Subjective health status and immigration: Evidence across Europe

Xesfingi, Sofia and Karamanis, Dimitrios and Kechrinioti, Alexandra (2019): Subjective health status and immigration: Evidence across Europe.

Abstract

Background: Subjective health status and migration are critical issues in healthcare policy and strategic decision making. There are many health challenges to resolve and at the same time, migration has reached to historic highs, leading to different views among immigrants and natives, policy makers and habitants. Objective: Our research focuses on the subjective health status reported by European habitants, on its differentiation with respect to participants origin, and on whether various demographic, macroeconomic and other factors, such as the foreigners’ presence in a country, affect it. Setting and participants: Using survey data of 227,200 respondents from 22 countries and over the period 2002-2016, and employing logit estimation techniques, we analysed the effect of demographic, macroeconomic and other factors in shaping respondents’ subjective health status. Results: Our results demonstrate the important role of all demographic factors in shaping respondents’ subjective health status. Immigrants report a higher subjective health status, while macroeconomic conditions and foreign presence in a country do play an important role. A country healthcare provision state and health expenditures can moderate the negative effect of foreigners’ presence and thus the reported health status of natives. Conclusions: The factors influencing subjective health status are complex and interdependent. However, government policies should increase social cohesion, since, the latter is not only related to health care outcomes but also can be a tool for disseminating social inequalities.

• Item Type: MPRA Paper
• Language: English
• Keywords: Immigration, Europe, ESS, Subjective health status
• Subjects: C - Mathematical and Quantitative Methods > C2 - Single Equation Models ; Single Variables > C25 - Discrete Regression and Qualitative Choice Models ; Discrete Regressors ; Proportions ; Probabilities; F - International Economics > F2 - International Factor Movements and International Business > F22 - International Migration; I - Health, Education, and Welfare > I1 - Health > I10 - General; J - Labor and Demographic Economics > J6 - Mobility, Unemployment, Vacancies, and Immigrant Workers > J61 - Geographic Labor Mobility ; Immigrant Workers; O - Economic Development, Innovation, Technological Change, and Growth > O5 - Economywide Country Studies > O52 - Europe

References

Alang, S.M., McCreedy, E.M. and McAlpine, D.D. (2015). Race, ethnicity, and self-rated health among immigrants in the United States. Journal of racial and ethnic health disparities, 2(4), 565-572.

Arslan, C., Dumont, J.C., Kone, Z., Moullan, Y., Ozden, C., Parsons, C. and Xenogiani, T. (2015). A new profile of migrants in the aftermath of the recent economic crisis. No. 160. OECD Publishing.

Blom, N., Huijts, T. and Kraaykamp, G. (2016). Ethnic health inequalities in Europe. The moderating and amplifying role of healthcare system characteristics. Social Science & Medicine, 158, 43-51.

Cutler, D.M., Deaton, A.S. and Lleras-Muney, A. (2006). The determinants of mortality. New York/Stanford: NBER Working Paper No. 11963.

Davies, A.A., Basten, A. and Frattini, C. (2009). Migration: a social determinant of the health of migrants. Eurohealth, 16(1), 10-12.

DeSalvo, K.B., Bloser, N., Reynolds, K., He, J. and Muntner, P. (2006). Mortality prediction with a single general self-rated health question. J. General Intern. Med. 21(3), 267-275.

Devillanova, C., and Frattini, T. (2016). Inequities in immigrants’ access to health care services: disentangling potential barriers. International Journal of Manpower, 37(7), 1191-1208.

ESS (2014). Weighting European Social Survey Data. Available at: https://www.europeansocialsurvey.org/docs/methodology/ESS_weighting_data_1.pdf

Eurostat (2019). https://ec.europa.eu/eurostat/statistics-explained/index.php/ Migration_and_migrant_population_statistics, accessed on 15 April.

Ferraro, K. and Su, Y.P. (2000). Physician-Evaluated and Self-reported Morbidity for Predicting Disability. American Journal of Public Health, 90(1), 103-108.

Gelatt, J. (2016). Immigration Status and the Healthcare Access and Health of Children of Immigrants. Social Science Quarterly, 97(3), DOI: 10.1111/ssqu.12261

Giuntella, O., Kone, Z.L., Ruiz, I. and Vargas-Silva, C. (2018). Reason for immigration and immigrants' health. Public health, 158, 102-109.

Giuntella, O. and Mazzonna, F. (2015). Do immigrants improve the health of natives. Journal of Health Economics, 43, 140-153.

Giuntella O, Nicodemo C, and Vargas-Silva C. (2016). The impact of immigration on health and health care: evidence from the United Kingdom. In: Fasani F, editor. Refugees and economic migrants: facts, policies and challenges. CEPR Press.

Gordo, L.R. (2006). Effects of short- and long-term unemployment on health satisfaction: evidence from German data. Applied Economics, 38(20), 2335-2350.

Hadjar, A., Backes, S., (2013). Migration background and subjective well-being. A multilevel analysis based on the European Social Survey. Comp. Sociol., 12(5), 645-676.

Hobolt, S. B. (2016). The Brexit vote: a divided nation, a divided continent. Journal of European Public Policy, 23(9), 1259-1277.

Idler, E. and Angel, R. (1990). Self-rated Health and Mortality in the NHANES-I Epidemiologic Follow-up Study. American Journal of Public Health, 80(4), 446-452.

Kennedy, S., McDonald, J.T., Biddle, N. (2006). The Healthy Immigrant Effect and Immigrant Selection: Evidence from Four Countries. Social and Economic Dimensions of an Aging Population (SEDAP) Research Paper No. 164. McMaster University

Kotzian P. (2009). Determinants of Satisfaction with Health Care System. The Open Political Science Journal, 2(1), 47-58.

