Abstract
Background: More than 20% of people living in Switzerland are immigrants, defined as people with foreign nationality. This study examines health disparities between the main immigrant groups in Switzerland and the majority Swiss population. Methods: Epidemiological analysis of the 2002 Swiss Health Survey (SHS): the SHS contains health-related information about 19,706 people who were randomly sampled from among people living in Switzerland. Bi-variate and multivariate analyses of six variables on self-reported health were performed. Findings: The data from the 2002 Swiss Health Survey provide some evidence of health disparities between Swiss people and immigrants. Although the self-reported health of “Northern immigrants” (people from Germany and France) does not differ significantly from that of the majority Swiss population, “Southern immigrants” (people from Italy, Former Yugoslavia, Portugal, Spain and Turkey) report lower levels of health in several areas. Lower levels of health are particularly likely to be reported by Italian men and women. Conclusion: The self-reported health of immigrants is currently inferior to that of the Swiss. If it is the position of the Swiss health care system to ensure equal health provision for all Swiss residents, including immigrant groups, and to strive for equal health outcomes for all, self-reported ill health among immigrants is a useful basis for health policy and planning.
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References
Rausa F, Schläpfer M. Ausländerinnen und Ausländer in der Schweiz – Bericht 2005. Statistik der Schweiz, ed. BFS. Neuchâtel: Bundesamt für Statistik; 2005.
Loue S. Handbook of immigrant health. New York: Plenum Press; 1998.
Smedley BD, Stith AY, Nelson AR. Unequal treatment. Confronting racial and ethnic disparities in health care. Washington: The National Academies Press; 2003.
Fiscella K et al. Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA 2000;283:2579–84.
Weiss R. Macht Migration krank? Eine transdisziplinäre Analyse der Gesundheit von Migrantinnen und Migranten. Zürich: Seismo; 2003.
Vranjes N, Bisig B, Gutzwiller F. Gesundheit der Ausländer in der Schweiz. Bern: Bundesamt für Gesundheit; 1996.
Bischoff A, Loutan L, Burgi D. Migration and health in Switzerland. Bern: BAG; 1997.
Bouchardy C, Wanner P, Raymond L. La mortalité des étrangers en 1989–92. Genève: ASRT; 2001.
BAG, Migration und Gesundheit: strategische Ausrichtung des Bundes – 2002–2006. Bundesamt für Gesundheit, Bundesamt für Flüchtlinge, Bundesamt für Ausländerfragen und Eidgenössische Ausländerkommission, Bern, 2002.
IHA-GfK, Schweizerische Gesundheitsbefragung SGB 2002 – Schlussbericht zur Datenerhebung. Neuchâtel: Bundesamt für Statistik; 2003.
BFS, Schweizerische Gesundheitsbefragung: Gesundheit und Gesundheitsverhalten in der Schweiz 1997. Neuchâtel: BFS; 2000.
BFS, Pondération de l’Enquête Suisse sur la santé 2002, Bundesamt für Gesundheit. Neuchâtel: Sektion Gesundheit; 2003.
Loutan L et al. Impact of trauma and torture on asylum seekers. Eur J Public Health 1999;9:93–6.
Bischoff A, Wanner P. Gesundheitsmonitoring für MigrantInnen: Sinnvoll? Machbar? Realistisch? Neuchâtel: Swiss Forum for Migration and Population Studies; 2004.
Newbold KB, Danforth J. Health status and Canada’s immigrant population. Soc Sci Med 2003;57(10):1981–95.
Muennig P, Fahs MC. Health status and hospital utilization of recent immigrants to New York City. Prev Med 2002;35(3):225–31.
WHO, Gesundheit 21. Gesundheit für alle, ed. W.R.f. Europa. Kopenhagen: Weltgesundheitsorganisation; 1998.
Reijneveld SA, Westhoff MH, Hopman-Rock M. Promotion of health and physical activity improves the mental health of elderly immigrants: results of a group randomised controlled trial among Turkish immigrants in the Netherlands aged 45 and over. J Epidemiol Community Health 2003;57(6):405–11.
Wiking E, Johansson SE, Sundquist J. Ethnicity, acculturation, and self reported health. A population based study among immigrants from Poland, Turkey, and Iran in Sweden. J Epidemiol Community Health 2004;58(7):574–82.
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The BFS (Bundesamt für Statistik, Swiss Federal Statistical Office (www.bfs.admin.ch/) has provided the data used in this study.
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Bischoff, A., Wanner, P. The Self-reported Health of Immigrant Groups in Switzerland. J Immigrant Minority Health 10, 325–335 (2008). https://doi.org/10.1007/s10903-007-9089-z
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DOI: https://doi.org/10.1007/s10903-007-9089-z