TY - JOUR
T1 - Inequality in Self-rated Health among Immigrants, Their Descendants and Ethnic Danes: Examining the Role of Socioeconomic Position
AU - Dinesen, Cecilie Wensien
AU - Nielsen, Signe Smith
AU - Mortensen, Laust Hvas
AU - Krasnik, Allan
PY - 2011/10
Y1 - 2011/10
N2 - Objectives We investigated inequalities in self-rated health between immigrants, their descendants, and ethnic Danes and explored mediation by socioeconomic position and interactions between country of origin and socioeconomic position. Methods Cross-sectional survey data on self-rated health from 4,985 individuals aged 18-66 years including immigrants from seven non-Western countries, their descendants, and ethnic Danes was linked to registry-based data on education, employment status, and income as indicators of socioeconomic position. Using multiple logistic regression analysis, we estimated the association between country of origin and self-rated health. Results Immigrants reported poorer health compared with ethnic Danes [age-adjusted odds ratio (OR) = 2.0-7.3 for men; 2.1-10.5 for women, dependent on country of origin] as well as their descendants (OR = 1.6-3.8 for men; 1.5-2.0 for women). Adjustment for socioeconomic position attenuated this association. Stratified analysis indicated that the effect of socioeconomic position on self-rated health varied across the groups. Conclusion Policies addressing inequalities in health between immigrants, their descendants, and ethnic Danes should target underlying socioeconomic inequalities. Further research of the effects of socioeconomic position on health among immigrants and descendants is needed.
AB - Objectives We investigated inequalities in self-rated health between immigrants, their descendants, and ethnic Danes and explored mediation by socioeconomic position and interactions between country of origin and socioeconomic position. Methods Cross-sectional survey data on self-rated health from 4,985 individuals aged 18-66 years including immigrants from seven non-Western countries, their descendants, and ethnic Danes was linked to registry-based data on education, employment status, and income as indicators of socioeconomic position. Using multiple logistic regression analysis, we estimated the association between country of origin and self-rated health. Results Immigrants reported poorer health compared with ethnic Danes [age-adjusted odds ratio (OR) = 2.0-7.3 for men; 2.1-10.5 for women, dependent on country of origin] as well as their descendants (OR = 1.6-3.8 for men; 1.5-2.0 for women). Adjustment for socioeconomic position attenuated this association. Stratified analysis indicated that the effect of socioeconomic position on self-rated health varied across the groups. Conclusion Policies addressing inequalities in health between immigrants, their descendants, and ethnic Danes should target underlying socioeconomic inequalities. Further research of the effects of socioeconomic position on health among immigrants and descendants is needed.
KW - Faculty of Health and Medical Sciences
KW - Self-rated
KW - inequalities
KW - Socioeconomic position
KW - immigrants
KW - descendents
U2 - 10.1007/s00038-011-0264-6
DO - 10.1007/s00038-011-0264-6
M3 - Journal article
SN - 1661-8556
SP - 503
EP - 514
JO - International Journal of Public Health (Print Edition)
JF - International Journal of Public Health (Print Edition)
ER -