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Exploring the 'Healthy Migrant Paradox' in Sweden. A Cross Sectional Study Focused on Perinatal Outcomes

Juarez, Sol Pia LU and Revuelta-Eugercios, Barbara A. (2016) In Journal of Immigrant and Minority Health 18(1). p.42-50
Abstract
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Birthweight, Gestational age, Sweden, Macrosomia, Post-term, Migrants
in
Journal of Immigrant and Minority Health
volume
18
issue
1
pages
42 - 50
publisher
Springer
external identifiers
  • wos:000368179900007
  • scopus:84954371969
ISSN
1557-1912
DOI
10.1007/s10903-015-0157-5
language
English
LU publication?
yes
id
c9a72bb8-e7b6-4d7d-9627-a5ebd4d520c2 (old id 8739144)
date added to LUP
2016-03-01 07:17:23
date last changed
2017-03-26 03:02:58
@article{c9a72bb8-e7b6-4d7d-9627-a5ebd4d520c2,
  abstract     = {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.},
  author       = {Juarez, Sol Pia and Revuelta-Eugercios, Barbara A.},
  issn         = {1557-1912},
  keyword      = {Birthweight,Gestational age,Sweden,Macrosomia,Post-term,Migrants},
  language     = {eng},
  number       = {1},
  pages        = {42--50},
  publisher    = {Springer},
  series       = {Journal of Immigrant and Minority Health},
  title        = {Exploring the 'Healthy Migrant Paradox' in Sweden. A Cross Sectional Study Focused on Perinatal Outcomes},
  url          = {http://dx.doi.org/10.1007/s10903-015-0157-5},
  volume       = {18},
  year         = {2016},
}