Social determinants of overweight among immigrants in Spain and France

This study addresses immigrant health from the point of view of social health inequalities research. We study differences in overweight between immigrants and natives in two countries, France and Spain. Controlling for socioeconomic characteristics, we focus on effects that pertain to the country of...

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Main Authors: Dourgnon, P, Moullan, Y
Format: Working paper
Published: International Migration Institute 2015
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author Dourgnon, P
Moullan, Y
author_facet Dourgnon, P
Moullan, Y
author_sort Dourgnon, P
collection OXFORD
description This study addresses immigrant health from the point of view of social health inequalities research. We study differences in overweight between immigrants and natives in two countries, France and Spain. Controlling for socioeconomic characteristics, we focus on effects that pertain to the country of origin and to the country of arrival in explaining overweight prevalence. We first estimate and compare between France and Spain, in women and men, the effect of immigration status on overweight when controlled for age, socioeconomic status (SES), and country of origin. We study the role of length of stay as proxied by naturalisation status and according to country of origin. We investigate the role of GDP, HDI and obesity prevalence in the country of origin. We then estimate how differences in population compositions and differences in estimated coefficients contribute to observed differences in overweight between natives and migrants for each country. We show distinct patterns according to gender. Among women, the overweight probability is higher for immigrants than natives in France and Spain. Among men, the probabilities are identical in France and lower in Spain. In Spain, most of the effect of migration on health arises among more recent immigrants, whereas in France, overweight tends to appear among longer-established immigrants. Moreover, African immigrants (North Africans as well as Sub-Saharans) are more likely to be overweight than other immigrants. We conclude by addressing overweight inequalities between migrants and natives in Spain and France. Our decomposition results conclude that difference in characteristics is less important than differences in coefficients. In terms of health policy targeting the immigrant sub-population would be a good tool to reduce overweight prevalence. Among immigrants, origin country characteristics (GDP, HDI and obesity) play a role in their overweight prevalence.
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spelling oxford-uuid:ab8ca8cf-a3b9-4de3-ac39-70b7c95e0ea72022-03-27T03:22:41ZSocial determinants of overweight among immigrants in Spain and FranceWorking paperhttp://purl.org/coar/resource_type/c_8042uuid:ab8ca8cf-a3b9-4de3-ac39-70b7c95e0ea7Bulk import via SwordSymplectic ElementsInternational Migration Institute2015Dourgnon, PMoullan, YThis study addresses immigrant health from the point of view of social health inequalities research. We study differences in overweight between immigrants and natives in two countries, France and Spain. Controlling for socioeconomic characteristics, we focus on effects that pertain to the country of origin and to the country of arrival in explaining overweight prevalence. We first estimate and compare between France and Spain, in women and men, the effect of immigration status on overweight when controlled for age, socioeconomic status (SES), and country of origin. We study the role of length of stay as proxied by naturalisation status and according to country of origin. We investigate the role of GDP, HDI and obesity prevalence in the country of origin. We then estimate how differences in population compositions and differences in estimated coefficients contribute to observed differences in overweight between natives and migrants for each country. We show distinct patterns according to gender. Among women, the overweight probability is higher for immigrants than natives in France and Spain. Among men, the probabilities are identical in France and lower in Spain. In Spain, most of the effect of migration on health arises among more recent immigrants, whereas in France, overweight tends to appear among longer-established immigrants. Moreover, African immigrants (North Africans as well as Sub-Saharans) are more likely to be overweight than other immigrants. We conclude by addressing overweight inequalities between migrants and natives in Spain and France. Our decomposition results conclude that difference in characteristics is less important than differences in coefficients. In terms of health policy targeting the immigrant sub-population would be a good tool to reduce overweight prevalence. Among immigrants, origin country characteristics (GDP, HDI and obesity) play a role in their overweight prevalence.
spellingShingle Dourgnon, P
Moullan, Y
Social determinants of overweight among immigrants in Spain and France
title Social determinants of overweight among immigrants in Spain and France
title_full Social determinants of overweight among immigrants in Spain and France
title_fullStr Social determinants of overweight among immigrants in Spain and France
title_full_unstemmed Social determinants of overweight among immigrants in Spain and France
title_short Social determinants of overweight among immigrants in Spain and France
title_sort social determinants of overweight among immigrants in spain and france
work_keys_str_mv AT dourgnonp socialdeterminantsofoverweightamongimmigrantsinspainandfrance
AT moullany socialdeterminantsofoverweightamongimmigrantsinspainandfrance