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Ethnic health inequalities in Europe. The moderating and amplifying role of healthcare system characteristics

Ethnic health inequalities in Europe. The moderating and amplifying role of healthcare system characteristics
Ethnic health inequalities in Europe. The moderating and amplifying role of healthcare system characteristics
Health inequalities between ethnic majority and ethnic minority members are prevalent in contemporary European societies. In this study we used theories on socioeconomic deprivation and intersectionality to derive expectations on how ethnic inequalities in health may be exacerbated or mitigated by national healthcare policies. To test our hypotheses we used data from six waves of the European Social Survey (2002–2012) on 172,491 individuals living in 24 countries. In line with previous research, our results showed that migrants report lower levels of health than natives. In general a country's healthcare expenditure appears to reduce socioeconomic differences in health, but at the same time induces health differences between recent migrants and natives. We also found that specific policies aimed at reducing socioeconomic inequalities in health appeared to work as intended, but as a side-effect amplified differences between natives and recent migrants in self-assessed health and well-being. Finally, our results indicated that policies specifically directed at the improvement of migrants' health, only affected well-being for migrants who have lived in the receiving country for more than 10 years.
0277-9536
43-51
Blom, Niels
86fa14cb-1402-453f-a01c-3c919925baae
Kraaykamp, Gerbert
b5f7aea6-c71f-449e-8818-a2d51c534819
Huijts, Tim
6be31ded-7e4d-4f0a-b240-7251d805d00e
Blom, Niels
86fa14cb-1402-453f-a01c-3c919925baae
Kraaykamp, Gerbert
b5f7aea6-c71f-449e-8818-a2d51c534819
Huijts, Tim
6be31ded-7e4d-4f0a-b240-7251d805d00e

Blom, Niels, Kraaykamp, Gerbert and Huijts, Tim (2016) Ethnic health inequalities in Europe. The moderating and amplifying role of healthcare system characteristics. Social Science & Medicine, 158, 43-51. (doi:10.1016/j.socscimed.2016.04.014).

Record type: Article

Abstract

Health inequalities between ethnic majority and ethnic minority members are prevalent in contemporary European societies. In this study we used theories on socioeconomic deprivation and intersectionality to derive expectations on how ethnic inequalities in health may be exacerbated or mitigated by national healthcare policies. To test our hypotheses we used data from six waves of the European Social Survey (2002–2012) on 172,491 individuals living in 24 countries. In line with previous research, our results showed that migrants report lower levels of health than natives. In general a country's healthcare expenditure appears to reduce socioeconomic differences in health, but at the same time induces health differences between recent migrants and natives. We also found that specific policies aimed at reducing socioeconomic inequalities in health appeared to work as intended, but as a side-effect amplified differences between natives and recent migrants in self-assessed health and well-being. Finally, our results indicated that policies specifically directed at the improvement of migrants' health, only affected well-being for migrants who have lived in the receiving country for more than 10 years.

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More information

Accepted/In Press date: 14 April 2016
e-pub ahead of print date: 16 April 2016
Published date: June 2016

Identifiers

Local EPrints ID: 426179
URI: https://eprints.soton.ac.uk/id/eprint/426179
ISSN: 0277-9536
PURE UUID: 50be516f-75c2-4f44-a0d2-992be175452c

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Date deposited: 16 Nov 2018 17:30
Last modified: 16 Nov 2018 17:30

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