persons who were both in and outside the labor market relative to native-origin Swedes.

Studies I and II examined associations between different measures of working life quality, including adverse psychosocial and physical working conditions and educational mismatch, and self-reported health among the employed. Adverse psychosocial and physical working conditions minimally contributed to the excess risk of poor health found among workers from low- and middle-income countries. Over-education had a stronger association with increased risk of poor health, most notably among foreign-born workers from countries outside of Western Europe. Under-educated women from these countries also demonstrated an elevated risk of poor health.  There was no association between educational mismatch and poor health among native-born workers. 

Studies III and IV focused on the health implications of labor market exclusion, and examined relationships between employment status and risk of all-cause mortality and suicide. The majority of foreign-origin groups that experienced unemployment showed an elevated risk of both mortality and suicide. The magnitude of excess risk varied by generational status and region of origin. Variations in patterns of suicide risk were also evident among migrants by age at arrival and duration of residence. Yet within many foreign-origin groups, health advantages were observed among the employed.

The health of migrants is affected by the confluence of several different pre- and post-migration factors.  The extent to which health inequalities are found among persons of foreign-origin in Sweden is influenced by the degree to which they experience labor market adversities, as well as differential vulnerability to the negative effects of these adversities across foreign-origin groups.

Place, publisher, year, edition, pages
Stockholm: Department of Sociology, Stockhom University, 2017. 93 p.
Series
Health Equity Studies, ISSN 1651-5390 ; 21
Keyword
Sweden, foreign-origin, health, working conditions, educational mismatch, unemployment
National Category
Sociology
Research subject
Sociology
Identifiers
urn:nbn:se:su:diva-141188 (URN)978-91-7649-671-8 (ISBN)978-91-7649-672-5 (ISBN)
Public defence
2017-05-19, Aula Svea, Socialhögskolan, Sveavägen 160, Stockholm, 10:00 (English)
Opponent
Supervisors
Note

At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 3: Manuscript. Paper 4: Manuscript.

Available from: 2017-04-26 Created: 2017-04-04 Last updated: 2017-04-21Bibliographically approved

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