BACKGROUNDGender and migrant status are important factors for health. A common finding is that women report poorer health than men and that migrants' health converges with nonmigrants' health as the duration of stay in the host country increases. However, little is known about whether gender differences in health persist within migrant groups and whether the migrant-native health convergence differs by gender, especially in the Italian context. OBJECTIVEThis study aims to include the gender dimension in the analysis of the health differences between Italians and migrants by duration of stay, focusing on how gender interacts with duration of stay in determining migrants' health. METHODSWe performed multivariate logistic regression on a sample of 70,154 residents in Italy aged 20-64, using the 2013 Italian Health Survey. We modelled the association between duration of stay and three health dimensions by gender and computed predicted probabilities to show the interaction effect of gender and duration of stay. RESULTSWe found evidence of a migrant health advantage among recent migrant men and women that becomes weaker among long-term migrants. After a long duration of stay, differences in health between migrants and nonmigrants are slightly more pronounced among women than among men. CONTRIBUTIONThis is the first study in Italy that contributes to a more comprehensive understanding of the role played by gender in determining the health differences observed. The study

Background The Emergency Department (ED) can be considered an indicator of accessibility and quality and can be influenced in period of economic downturns. In the last fifteen years, the number of migrants in Italy has doubled (from 2.4 million in 2005 to 5.2 in 2019, 4.1 and 8.7% of the total population, respectively). However, evidence about migrants’ healthcare use is poor, and no studies focused on the ED utilisation rate during the Great Recession are available. This study aims to analyse trends in all-cause and cause-specific ED utilisation among migrants and Italians residing in Rome, Italy, before and after 2008. Methods Longitudinal study based on data from the Municipal Register of Rome linked to the Emergency Department Register from 2005 to 2015. We analysed 2,184,467 individuals, aged 25–64 in each year. We applied a Hurdle model to estimate the propensity to use the ED and to model how often individuals accessed the ED. Results Migrants were less likely to be ED users than Italians, except for Africans (RR = 1.46, 95%CI 1.40–1.52) and Latin Americans (RR = 1.04, 95%CI 1.00–1.08) who had higher all-cause utilisation rates than non-migrants. Compared to the pre-2008 period, in the post-2008 we found an increase in the likelihood of being an ED user (OR = 1.34, 95%CI 1.34–1.35), and a decrease in ED utilisation rates (RR = 0.96, 95%CI 0.96–0.97) for the whole population, with differences among migrant subgroups, regardless of cause. Conclusions This study shows differences in the ED utilisation between migrants and Italians, and within the migrant population, during the Great Recession. The findings may reflect differentials in the health status, and barriers to access primary and secondary care among migrants. In this regard, health policies and cuts in health spending measures may have played a key role, and interventions to tackle health and access disparities should include policy measures addressing the underlying factors, adopting a Health in All Policies perspective. Further researches focusing on specific groups of migrants, and on the causes and diagnoses related to the ED utilisation, may help to explain the differences observed.

As migrants settle in their destination country, for those who reunited the family or after childbirth childcare becomes a priority. Most studies on migrants’ childcare arrangements have focused on parental use of formal childcare rather than on different informal childcare solutions by analysing only families with preschool-age children. Italy poses an interesting case study because its welfare system is characterised by a familistic model of care, based on solidarity between generations. In familistic countries, migrants’ childcare solutions are more constrained. In this study, we analysed differences in informal childcare needs and arrangements for children younger than 14 between Italians and migrants from different countries of origin. We merged two surveys conducted by the Italian National Statistics Institute in 2011–2012: ‘Social Condition and Integration of Foreign Citizens’, a sample of households with at least one migrant with foreign citizenship, and ‘Multiscopo—Aspects of Daily Life’, a sample of households in Italy. We found that household composition and parents’ employment status play an important role in shaping informal childcare arrangements. Overall, migrants are less likely to use informal childcare, especially grandparents, than Italians but when they do, they rely more on other relatives and non-relatives than Italians. Moreover, differences emerge across migrant subgroups. This study is the first in Italy to contribute to an understanding of the role of migrant status in determining parents’ childcare arrangements for children up to 13 years.

The role of health has never entered the debate about migrant fertility. The main goal of this work was to explore, for the first time, the relationship between health and fertility intentions among migrants by gender, duration of stay and parity. Three health measures were considered: self‐rated health, the presence of chronic illnesses and mental health. We compiled data from the Italian survey "Social Condition and Integration of Foreign Citizens" and employed generalized ordered logistic models to test the relationship between health and fertility intentions among migrants. Our findings show that poor health negatively affects migrants’ fertility intentions, net of a wide array of control variables (including employment and reason for migration). This is especially true among long‐term migrant women, and, among the latter, the effect is strongest when chronic illnesses and mental health are considered. We encourage future research to consider health in the demographic debate about migrant fertility.