Testing the Latino paradox in Latin America: A population-based study of Intra-regional immigrants in Chile

Background: Several studies in high-income countries report better health status of immigrants compared to the local population ("healthy migrant" effect), regardless of their socioeconomic deprivation. This is known as the Latino paradox. Aim: To test the Latino paradox within Latin Ameri...

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Autores principales:	Cabieses,Baltica, Tunstall,Helena, Pickett,Kate
Lenguaje:	English
Publicado:	Sociedad Médica de Santiago 2013
Materias:	Emigrants and inmigrants Health status Human migration Population Socioeconomic factors
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001000004
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spelling	oai:scielo:S0034-988720130010000042014-10-10Testing the Latino paradox in Latin America: A population-based study of Intra-regional immigrants in ChileCabieses,BalticaTunstall,HelenaPickett,Kate Emigrants and inmigrants Health status Human migration Population Socioeconomic factors Background: Several studies in high-income countries report better health status of immigrants compared to the local population ("healthy migrant" effect), regardless of their socioeconomic deprivation. This is known as the Latino paradox. Aim: To test the Latino paradox within Latin America by assessing the health of international immigrants to Chile, most of them from Latin American countries, and comparing them to the Chilean-born. Material and Methods: Secondary data analysis of the population-based CASEN survey-2006. Three health outcomes were included: disability, illness/accident, and cancer/chronic condition (dichotomous). Demographics (age, sex, marital status, urban/rural, ethnicity), socioeconomic-status (SES: educational level, employment status and household income per-capita), and material standards (overcrowding, sanitation, housing quality). Crude and adjusted weighted regression models were performed. Results: One percent of Chile's population were immigrants, mainly from other Latin American countries. A "healthy migrant" effect appeared within the total immigrant population: this group had a significantly lower crude prevalence of almost all health indicators than the Chilean-born, which remained after adjusting for various demographic characteristics. However, this effect lost significance when adjusting by SES for most outcomes. The Latino paradox was not observed for international immigrants compared to the local population in Chile. Also, health of immigrants with the longest time of residency showed similar health rates to the Chilean-born. Conclusions: The Latino paradox was not observed in Chile. Protecting low SES immigrants in Chile could have large positive effects in their health at arrival and over time.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.10 20132013-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001000004en10.4067/S0034-98872013001000004
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Emigrants and inmigrants Health status Human migration Population Socioeconomic factors
spellingShingle	Emigrants and inmigrants Health status Human migration Population Socioeconomic factors Cabieses,Baltica Tunstall,Helena Pickett,Kate Testing the Latino paradox in Latin America: A population-based study of Intra-regional immigrants in Chile
description	Background: Several studies in high-income countries report better health status of immigrants compared to the local population ("healthy migrant" effect), regardless of their socioeconomic deprivation. This is known as the Latino paradox. Aim: To test the Latino paradox within Latin America by assessing the health of international immigrants to Chile, most of them from Latin American countries, and comparing them to the Chilean-born. Material and Methods: Secondary data analysis of the population-based CASEN survey-2006. Three health outcomes were included: disability, illness/accident, and cancer/chronic condition (dichotomous). Demographics (age, sex, marital status, urban/rural, ethnicity), socioeconomic-status (SES: educational level, employment status and household income per-capita), and material standards (overcrowding, sanitation, housing quality). Crude and adjusted weighted regression models were performed. Results: One percent of Chile's population were immigrants, mainly from other Latin American countries. A "healthy migrant" effect appeared within the total immigrant population: this group had a significantly lower crude prevalence of almost all health indicators than the Chilean-born, which remained after adjusting for various demographic characteristics. However, this effect lost significance when adjusting by SES for most outcomes. The Latino paradox was not observed for international immigrants compared to the local population in Chile. Also, health of immigrants with the longest time of residency showed similar health rates to the Chilean-born. Conclusions: The Latino paradox was not observed in Chile. Protecting low SES immigrants in Chile could have large positive effects in their health at arrival and over time.
author	Cabieses,Baltica Tunstall,Helena Pickett,Kate
author_facet	Cabieses,Baltica Tunstall,Helena Pickett,Kate
author_sort	Cabieses,Baltica
title	Testing the Latino paradox in Latin America: A population-based study of Intra-regional immigrants in Chile
title_short	Testing the Latino paradox in Latin America: A population-based study of Intra-regional immigrants in Chile
title_full	Testing the Latino paradox in Latin America: A population-based study of Intra-regional immigrants in Chile
title_fullStr	Testing the Latino paradox in Latin America: A population-based study of Intra-regional immigrants in Chile
title_full_unstemmed	Testing the Latino paradox in Latin America: A population-based study of Intra-regional immigrants in Chile
title_sort	testing the latino paradox in latin america: a population-based study of intra-regional immigrants in chile
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001000004
work_keys_str_mv	AT cabiesesbaltica testingthelatinoparadoxinlatinamericaapopulationbasedstudyofintraregionalimmigrantsinchile AT tunstallhelena testingthelatinoparadoxinlatinamericaapopulationbasedstudyofintraregionalimmigrantsinchile AT pickettkate testingthelatinoparadoxinlatinamericaapopulationbasedstudyofintraregionalimmigrantsinchile
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Testing the Latino paradox in Latin America: A population-based study of Intra-regional immigrants in Chile

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