Kringos, D.S., Boerma, W.G.W., Van der Zee, J., Groenewegen, P.P. (2013). Europe’ s strong primary care systems are linked to better population health, but also to higher health spending. Health Affairs, 32(4), 686-694.

Lanari, D. and Bussini, O. (2012). International migration and health inequalities in later life. Ageing Soc, 32(6), 935–962

Lanari, D., Bussini, O. and Minelli, L. (2015). Self-perceived health among Eastern European immigrants over 50 living in Western Europe. International journal of public health, 60(1), 21-31.

Lindeboom, M. and Van Doorslaer, E. (2004). Cut-point shift and index shift in self-reported health. J Health Econ, 23, 1089.

Ljunge, M. (2016). Migrants, health, and happiness: Evidence that health assessments travel with migrants and predict well-being. Economics & Human Biology, 22, 35-46.

Lopez-Valcarcel, B.G. and Barber, P. (2017). Economic Crisis, Austerity Policies, Health and Fairness: Lessons Learned in Spain. Appl Health Econ Health Policy, 15, 13-21.

Malmusi, D., Borrell, C., Benach, J. (2010). Migration-related health inequalities: showing the complex interactions between gender, social class and place of origin. Soc. Sci. Med., 71(9), 1610-1619.

McCallum, J., Shadbolt, B., and Wang, D. (1994). Self-rated health and survival: a 7-year follow-up study of Australian elderly. American Journal of Public Health, 84(7), 1100-1105.

McDonald, J.T., Kennedy, S. (2004). Insights into the ‘healthy immigrant effect’: health status and health service use of immigrants to Canada, Soc. Sci. Med., 59, 1613-1627. http://dx.doi.org/10.1016/j.socscimed.2004.02.004.

Migration Policy Institute (2019). https://www.migrationpolicy.org/programs/data-hub/charts/asylumapplications-euefta-country-2008-2017, accessed on 15 April.

Missinne, S. and Bracke, P. (2012). Depressive symptoms among immigrants and ethnic minorities: a population based study in 23 European countries. Soc. Psychiatry Psychiatric Epidemiol., 47(1), 97-109.

Newbold, B.K. (2009). The short-term health of Canada's new immigrant arrivals: evidence from LSIC. Ethn. Health, 14(3), 315-336. http://dx.doi.org/10.1080/13557850802609956.

Newbold, B.K., Filice, J.K. (2006). Health status of older immigrants to Canada. Can. J. Ageing, 25(3), 305-319. http://dx.doi.org/10.1353/cja.2007.0009.

Nielsen, S.S. and Krasnik, A. (2010). Poorer self-perceived health among migrants and ethnic minorities versus the majority population in Europe: a systematic review. Int. J. Public Health, 55(5), 357-371.

Nolte, E. and McKee, M. (2003). Measuring the health of nations: analysis of mortality amenable to health care. British Medical Journal, 327, 1129-1133

OECD (2019), “International migration database”, OECD International Migration Statistics (database), https://doi.org/10.1787/data-00342-en

Olsen, K. M., & Dahl, S. Å. (2007). Health differences between European countries. Social science & medicine, 64(8), 1665-1678.

Reinhardt, U.E., Hussey, P.S. and Anderson, G.F. (2002). Cross-National Comparisons of Health Systems Using OECD Data, 1999. Health Affairs, 21(3), 169-181.

Ronellenfitsch, U. and Razum, O. (2004). Deteriorating health satisfaction among immigrants from Eastern Europe to Germany. Int J Equity Health, 3(1), 4.

Salinero-Fort, M.Á., Jiménez-García, R., del Otero-Sanz, L., de Burgos-Lunar, C., Chico-Moraleja, R.M., Martín-Madrazo, C., Gómez-Campelo, P. and Health & Immigration Group. (2012). Self-reported health status in primary health care: the influence of immigration and other associated factors. PLoS One, 7(6), e38462.

Singleton, A. (2016). Migration and Asylum Data for Policy-making in the European Union – The problem with numbers. CEPS Liberty and Security in Europe No. 89.

Smedley, B.D., Stith, A.Y., Nelson, A.R. (2009). Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (With CD). National Academies Press, Washington, D. C.

Solé-Auró, A., Guillén, M., and Crimmins, E. M. (2012). Health care usage among immigrants and native-born elderly populations in eleven European countries: results from SHARE. The European Journal of Health Economics, 13(6), 741-754.

Vaillant, N. and Wolff, F.C. (2010). Origin differences in self-reported health among older migrants living in France. Public Health, 124(2), 90–98

Vaillant, N. and Wolff, F.C. (2012). On the reliability of self-reported health: Evidence from Albanian data. Journal of epidemiology and global health, 2(2), 83-98.

Wallace, M., and Kulu, H. (2014). Migration and health in England and Scotland: a study of migrant selectivity and the salmon bias. Popul. Space Place, 20(8), 694-708.

Weziak-Bialowolska, D. (2014) Health conditions in regions of Eastern and Western Europe. Int J Public Health, 59(3), 529-539.

WHO (1946). Constitution of the World Health Organization. Retrieved from. http://www.who.int/governance/eb/constitution/en/. on 21-10-2013.

Wiking, E., Johansson, S.-E., Sundquist, J. (2004). Ethnicity, acculturation, and self-reported health. A population based study among immigrants from Poland, Turkey, and Iran in Sweden. J. Epidemiol. community health, 58(7), 574-582.