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Educational mismatch and health status among foreign-born workers in Sweden
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS).
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS).
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS).
Number of Authors: 3
2016 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 154, 36-44 p.Article in journal (Refereed) Published
Abstract [en]

Foreign-born workers have been shown to experience poorer working conditions than native-born workers. Yet relationships between health and educational mismatch have been largely overlooked among foreign-born workers. This study uses objective and self-reported measures of educational mismatch to compare the prevalence of educational mismatch among native (n = 2359) and foreign born (n = 1789) workers in Sweden and to examine associations between educational mismatch and poor self-rated health. Findings from weighted multivariate logistic regression which controlled for social position and individual-level demographic characteristics suggested that over-educated foreign-born workers had greater odds ratios for poor-self rated health compared to native-born matched workers. This association was particularly evident among men (OR = 2.14, 95% CI: 1.04-4.39) and women (OR = 2.13, 95% CI: 1.12-4.03) from countries outside of Western Europe, North America, and Australia/New Zealand. Associations between under-education and poor-self rated health were also found among women from countries outside of Western Europe, North America, and Australia/New Zealand (OR = 2.02, 95% CI: 1.27-3.18). These findings suggest that educational mismatch may be an important work-related social determinant of health among foreign-born workers. Future studies are needed to examine the effects of long-term versus short-term states of educational mismatch on health and to study relationships over time.

Place, publisher, year, edition, pages
2016. Vol. 154, 36-44 p.
Keyword [en]
Sweden, Immigrant health, Employment, Over-education, Under-education, Health inequalities
National Category
Sociology Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Sociology
Identifiers
URN: urn:nbn:se:su:diva-130194DOI: 10.1016/j.socscimed.2016.02.018ISI: 000374073400005PubMedID: 26943012OAI: oai:DiVA.org:su-130194DiVA: diva2:926809
Available from: 2016-05-10 Created: 2016-05-09 Last updated: 2017-04-04Bibliographically 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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