Evaluación de la “paradoja latina” en Chile utilizando datos de la encuesta de salud de 2006
Date
2013
Type:
Artículo
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11
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Journal Title
Journal ISSN
Volume Title
Publisher
Sociedad Médica de Santiago
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Abstract
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.
Description
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Citation
Revista Médica de Chile, 2013, 141:1255-1265
Keywords
Emigrants and inmigrants, Health status, Human migration, Population, Socioeconomic factors