Health Care and Health Outcomes of Migrants: Evidence from Portugal

Pita Barros, Pedro and Medalho Pereira, Isabel (2009): Health Care and Health Outcomes of Migrants: Evidence from Portugal. Published in: Human Development Research Paper (HDRP) Series , Vol. 28, No. 2009

Abstract

This paper studies the performance of immigrants relative to natives, in terms of their health status, use of health care services, lifestyles, and coverage of health expenditures. We base the analysis on international evidence that identified a healthy immigrant effect, complemented by empirical research on the Portuguese National Health Survey. Furthermore, we assess whether differences in health performance depend on the personal characteristics of the individuals or can be directly associated with their migration experience.

• Item Type: MPRA Paper
• Language: English
• Keywords: Migration, health status, health care, healthy immigrant effect, Portugal
• Subjects: O - Economic Development, Innovation, Technological Change, and Growth > O1 - Economic Development > O15 - Human Resources ; Human Development ; Income Distribution ; Migration; C - Mathematical and Quantitative Methods > C3 - Multiple or Simultaneous Equation Models ; Multiple Variables > C33 - Panel Data Models ; Spatio-temporal Models

References

Almeida, A.C. and P.D. Silva, 2007, Impacto da imigração em Portugal nas Contas do Estado, 2ª Edição, Observatório da Emigração, ACIDI - High Commission for Immigration and Intercultural Dialogue.

Antecol, H and K. Bedard, 2005, Unhealthy assimilation: why do immigrants converge to American health status levels?, IZA Discussion Paper Series, no. 1654.

Booth, A. and N. Carroll, 2005, The health status of indigenous and non-indigenous Australians, Center for Economic Policy Research (CEPR) Discussion Paper no. 486.

Carballo, M., 2007, The challenge of migration and health, International Centre for Migration and Health Feature Article

Carballo, M. and M. Mboup, 2005, International migration and health, Policy Analysis and Research Programme of the Global Commission on International Migration.

Carta, M.G., M. Bernal, M.C. Hardoy, J.M. Haro-Abad, 2005, Migration and mental health in Europe (the state of the mental health in Europe working paper: appendix I), Clinical Practice and Epidemiology in Mental Health, pp 1-13.

CFR-CDF – Charter of Fundamental Rights of the European Union– Charte des Droits Fondamentaux de l’Union Européenne, 2003, Network of independent experts on fundamental right: Report on the situation of fundamental rights in Portugal in 2003, CFR-CDF European Union.

Chiswick, B., Y.L. Lee and P. Miller, 2006, Immigrant selection systems and immigrant health, IZA Discussion Paper no. 2345

Deb, P. and P. Seck, 2009, Internal migration, selection bias, and human development: evidence from Indonesia and Mexico, Human Development Research Paper no. 31, New York: United Nations Development Programme, Human Development Report Office.

Dias, S.F., M. Severo and H. Barros, 2008, Determinants of health care utilization by immigrants in Portugal, BMC Health Services Research, 8, p 207.

Dias, C.M., E. Paixão, M.J. Branco and J.M. Falcão, 2008, A saúde dos imigrantes – Inquérito Nacional de Saúde 2005/2006, Departamento de Epidemiologia, Instituto Nacional de Saúde Dr. Ricardo Jorge, IP.

Fennelly, K., 2005, The healthy migrant effect, University of Minnesota, Healthy Generations Newsletter, 5(3), February 2005. 52

Fonseca, M.L., A. Esteves, J. McGarrigle and S. Silva, 2007, Saúde e integração dos imigrantes em Portugal: uma perspectiva geográfica e política, Revista Migrações 1(1).

Fonseca, M.L., M. Ormond and J. Malheiros, 2005, Reagrupamento familiar e migração familiar em Portugal, Final Report to the Alto Comissariado para a Imigração e Minorias Étnicas (ACIME), (currently ACIDI – High Commission for Immigration and Intercultural Dialogue).

