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Ethnic Background, Labour Market Attachment and Severe Morbidity: Hospitalisation among Immigrants in Sweden 1990–2001

  • Martin KlinthallEmail author
Article

Abstract

This article examines differences in health among immigrants in Sweden from 1990 to 2001. Controlling for demographic characteristics, most immigrant groups display higher rates of hospitalisation than native Swedes, but when socio-economic factors are introduced, only Nordic immigrants display rates that are significantly higher than for Swedish-born individuals. High rates of hospitalisation among immigrants compared to Swedes seem to be explained by the socio-economic situation in Sweden rather than health conditions and socio-economic circumstances before immigration. There is a strong correlation between weak labour market integration and high levels of severe morbidity in non-Nordic immigrant groups.

Keywords

Immigrants Labour market integration Health Morbidity 

Résumé

Cet article examine les différences de santé parmi une population d’immigrés en Suède 1990–2001. Après avoir pris en compte les caractéristiques démographiques, la plupart des communautés immigrées montrent des taux d’hospitalisation plus élevées que les suédois de souche. Quand les facteurs socio-économiques sont pris en compte, seuls les immigrés nordiques montrent des taux qui sont sensiblement plus élevés que pour la population née en Suède. Des taux élevés d’hospitalisation parmi les immigrés comparés aux Suédois semblent être dus à la situation socio-économique en Suède, plutôt que l’état sanitaire et la situation socio-économique avant immigration. Il y a une corrélation forte entre l’intégration faible au marché du travail et les niveaux élevés de morbidité grave parmi les populations immigrées non-Nordiques.

