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Exploring the 'healthy migrant paradox' in Sweden: A cross sectional study focused on perinatal outcomes
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS). Lund University, Sweden.
2016 (English)In: Journal of Immigrant and Minority Health, ISSN 1557-1912, E-ISSN 1557-1920, Vol. 18, no 1, 42-50 p.Article in journal (Refereed) Published
Abstract [en]

Evidence shows that in some contexts immigrants have better health than natives in spite of coming from poorer socioeconomic contexts and of facing socioeconomic disadvantages in the host country. However, this is a country or origin- and outcome-specific phenomenon. This study compares different health outcomes derived from birthweight and gestational age among different migrant groups residing in Sweden. Cross-sectional study based on the Swedish Medical Birth Register for years 1987–1993. Multinomial regression models were performed to obtain crude and adjusted Odd Ratios and their 95 % Confidence Intervals. Overall, immigrants show a higher risk of LBW and preterm and a lower risk of macrosomia and post-term. Moreover, some groups performed worse than natives even in indicators at the two ends of the distribution. The healthy migrant paradox is also outcome-specific within different perinatal indicators and the selection explanation cannot fully account for this phenomenon.

Place, publisher, year, edition, pages
2016. Vol. 18, no 1, 42-50 p.
Keyword [en]
birthweight, gestational age, Sweden, macrosomia, post-term, migrants
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:su:diva-124199DOI: 10.1007/s10903-015-0157-5OAI: oai:DiVA.org:su-124199DiVA: diva2:882539
Available from: 2015-12-15 Created: 2015-12-15 Last updated: 2016-09-12Bibliographically approved

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Juárez, Sol Pía
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Centre for Health Equity Studies (CHESS)
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Journal of Immigrant and Minority Health
Public Health, Global Health, Social Medicine and Epidemiology

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