About 84,710 Latin American migrants currently live in Germany. Knowledge about their work situation in relation to their skill level and its association with mental health is limited. Therefore, the aims of this study were to assess the prevalence of working below skill level and its association with the prevalence of distress in Latin Americans living in Germany. This cross-sectional study included a convenience sample of 282 Latin American migrants living in Germany. Participants were recruited by a short online (Facebook, personal contacts) or interview-based questionnaire from November 2015 to April 2016. Questions included skill level, job category (categorized by ISCO 2008 code), socio-demographics, violence at the workplace and distress. The latter was assessed by Goldberg’s General Health Questionnaire using a cut-off of 4/5. Descriptive statistics were followed by logistic regression analyses adjusting for potential confounders. About half of the study population reported symptoms of distress (45%). 63% of the population worked below skill level. 12-months prevalence of violence at the workplace was 14%. After adjustment, working below skill level was statistically significantly related to distress (odds ratio 2.80; 95% confidence interval 1.58–4.95). Working below skill level is common in Latin American migrants in Germany and may result in poor psychosocial well-being.
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Trabajo OMd. Migración Laboral: Datos y Cifras. 2015. http://www.ilo.org/global/about-the-ilo/media-centre/issue-briefs/WCMS_248866/lang--es/index.htm. Accessed 20 May 2016
Cayuela A, Malmusi D, Lopez-Jacob MJ, Gotsens M, Ronda E. The impact of education and socioeconomic and occupational conditions on self-perceived and mental health inequalities among immigrants and native workers in Spain. J Immigr Minor Health. 2015;17:1906–10.
Statistisches Bundesamt W. Federal Statistical Office Germany. GENESIS-Online: Result—12521-0002. Germany. 2014. https://www-genesis.destatis.de/genesis/online. Accessed 24 July 2016.
Moullan Y, Jusot F. Why is the ‘healthy immigrant effect’ different between European countries? Eur J Public Health. 2014;24(Suppl 1):80–6.
Reid A. Under-use of migrants’ employment skills linked to poorer mental health. Aust N Z J Public Health. 2012;36:120–5.
Piracha M, Vadean F. Migrant educational mismatch and the labour market. In: Constant A, Zimmermann K, editors. International handbook on the economics of migration volume IZA DP No. 6414. Cheltenham: Edward Elgar; 2013.
Kalfa E, Piracha M. Immigrants’ educational mismatch and the penalty of over-education. IZA 2013, Discussion Paper No. 7721.
Chiswick B, Miller P. Education mismatch: are high-skilled immigrants really working at high-skilled jobs and the price they pay if they aren’t? In: Chiswick BR, editor. High skilled immigration in a global labor market. Washington DC: American Enterprise Institute Press; 2010. pp. 111–54.
Spitzer D. Oppresion and im/migrants health in Canada. In: McGibbon E, editor. Oppression: a social determinant health. Winnipeg: Fernwood Publishing; 2012. pp. 113–22.
Chen C, Smith P, Mustard C. The prevalence of over-qualification and its association with health status among occupationally active new immigrants to Canada. Ethn Health. 2010;15:601–19.
Smith P, Frank J. When aspirations and achievements don’t meet. A longitudinal examination of the differential effect of education and occupational attainment on declines in self-rated health among Canadian labour force participants. Int J Epidemiol. 2005;34:827–34.
Benavides F, Zímmermann-Verdejo M, Campos-Serna J, Carmenate J, Carmenate L, Báez I, Nogareda C, Molinero Ruiz E, Losilla Vidal J. Pinilla García F. Conjunto mínimo básico de ítems para el diseño de cuestionarios sobre condiciones de trabajo y salud. Arch Prev Riesg Labor. 2010;13:13–22.
Primera Encuesta Nacional de Condiciones de Empleo. Trabajo, Salud y Calidad de Vida ENETS 2009-2010. http://epi.minsal.cl/wp-content/uploads/2012/04/CUESTIONARIOENETS-2009-2010-CHILE.pdf.
Goldberg D, Williams P. User’s guide to the General Health Questionnaire. Windsor: NFER-NELSON; 1988
Sánchez-López MD, Dresch V. The 12-Item General Health Questionnaire (GHQ-12): reliability, external validity and factor structure in the Spanish population. Psicothema. 2008;20(4):839–43.
Quintini G. Over-qualified or under-skilled: a review of existing literature. OECD social, employment and migration working papers 2011, p. 121.
ISCO - International Standard Classification of Occupations. Ilo.org. 2016. http://www.ilo.org/public/english/bureau/stat/isco/isco08/index.htm. Accessed 10 Nov 2016
Salas ML, Quezada S, Basagoitia A, Fernandez T, Herrera R, Parra M, Munoz DM, Weigl M, Radon K. Working conditions, workplace violence, and psychological distress in andean miners: a cross-sectional study across three countries. Ann Glob Health. 2015;81:465–74.