Mots-clés

Immigrés Intégration au marché du travail Santé Morbidité 

References

  1. Barker, D. J. P. (1995). Fetal origins of coronary heart disease. British Medical Journal, 311, 171–174.Google Scholar
  2. Bevelander, P. (2000). Immigrant employment integration and structural change in Sweden, 1970–1995. Stockholm: Ahlmqvist & Wicksell International.Google Scholar
  3. Carlson, E., & Rosser-Hogan, R. (1993). Mental health status of Cambodian refugees ten years after leaving their homes. American Journal of Orthopsychiatry, 148, 1548–1551.Google Scholar
  4. Edin, P. A., & Åslund, O. (2001). Invandrare på 1990-talets arbetsmarknad. Stockholm: IFAU.Google Scholar
  5. Ekberg, J. (1995). Höj nivån på befolkningsstatistiken. Ekonomisk Debatt, 22, 169–177.Google Scholar
  6. Elstad, J. (1996). Inequalities in health related to women’s marital, parental, and employment status–a comparison between the early 70’s and the late 80’s, Norway. Social Science and Medicine, 42, 75–89.CrossRefGoogle Scholar
  7. Enesten, , & Larsson, (1992). Flyktingkrisen i teori, praktik och behandling. Psykisk hälsa, 33, 182–197.Google Scholar
  8. Evans, J. (1987). Introduction: migration and health. International Migration Review, 21(3), v–xiv.CrossRefGoogle Scholar
  9. Forsdahl, A. (1977). Are poor living conditions in childhood and adolescence an important risk factor for arteriosclerotic heart disease. British Journal of Preventive & Social Medicine, 31, 91–95.Google Scholar
  10. Franzén, E. (2003). Waiting for welfare—studies on social assistance among immigrants. Ph.D. Thesis, Göteborg: Institute for Social Work.Google Scholar
  11. Hjern, A. (1995). Migrationsmedicinsk forskning: En översikt. Stockholm: Medicinska forskningsrådet.Google Scholar
  12. Hjern, A., & Allebeck, P. (2002). Suicide in first- and second-generation immigrants in Sweden: a comparative study. Social Psychiatry and Psychiatric Epidemiology, 37, 423–429.CrossRefGoogle Scholar
  13. Hjern, A., & Allebeck, P. (2004). Alcohol-related disorders in first- and second-generation immigrants in Sweden: a national cohort study. Addiction, 99, 229–236.CrossRefGoogle Scholar
  14. Hjern, A., Wicks, S., & Dalman, C. (2004). Social adversity contributes to high morbidity in psychoses in immigrants—a national cohort study in two generations of Swedish residents. Psychological Medicine, 2204(34), 1025–1033.CrossRefGoogle Scholar
  15. Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression. New York: John Wiley & Sons.Google Scholar
  16. Johansson, L. M. (1997). Migration, mental health and suicide: an epidemiological, psychiatric and cross-cultural study. Dissertation. Stockholm: Karolinska institute.Google Scholar
  17. Johansson, L. M., Sundquist, J., Johansson, S.-E., Bergman, B., Quist, J., & Träskman-Bendz, L. (1997). Suicide among foreign-born minorities and Native Swedes: an epidemiological follow-up study of a defined population. Social Science and Medicine, 44(2), 181–187.CrossRefGoogle Scholar
  18. Kennedy, P. (1998). A guide to econometrics. Oxford: Blackwell Publishers.Google Scholar
  19. Klinthäll, M. (2003). Return migration from Sweden, 1968–1996. A Longitudinal Analysis. Stockholm: Almqvist & Wiksell International.Google Scholar
  20. Kuh, D., & Ben-Schlomo, Y. (1997). A life course approach to chronic disease epidemiology. Oxford University Press: Oxford.Google Scholar
  21. LeGrand, C., & Szulkin, R. (2000). Permanent disadvantage or gradual integration: explaining the immigrant–native earnings gap in Sweden. Stockholm: Swedish Institute of Social Research.Google Scholar
  22. Leon, D. A., Lithell, H. O., Vågerö, D., Koupilova, I., Mohsen, R., Berglund, L., et al. (1998). Reduced fetal growth rate and increased risk of death from ischaemic heart disease: cohort study of 15,000 Swedish men and women born 1915–29. BMJ, 317, 241–245.Google Scholar
  23. Leon, D. A., Johansson, M., & Rasmussen, F. (2000). Gestational age and growth rate of fetal mass are inversely associated with systolic blood pressure in young adults. An epidemiologic study of 165,136 Swedish men aged 18 years. American Journal of Epidemiology, 152, 597–604.CrossRefGoogle Scholar
  24. Lindström, M., Sundquist, J., & Östergren, P.-O. (2001). Ethnic differences in self reported health in Malmö in southern Sweden’. Journal of Epidemiology and Community Health, 55(2), 97–103.CrossRefGoogle Scholar
  25. Macintyre, S. (1992). The effects of family position and status on health. Social Science and Medicine, 35(4), 453–464.CrossRefGoogle Scholar
  26. McGee, D. L., Liao, Y., Cao, G., & Cooper, R. S. (1999). Self-reported health status and mortality in a multiethnic US cohort’. American Journal of Epidemiology, 149, 41–46.Google Scholar
  27. Nilsson, Å. (1991). Brister i folkbokföringen, PM 1994–10–04, dnr 2574794, Statistiska Centralbyrån, Örebro.Google Scholar
  28. Petersen, (1989). The controlled study of torture victims: epidemiological considerations and some future aspects. Scandinavian Journal of Social Medicine, 17, 13–20.Google Scholar
  29. Ringbäck Weitoft, G., Gullberg, A., Hjern, A., & Rosén, M. (1999). Mortality statistics in immigrant research: method for adjusting underestimation of mortality. International Journal of Epidemiology, 28, 756–763.CrossRefGoogle Scholar
  30. Ringbäck-Weitoft, G., Haglund, B., Hjern, A., & Rosén, M. (2002). Mortality, severe morbidity and injury among long-term lone mothers in Sweden. International Journal of Epidemiology, 31, 573–580.CrossRefGoogle Scholar
  31. Ringbäck-Weitoft, G., Gullberg, A., & Rosén, M. (1998). Ingen överdödlighet för personer födda utanför Norden. Läkartidningen, 95, 1277–1283.Google Scholar
  32. Ringbäck-Weitoft, G., Haglund, B., & Rosén, M. (2000). Mortality among lone mothers in Sweden: a population study. Lancet, 355, 1215–1219.CrossRefGoogle Scholar
  33. Robertson, E., Malmström, M., Sundquist, J., & Johansson, S.-E. (2003). Impact of country of birth on hospital admission for women of childbearing age in Sweden: a five year follow up study. Journal of Epidemiology and Community Health, 57, 877–882.CrossRefGoogle Scholar
  34. Rooth, D.-O. (1999). Refugee immigrants in Sweden. Educational investments and labour market integration. Lund: Nationalekonomiska institutionen, Lunds universitet.Google Scholar
  35. Scott, K. (1999). The immigrant experience: changing employment and income patterns in Sweden, 1970–1993. Lund: Lund University Press.Google Scholar
  36. Stata (1999). Stata reference manual. College Station: Stata Press.Google Scholar
  37. Sundquist, J. (1994) Migration and health. Epidemiological studies in Swedish primary health care. Dissertation. Lund: University of Lund,Google Scholar
  38. Sundquist, J. (2002). Födelselandets betydelse. En rapport om hälsan hos olika invandrargrupper i Sverige. Stockholm: Statens Folkhälsoinstitut.Google Scholar
  39. Swedish Integration Board (2003). Rapport integration 2003 (Integration Report 2003). Integrationsverket.Google Scholar
  40. Swedish Integration Board (2004). Statistikrapport 2004 (Statistical Report 2004). Integrationsverket.Google Scholar
  41. Swedish National Board of Health and Welfare (1987–2005). Folkhälsorapport 1987 (Public Health Report), Folkhälsorapport 1991, Folkhälsorapport 1994, Folkhälsorapport 1997, Folkhälsorapport 2001, Folkhälsorapport 2001. Stockholm: Socialstyrelsen.Google Scholar
  42. Swedish National Board of Health and Welfare (1995). Invandrares hälsa och sociala förhållanden. Stockholm: Socialstyrelsen.Google Scholar
  43. Swedish National Board of Health and Welfare (2000). Olika villkor, -olika hälsa. En studie bland invandrare från Chile, Iran Polen och Turkiet. Stockholm: Socialstyrelsen.Google Scholar
  44. Swedish National Board of Health and Welfare (2001). Social rapport 2001 (Social Report). Stockholm: Socialstyrelsen.Google Scholar
  45. Swedish National Board of Health and Welfare (1987–2005). Folkhälsorapport 1987 (Public Health Report), Folkhälsorapport 1991, Folkhälsorapport 1994, Folkhälsorapport 1997, Folkhälsorapport 2001, Folkhälsorapport 2005. Stockholm: Socialstyrelsen.Google Scholar
  46. Theorell, T., Vigborg, A., Kallner, A., Dahlen, G., & Walinder, O. (1980). A comparison between Finnish immigrants and native Swedes in the greater Stockholm region—social and medical risk indicators of ischemic heart disease. Scandinavian Journal of Social Medicine, 8, 105–115.Google Scholar
  47. Westermeyer, J., Neider, J., & Callies, A. (1989). Psychosocial adjustment of Hmong refugees during their first decade in the United States. Journal of Nervous and Mental Disease, 3, 132–139.Google Scholar
  48. Zolkowska, K., Cantor-Graae, E., & McNeil, T. F. (2001). Increased rates of psychosis among immigrants to Sweden: is migration a risk factor for psychosis? Psychological Medicine, 31, 669–678.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2008

Authors and Affiliations

  1. 1.Department of Economic HistoryLund UniversityLundSweden

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