Educational mismatch and health status among foreign-born workers in Sweden

Dunlavy, Andrea; Garcy, Anthony M.; Rostila, Mikael

doi:10.1016/j.socscimed.2016.02.018

Cited by 31 publications

(33 citation statements)

References 38 publications

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“…Several studies show higher prevalence rates for psychiatric disorders among migrants compared to the majority population [25, 83, 84]. These findings are also present in this review.…”

Section: Discussionsupporting

confidence: 78%

Health situation of migrant and minority nurses: A systematic review

et al. 2017

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IntroductionGlobally, life expectancy together with multimorbidity and chronic diseases are increasing. This leads to a growing demand for care and hence for healthcare personnel and nurses. To meet this demand, healthcare workers from abroad are increasingly hired. The nurses’ workplace in general is characterized by physically and psychologically demanding tasks, while that of migrant and minority nurses is additionally characterized by discriminatory practices. The present knowledge about the health of migrant and minority nurses and the terminology in this context are diverse. Thus, the purpose of this review is to systematically identify and synthesize international publications that explicitly focus on migrant nurses’ health.Materials and methodsA systematic review of relevant studies was undertaken using the databases Medline, PsycINFO, CINAHL and Web of Science. The screening process was conducted in several phases. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines while the methodological quality assessment of the included papers was performed with the Mixed Method Appraisal Tool (MMAT).ResultsOut of 11,599 citations initially obtained, 14 empirical studies were included in the final synthesis. The methodological quality of the empirical studies and reviews was diverse. The majority of the studies were conducted in the US and the nurses under study migrated from countries like the Philippines, India, Europe, and Africa. Among migrant nurses of different origins, there are differences in their physiological responses to stress. Migrant nurses and native nurses differ in reporting work-related injuries.DiscussionMigrant and minority nurses are at high risk of work-related injuries and discrimination than native or majority nurses. However, mixed results were obtained, namely that the reported health of migrant nurses either improves over time or it decreases. This review revealed that discrimination is the leading cause of impaired health amongst migrant and minority nurses.

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“…Several studies show higher prevalence rates for psychiatric disorders among migrants compared to the majority population [25, 83, 84]. These findings are also present in this review.…”

Section: Discussionsupporting

confidence: 78%

Health situation of migrant and minority nurses: A systematic review

et al. 2017

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“…It was underlined that this indicator does not allow to disentangle immigrants’ socioeconomic differences in health, because it is difficult to properly compare educational qualification acquired in different countries and, also, the interpretation of educational level classification used in the survey questionnaire could differ among immigrants’ origin areas [48]. In order to overcome these difficulties, other dimensions should be evaluated, such as interpersonal and institutional discrimination experienced [47, 49].…”

Section: Discussionmentioning

confidence: 99%

The variation in the health status of immigrants and Italians during the global crisis and the role of socioeconomic factors

Petrelli¹,

Napoli²,

Rossi³

et al. 2017

Int J Equity Health

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BackgroundThe effects of the recent global economic and financial crisis especially affected the most vulnerable social groups. Objective of the study was to investigate variation of self-perceived health status in Italians and immigrants during the economic global crisis, focusing on demographic and socioeconomic factors.MethodsThrough a cross-sectional design we analyzed the national sample of multipurpose surveys “Health conditions and use of health services” (2005 and 2013) conducted by the Italian National Institute of Statistics (ISTAT). Physical Component Summary (PCS) and Mental Component Summary (MCS) scores, derived from SF-12 questionnaire, were assumed as study outcome, dichotomizing variables distribution at 1st quartile. Prevalence rate ratios (PRR) were estimated through log-binomial regression models, stratified by citizenship and gender, evaluating the association between PCS and MCS with surveys’ year, adjusting for age, educational level, employment status, self-perceived economic resources, smoking habits, body mass index.ResultsFrom 2005 to 2013 the proportion of people not employed or reporting scarce/insufficient economic resources increased, especially among men, in particular immigrants. Compared with 2005 we observed in 2013 among Italians a significant lower probability of worse PCS (PRR = 0.96 both for males and females), while no differences were observed among immigrants; a higher probability of worse MCS was observed, particularly among men (Italians: PRR = 1.26;95%CI:1.22–1.29; immigrants: PRR = 1.19;95%CI:1.03–1.38). Self-perceived scarce/insufficient economic resources were strongly and significantly associated with worse PCS and MCS for all subgroups. Lower educational level was strongly associated with worse PCS in Italians and slightly associated with worse MCS for all subgroups. Being not employed was associated with worse health status, especially mental health among men.ConclusionsOur findings support the hypothesis that economic global crisis could have negatively affected health status, particularly mental health, of Italians and immigrants. Furthermore, results suggest socioeconomic inequalities increase, in economic resources availability dimension. In a context of public health resources’ limitation due to financial crisis, policy decision makers and health service managers must face the challenge of equity in health.

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“…In sum, the research field is diverse, with little consensus around definitions and measures of status incongruence. Status incongruence has in later years been measured in several different ways in relation to health outcomes, and the general finding is that negative status incongruence is associated with an increased risk of adverse health outcomes (12)(13)(14)(15)(16)(17).…”

mentioning

confidence: 99%

“…Several theories have been developed to explain the stress that could be associated with a negative status incongruence (8,15). The theory of relative deprivation (18) argues that individuals may experience stress if they, when comparing themselves with peers with corresponding educational attainment, perceive that they are less successful in terms of, for example, income or occupational position.…”

mentioning

confidence: 99%

Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study

Nyberg¹,

Johansson²,

Westerlund³

et al. 2019

Scand J Work Environ Health

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The study contributes with a completely novel hypothesis, namely that negative status incongruence between educational attainment and subjective social status may partly explain the excess risk of mental ill-health and sickness absence among employees in human service occupations. The results support this hypothesis with possible implications for associations between established work stressors and health.

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Educational mismatch and health status among foreign-born workers in Sweden

Cited by 31 publications

References 38 publications

Health situation of migrant and minority nurses: A systematic review

Health situation of migrant and minority nurses: A systematic review

The variation in the health status of immigrants and Italians during the global crisis and the role of socioeconomic factors

Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study

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