2023-09-28 14:46:10 +00:00
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abstract: 'OBJECTIVES: to evaluate self-perceived health status of immigrants in
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Italy.
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DESIGN: cross-sectional study based on the representative national
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samples of the multipurpose surveys ``Health conditions and use of
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health services{''''} conducted in 2005 and 2013 by the Italian National
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Institute of Statistics (Istat).
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SETTING AND PARTICIPANTS: the study was conducted on the age group of
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18-64: No. 80,661 in 2005, among which 3.2\% were immigrants, and No.
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72,476 in 2013, among which 7.1\% were immigrants.
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MAIN OUTCOME MEASURES: prevalence rate ratios (PRR) calculated through
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log-binomial regression models, stratified by survey edition and gender,
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by evaluating the association between the Physical Component Score
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(PCS), the Mental Component Component Score (MCS), and the overall
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health index and citizenship. Adjustment for the following confounding
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factors was performed: age, educational level, working condition,
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perceived economic resources, body mass index (BMI).
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RESULTS: in 2005, immigrants had a lower probability of poor-perceived
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physical health, both among men (PRR: 0.79; 95\%CI 0.70-0.89) and women
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(PRR: 0.89; 95\%CI 0.820.97), compared to Italians. In 2013, the
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perceived health advantage of immigrants was reduced for both genders
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(PRR males: 0.87; 95\%CI 0.80-0.95; PRR females: 0.94; 95\%Cl
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0.88-0.99). In the considered period, the prevalence of people with
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worse mental health conditions increases, with lower PRR among
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immigrants, compared to Italians. Higher probability of ``NOT good{''''}
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overall perceived health was also observed among immigrants residing in
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Italy for at least 10 years (PRR men: 1.24; PRR women: 1.15) and among
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immigrants men from America (PRR: 1.35).
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CONCLUSIONS: from 2005 to 2013, immigrants seemed to maintain a better
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perception of health status than Italians. Nevertheless, study results
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show a decrease in self-perceived health, particularly mental health, in
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the considered period - apart from demographic, socioeconomic, and
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lifestyle factors - as well as a worse overall self-perceived health
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status among immigrants who stayed in Italy longer. Such results lead to
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suppose that the ``healthy migrant effect{''''} tends to disappear over
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time, maybe due to the world financial crisis. Unemployment increases
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and lower income also made the access to medical care more difficult,
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particularly among the most fragile population groups, including
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migrants. In this context it is essential to promote health policies
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supporting equity of access to healthy lifestyles and effective health
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services, which are fundamental to reduce health inequalities.'
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affiliation: 'Petrelli, A (Corresponding Author), Ist Nazl Promoz Salute Popolaz Migranti
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\& Contras, Rome, Italy.
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Petrelli, Alessio; Di Napoli, Anteo; Rossi, Alessandra; Mirisola, Concetta; Costanzo,
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Gianfranco, Ist Nazl Promoz Salute Popolaz Migranti \& Contras, Rome, Italy.
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Gargiulo, Lidia, Ist Nazl Stat Istat, Rome, Italy.'
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author: Petrelli, Alessio and Di Napoli, Anteo and Rossi, Alessandra and Gargiulo,
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Lidia and Mirisola, Concetta and Costanzo, Gianfranco
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author-email: petrelli@inmp.it
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author_list:
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- family: Petrelli
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given: Alessio
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- family: Di Napoli
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given: Anteo
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- family: Rossi
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given: Alessandra
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- family: Gargiulo
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given: Lidia
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- family: Mirisola
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given: Concetta
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- family: Costanzo
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given: Gianfranco
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da: '2023-09-28'
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doi: 10.19191/EP17.3-4S1.P011.060
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files: []
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issn: 1120-9763
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journal: EPIDEMIOLOGIA \& PREVENZIONE
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keywords: immigrants; self-perceived health; socioeconomic status
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language: Italian
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month: MAY-AUG
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number: 3-4, 1
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number-of-cited-references: '35'
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orcid-numbers: 'Di Napoli, Anteo/0000-0003-3207-8761
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Di Napoli, Anteo/0000-0003-3207-8761
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Petrelli, Alessio/0000-0002-7533-7260'
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pages: 11-17
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papis_id: 6d3d525ccccd9595fac104f470f84a2a
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ref: Petrelli2017selfperceivedhealth
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researcherid-numbers: 'Di Napoli, Anteo/AAN-1659-2020
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Di Napoli, Anteo/S-6477-2018
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'
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times-cited: '5'
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title: Self-perceived health status among immigrants in Italy
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000468263500004
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usage-count-last-180-days: '1'
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usage-count-since-2013: '6'
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volume: '41'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2017'
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