Juárez Sol P, Ortiz-Barreda Gaby, Agudelo-Suárez Andrés A, Ronda-Pérez Elena
Centre for Health Equity Studies, Stockholm University/Karolinska Institute, 106 91, Stockholm, Sweden.
Division of Occupational and Environmental Medicine, University of Lund, Lund, Sweden.
J Immigr Minor Health. 2017 Feb;19(1):205-214. doi: 10.1007/s10903-015-0317-7.
Ample evidence shows that, in many developed countries, immigrants have similar or better perinatal health outcomes than natives despite facing socioeconomic disadvantages in the host country ("healthy migrant paradox" -HMP). This scoping review aims to: (1) summarize the literature on perinatal health among immigrants and natives in Spain and (2) examine whether there is evidence of the HMP in a context of recent migration. A total of 25 articles published between 1998 and 2014 were reviewed. Overall, we found evidence of the HMP in low birthweight and to a lesser extent in preterm, though the patterns vary by origin, but not in macrosomia and post-term. The results are consistent across settings, levels of adjustment, and birth year. Policies should be oriented towards identifying the modifiable risk factors leading to a higher risk of macrosomia and post-term among immigrants.
大量证据表明，在许多发达国家，尽管移民在东道国面临社会经济劣势，但他们的围产期健康结果与本地人相似或更好（“健康移民悖论”-HMP）。本综述旨在：（1）总结西班牙移民和本地人的围产期健康文献，（2）研究在近期移民背景下是否有HMP的证据。共检索了1998年至2014年发表的25篇文章。总体而言，我们发现了低出生体重方面存在HMP的证据，早产方面的证据较少，尽管模式因来源而异，但巨大儿和过期产方面没有。结果在不同环境、调整水平和出生年份中是一致的。政策应旨在确定导致移民中巨大儿和过期产风险较高的可改变风险因素。
