Department of Health Sciences, Mid Sweden University, Homgatan 10, 851 70 Sweden.
Health Promot Int. 2023 Aug 1;38(4). doi: 10.1093/heapro/daab199.
Newly arrived migrants in Sweden risk facing ill health. Politicians at the local and regional levels are involved in many decisions regarding the social determinants of health. The aim of this study was to explore politicians' views on different societal actors' responsibility and possibility to promote newly arrived migrants' health. Data were collected through online questionnaires completed by 667 politicians from municipality and regional councils in northern Sweden. Bivariate analysis was performed using the Wilcoxon signed-rank test. Multivariate analyses were performed using cluster analysis and binary logistic regression analysis. The results show that politicians generally rate societal actors' responsibility and possibility to promote the general population's health higher than newly arrived migrants' health. Moreover, they consider societal actors' responsibility to be greater than their possibility to promote health. Factors significantly contributing to politicians' high ratings of societal responsibility and possibility are attitude (odds ratio [OR] = 2.156, 95% confidence interval [CI]: 1.306-3.558), specific knowledge of newly arrived migrants' health status (OR = 1.528, 95% CI: 1.005-2.323), personal interest in public health (OR = 2.452, 95% CI: 1.460-4.119), being a municipality politician (OR = 1.659, 95% CI: 1.031-2.670) and being female (OR = 1.934, 95% CI: 1.333-2.806). This study shows that politicians generally rate societal responsibility and possibility to promote newly arrived migrants' health rather high. Personal characteristics are important for politicians' high or low ratings of responsibility and possibility, suggesting insufficient structural support for politicians in health promotion.
新移民在瑞典可能面临健康问题。地方和地区各级的政治家参与了许多与健康社会决定因素有关的决策。本研究旨在探讨政治家对不同社会行为者促进新移民健康的责任和可能性的看法。数据是通过在瑞典北部的市议会和地区议会的 667 名政治家在线完成的问卷收集的。使用 Wilcoxon 符号秩检验进行了双变量分析。使用聚类分析和二项逻辑回归分析进行了多变量分析。结果表明，政治家普遍认为社会行为者促进一般人口健康的责任和可能性高于新移民的健康。此外，他们认为社会行为者的责任大于他们促进健康的可能性。对政治家高度评价社会责任感和可能性有显著贡献的因素包括态度（优势比 [OR] = 2.156，95%置信区间 [CI]：1.306-3.558）、对新移民健康状况的特定了解（OR = 1.528，95% CI：1.005-2.323）、对公共卫生的个人兴趣（OR = 2.452，95% CI：1.460-4.119）、作为市议员（OR = 1.659，95% CI：1.031-2.670）和女性（OR = 1.934，95% CI：1.333-2.806）。本研究表明，政治家普遍对社会责任感和促进新移民健康的可能性评价较高。个人特征对政治家的责任和可能性的高低评价很重要，这表明促进政治家健康的结构支持不足。