Garcia-Gomez, P., 2007, Salud y utilización de recursos sanitários: un análisis de las diferencias y similitudes entre población inmigrante y autoctona, Presupuesto y Gasto Público, 49, pp 67-85.

Halliday, T., 2008, Heterogeneity, State Dependence and Health, IZA Discussion Paper no. 3463.

Halliday, T. and M. Kimmit, 2008, Selective migration and health, IZA Discussion Paper no. 3458.

Hernandez-Quevedo, C. and D. Jimenez-Rubio, 2008, A comparison of the health status and health care utilization patterns between foreigners and the national population in Spain: new evidence from the Spanish National Health Survey, The University of York - Health, Econometrics and Data Group (HEDG) Working Paper 08/22.

Idler, E. and S. Kasl, 1995, Self-ratings of health: do they also predict change in functional ability?, Journal of Gerontology, 50, pp S344-S353.

Jasso, G., D. Massey, M. Rosenzweig, and J. Smith, 2004, Immigrant health – selectivity and acculturation, manuscript, Institute for Fiscal Studies.

Kaplan, G. and T. Camacho, 1983, Perceived health and mortality: a nine-year follow-up of the human population laboratory cohort, American Journal of Epidemiology, 177, pp 292 – 304.

Kennedy, S., J.T. McDonald and N. Biddle, 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.

Khlat, M. and N. Darmon, 2003, Is there a Mediterranean migrants mortality paradox in Europe?, International Journal of Epidemiology, 32 (6), pp 1115-1118.

Lu, Y., 2007, Test of the Healthy Migrant Hypothesis: a longitudinal analysis of health selectivity of internal migration in Indonesia, University of California, Los Angeles – California Center for Population Research, On-line Working Paper no. 07-07.

MacPherson, D.W. and B. D. Gushulak, 2004, Irregular migration and health, Global migration and Health no. 7.

Malheiros, J., 2002, Portugal Seeks Balance of Emigration, Immigration, Migration Policy Institute – Migration Information Source.

Massey, J. and E. Shapiro, 1982, Self-rate health: a predictor of mortality among the elderly, American Journal of Public Health, 72, pp 800 – 808.

Muhidin, S., S. Brown and M. Bell, 2007, Longitudinal analysis of the relationship between migration and health status, presentation at the 4th International conference on Population Geographies.

Muñoz de Bustillo, R. and J.I. Antón, 2009, Health care utilization and immigration in Spain, Munich Personal RePEc Archive Paper No. 12382

Norman, P., P. Bayles and P. Rees, 2005, Selective migration, health and deprivation: a longitudinal analysis, Social Science and Medicine, 60, pp 2755 – 2771.

Raymond-Duchosal, C., 1929, Les étrangers en Suisse, Paris, Felix Alca.

SEF – Serviço de Estrangeiros e Fronteiras, 2002, Base de dados de Estrangeiros residentes em Portugal, Portuguese Government- Ministery of Internal Administration

SEF – Serviço de Estrangeiros e Fronteiras, 2007, Relatorio de Actividades: Imigracao, Fronteiras e Asilo, Portuguese Government- Ministery of Internal Administration

Smith, J., 2005, The impact of SES on health over the Life-Course, EconWPA Labor and Demography working paper no. 0511002.

Solé-Auró, A. and E. Crimmins, 2008, Health of Immigrants in European Countries, International Migration Review, 42(4), pp 861 – 876.

Stillman, S., D. McKenzie and J. Gibson, 2006, Migration and mental health: evidence from a natural experiment, University of Waikato, Hamilton, New Zealand, Working Paper in Economics 4/06

Van Houtven, C.H.; Voils, C.I.; Oddone, E.Z., Weinfurt, K.P., Friedman, J.Y., Schulman, K.A. and Bosworth, H.B., 2005, Perceived Discrimination and Reported Delay of Pharmacy Prescriptions and Medical Tests, Journal of General Internal Medicine, 20(7), pp 578-583.

Wooldridge, J., 2002, Econometric analysis of cross-section and panel data, MIT Press.