Monge S, Ronda E, Pons-Vigues M, Vives Cases C, Malmusi D, Gil-Gonzalez D. Methodological limitations and recommendations in publications on migrant population health in Spain. Gac Sanit. 2015;29:461–3.
Schenker MB. Migration and occupational health: shining a light on the problem. Am J Ind Med. 2010;53(4):327–8.
Atkinson R, Flint J. Accessing hidden and hard-to-reach populations: snowball research strategies. In: Gilbert N, editor. Social research update. Guildford: Department of Sociology, University of Surrey; 2001.
Baltar F, Brunet I. Social research 2.0: virtual snowball sampling method using Facebook. Internet Res. 2012;22:57–64.
Da Silva AT, Peres MF, Lopes Cde S, Schraiber LB, Susser E, Menezes PR. Violence at work and depressive symptoms in primary health care teams: a cross-sectional study in Brazil. Soc Psychiatry Psychiatr Epidemiol. 2015;50:1347–55.
Prokic-Breuer T, McManus P. Immigrant educational mismatch in Western Europe, apparent or real? Eur Sociol Rev. 2016;32:411–38.
Ganzeboom H, Treiman D. Internationally comparable measures of occupational status for the 1988 International Standard Classification of Occupations. Soc Sci Res. 1996;25:201–39.
Nieto S, Matano A, Ramos R. Skill mismatches in the EU: immigrants vs. natives. Res Inst Appl Econ 2013:18–28.
Office for National Statistics. International immigration and the labour market. 2016. https://www.ons.gov.uk. Accessed 10 May 2018.
McGowan M, Andrews D. Skill mismatch and public policy in OECD countries. Organisation for Economic Co-operation and Development 2015, p. 28.
Sanromá E, Ramos R, Simón H. The portability of human capital and immigrant assimilation: evidence for Spain. IZA Discussion Paper 2008, p. 3649.
O’Connor K, Stoecklin-Marois M, Schenker MB. Examining nervios among immigrant male farmworkers in the MICASA study: sociodemographics, housing conditions and psychosocial factors. J Immigr Minor Health. 2015;17:198–207.
Jurado D, Alarcon RD, Martinez-Ortega JM, Mendieta-Marichal Y, Gutierrez-Rojas L, Gurpegui M. Factors associated with psychological distress or common mental disorders in migrant populations across the world. Rev Psiquiatr Salud Ment. 2016. https://doi.org/10.1016/j.rpsmen.2017.02.004
Wittig U, Lindert J, Merbach M, Brähler E. Mental health of patients from different cultures in Germany. Eur Psychiatry. 2008;3:28–35.
Kuehne A, Huschke S, Bullinger M. Subjective health of undocumented migrants in Germany—a mixed methods approach. BMC Public Health. 2015;15:926.
Torres L, Driscoll MW, Voell M. Discrimination, acculturation, acculturative stress, and Latino psychological distress: a moderated mediational model. Cult Divers Ethn Minor Psychol. 2012;18:17–25.
Eurofound. Sixth European working conditions survey—overview report. Luxembourg: Publications Office of the European Union; 2016.
Dunlavy AC, Garcy AM, Rostila M. Educational mismatch and health status among foreign-born workers in Sweden. Soc Sci Med. 2016;154:36–44.
Del Amo J, Jarrin I, Garcia-Fulgueiras A, Ibanez-Rojo V, Alvarez D, Rodriguez-Arenas MA, Garcia-Pina R, Fernandez-Liria A, Garcia-Ortuzar V, Diaz D, et al. Mental health in Ecuadorian migrants from a population-based survey: the importance of social determinants and gender roles. Soc Psychiatry Psychiatr Epidemiol. 2011;46:1143–52.
Desjardins R, Rubenson K. An analysis of skill mismatch using direct measures of skills. In OECD Education Working Papers, vol. 63. Paris: OECD Publishing; 2011.
Koochek A, Montazeri A, Johansson SE, Sundquist J. Health-related quality of life and migration: a cross-sectional study on elderly Iranians in Sweden. Health Qual Life Outcomes. 2007;5:60.
Sander M. Return migration and the “healthy immigrant effect”. Germany. SOEPpaper No. 60. 2007. https://ssrn.com/abstract=1096456. Accessed 24 Jan 2017.
This study was funded by German Academic Exchange Service (DAAD), Exceed program, Center for International Health (CIH) and German Federal Ministry for International Cooperation and Development (BMZ). We thank the participants for their participation.
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Espinoza-Castro, B., Vásquez Rueda, L.E., Mendoza Lopez, R.V. et al. Working Below Skill Level as Risk Factor for Distress Among Latin American Migrants Living in Germany: A Cross-Sectional Study. J Immigrant Minority Health 21, 1012–1018 (2019). https://doi.org/10.1007/s10903-018-0821-7