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

Petrelli, Alessio; Napoli, Anteo Di; Rossi, Alessandra; Costanzo, Gianfranco; Mirisola, Concetta; Gargiulo, Lidia

doi:10.1186/s12939-017-0596-9

Cited by 17 publications

(25 citation statements)

References 47 publications

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“…Immigrants showed higher frequencies in all social exclusion factors than their native counterparts. This is consistent with previous research that shows that immigrants have higher unemployment rates 34,35 , and higher levels of economic stress in childhood 36,37 than natives. In addition, immigrants have a shorter network size and lower social support than natives also, social capital increases with longer duration of residence 27,38,39,40 .…”

Section: Discussionsupporting

confidence: 93%

Inequalities in depressive symptoms between natives and immigrants in Europe: the mediating role of social exclusion

Arias-Uriona

Guillén

2020

Cad. Saúde Pública

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The aim of this study was to analyze inequalities in depressive symptoms between natives and immigrant groups according to their length of residence in Europe, and to test the mediating role of social exclusion in explaining these differences. The study is based on cross-sectional data from the 7th round of the 2014 European Social Survey (sample of 1,792 immigrants and 22,557 native-born Europeans). Dependent variables: self-reported depressive symptoms. Independent variables: immigrant background and social exclusion factors that were classified into four groups. Socially excluded individuals were those less advantaged in each factor. All analyses were stratified by the length of residence. The independent and overall associations between Social Exclusion and health outcomes were examined using binary logistic regression models (OR; IC95%). Immigrants had a higher prevalence of self-reported depressive symptoms than natives; those residing in Europe for 1-10 years and > 20 years had the highest prevalence. Multidimensional social exclusion factors analyzed together completely explained these differences for immigrants residing in Europe for 1-10 years and partially for immigrants residing for > 20 years. The economic factors also explained these differences completely for 1-10 years and partially for immigrants residing for > 20 years. Policies should offer migrants the possibility to settle in good social and economic condition, promote efforts to eliminate social exclusion and prevent the associated health inequalities.

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Section: Discussionsupporting

confidence: 93%

Inequalities in depressive symptoms between natives and immigrants in Europe: the mediating role of social exclusion

Arias-Uriona

Guillén

2020

Cad. Saúde Pública

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“…We have considered various hypotheses to interpret our ndings: rst, the cross-sectional design of the study could have affected the causality pathway between PCS and MCS. Second, the persistence of the "healthy migrant effect" for physical but not for mental health could be supported by the results of a study comparing health status of immigrants in Italy before and after the global economic crisis (2005-2013), which showed a more signi cant decline in mental health [30]. Our ndings of worse perceived mental health in people who had been in Italy longer than 10 years could support this thesis.…”

Section: Mcssupporting

confidence: 53%

“…This climate of anti-immigrant xenophobia and discrimination has signi cantly impacted the lives of immigrants move since they are the most deprived workers [11]. A study based on a representative sample of all people residing in Italy found that the mental health status of both Italians and immigrants worsened between 2005 and 2013 (just before and after the global economic crisis), supporting the hypothesis that the worsening of socioeconomic conditions observed during this period could have contributed to mental health decline [30].…”

Section: Introductionmentioning

confidence: 95%

Self-perceived Workplace Discrimination and Mental Health Among Immigrant Workers in Italy: a Cross-sectional Study

Napoli¹,

Rossi²,

Baralla

et al. 2020

Preprint

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BackgroundThe process of immigration is associated with poor mental and physical health. While the workplace represents an important context of social integration, previous studies evaluating the effect of discrimination experienced in the workplace found worse mental health status among immigrants. The aim of this study was to investigate the association between self-perceived workplace discrimination and other personal experiences, such as self-perceived loneliness, level of life satisfaction, physical health, and mental well-being, among immigrants in Italy.MethodsA cross-sectional study was conducted on a sample of 12,408 immigrants (aged 15-64) living and working in Italy. Data derived from the first national survey on immigrants carried out by the Italian National Institute of Statistics (Istat). Mental health status was measured through the mental component summary (MCS) of the SF-12 questionnaire. A linear multivariate linear regression was carried out to evaluate the association between mental health status, self-perceived workplace discrimination, and sociodemographic factors; a structural equation model was used to test hypothesized relationships shown in a conceptual path analysis model.ResultsWorse mental health status was independently (p<0.001) associated with self-perceived workplace discrimination (β:-1.873), self-perceived loneliness (β:-3.021), level of life satisfaction (β:-2.775), and physical health status (β:-0.088). As confirmed by the structural equation model, the effect of self-perceived workplace discrimination on MCS was mediated by the other factors considered: self-perceived loneliness (13.6%), level of life satisfaction (13.6%), and physical health status (3.9%).ConclusionsOur study suggests that self-perceived workplace discrimination is associated with worse mental health status in immigrant workers, through personal experiences in the workplace and explain the effect of the exposure to workplace discrimination on immigrants’ psychological well-being. Our findings suggest that an overall public health response is needed to facilitate the social integration of immigrants and their access to health services, particularly those services that address mental health issues.

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“…However among foreigners the probability of hospitalisation is lower than that of Italians, probably due to the better health status of the immigrant population, as recently confirmed in Italy as well [35]. The so-called "healthy migrant effect" may explain the lower hospitalisation rates in countries such as Italy and Spain, where there is a younger migratory tradition compared to that of native population [36].…”

Section: Length Of Stay (> = 8 Vs 1-7)mentioning

confidence: 92%

Socioeconomic and citizenship inequalities in hospitalisation of the adult population in Italy

Petrelli¹,

Napoli²,

Demuru³

et al. 2020

PLoS ONE

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Background Higher levels of hospital admissions among people with lower socioeconomic level, including immigrants, have been observed in developed countries. In Europe, immigrants present a more frequent use of emergency services compared to the native population. The aim of our study was to evaluate the socioeconomic and citizenship differences in the hospitalisation of the adult population in Italy. Methods The study was conducted using the database created by the record linkage between the National Health Interview Survey (2005) with the National Hospital Discharge Database (2005-2014). 79,341 individuals aged 18-64 years were included. The outcomes were acute hospital admissions, urgent admissions and length of stay (1-7 days, > = 8 days). Education level, occupational status, self-perceived economic resources and migratory status were considered as socioeconomic determinants. A multivariate proportional hazards model for recurrent events was used to estimate the risk of total hospital admissions. Logistic models were used to estimate the risk of urgent hospitalisation as well as of length of stay. Results Low education level, the lack of employment and negative self-perceived economic resources were conditions associated with the risk of hospitalisation, a longer hospital stay and greater recourse to urgent hospitalisation. Foreigners had a lower risk of hospitalisation (HR = 0.75; 95% CI:0.68-0.83) but a higher risk of urgent hospitalisation (OR = 1.36; 95% CI:1.18-1.55) and more frequent hospitalisations with a length of stay of at least eight days (OR = 1.19; 95% CI:1.02-1.40).

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

Cited by 17 publications

References 47 publications

Inequalities in depressive symptoms between natives and immigrants in Europe: the mediating role of social exclusion

Inequalities in depressive symptoms between natives and immigrants in Europe: the mediating role of social exclusion

Self-perceived Workplace Discrimination and Mental Health Among Immigrant Workers in Italy: a Cross-sectional Study

Socioeconomic and citizenship inequalities in hospitalisation of the adult population in Italy

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