Migraciones internas en Espana durante el siglo xx: Un nuevo eje para el estudio de las desigualdades sociales en salud
Por:
Martín U., Malmusi D., Bacigalupe A., Esnaola S.
Publicada:
1 ene 2012
Resumen:
Objective: Catalonia and the Basque Country received substantial immigration quotas from the rest of Spain during the twentieth century. This study aimed to analyze inequalities in health by birthplace (the population born in the same region or other autonomous regions) in these two geographical areas. Methods: We conducted a cross-sectional study in the non-institutionalized population aged 50 to 79 years, with data from the health surveys of Catalonia 2006 (n = 5,483) and the Basque Country 2007 (n = 3,424). We used log-binomial models to estimate the prevalence ratios (PR) of poor self-rated health by birthplace, stratified by sex and social class, and successively adjusted for age, social class and educational attainment. Results: Immigrants from other autonomous regions had poorer self-rated health than the native-born population, both in the Basque Country (age-adjusted PR in men 1.30, 95% CI 1.11-1.54; women 1.42, 95% CI 1.25-1.62,) and in Catalonia (PR in men 1.41, 95% CI 1.26-1.62; PR in women 1.25, 95% CI 1.16-1.35). PRs were reduced but remained significant after adjustment for social class and educational attainment and stratification by manual or non-manual social class. Conclusions: In both communities there are health inequalities that are detrimental to the immigrant population from the rest of Spain, which constitutes approximately half of the population in the studied age cohorts. Future studies should explore the persistence of these inequalities in other health indicators and their reproduction in second generations, and identify entry points for preventive policies. © 2011 SESPAS.
Filiaciones:
Martín U.:
Departamento de Sociología 2, Universidad del País Vasco (UPV/EHU), Leioa, Bizkaia, Spain
Programa de Doctorado de Salud Pública e Investigación Biomédica, Universidad Autónoma de Barcelona, Barcelona, Spain
Malmusi D.:
Agència de Salut Pública de Barcelona, Barcelona, Spain
Unidad Docente de Medicina Preventiva y Salud Pública IMAS-UPF-ASPB, Barcelona, Spain
Bacigalupe A.:
Departamento de Sociología 2, Universidad del País Vasco (UPV/EHU), Leioa, Bizkaia, Spain
Programa de Doctorado de Salud Pública e Investigación Biomédica, Universidad Autónoma de Barcelona, Barcelona, Spain
Servicio de Estudios e Investigación Sanitaria, Departamento de Sanidad y Consumo, Gobierno Vasco, Vitoria-Gasteiz, álava, Spain
Esnaola S.:
Servicio de Estudios e Investigación Sanitaria, Departamento de Sanidad y Consumo, Gobierno Vasco, Vitoria-Gasteiz, álava, Spain
Gold, All Open Access; Gold
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