Department of Sociology, University of York, Wentworth College, Heslington, YO10 5DD, York, UK.
Maastricht University, the Netherlands.
Soc Sci Med. 2020 Dec;267:113218. doi: 10.1016/j.socscimed.2020.113218. Epub 2020 Jul 17.
Integrating intersectionality theory and employing a quantitative design, the current study explores how migration-related health inequalities in Europe interact with migrant generation, occupational status and gender. Multilevel logistic regression analyses are conducted using pooled data from six waves of the European Social Survey (2004-2014), from 27 countries for two subjective health measures (general self-reported health and hampering conditions). The results reveal multiple relationships of health inequality that operate simultaneously and the complexity through which the combination of social privilege and disadvantage can have a particularly negative impact on individual health. The 'healthy migrant effect' seems to apply particularly for first-generation immigrants working as manual employees, and within occupational categories, in certain cases non-migrant women are more susceptible to poor health than migrant men. This evidence highlights how the health impact of migration is subject to additional dimensions of social positioning as well as the importance of an intersectional perspective for the monitoring of health inequalities in Europe.
本研究将交叉性理论纳入其中，并采用定量设计，探讨了欧洲与移民相关的健康不平等现象如何与移民代际、职业地位和性别相互作用。本研究使用来自欧洲社会调查（2004-2014 年）六轮调查的 pooled 数据，对来自 27 个国家的两个主观健康指标（一般自我报告健康和障碍状况）进行了多层次逻辑回归分析。结果揭示了多种不平等的健康关系，这些关系同时运作，以及社会特权和劣势的组合如何对个体健康产生特别负面的影响的复杂性。“健康移民效应”似乎特别适用于从事体力劳动的第一代移民，并且在职业类别中，在某些情况下，非移民女性比移民男性更容易健康状况不佳。这一证据突出表明，移民对健康的影响受到社会定位的其他维度的影响，以及采用交叉性视角对欧洲健康不平等进行监测的重要性。
