scholarly journals Self-rated health among undocumented and newly regularized migrants in Geneva: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julien Fakhoury ◽  
Claudine Burton-Jeangros ◽  
Idris Guessous ◽  
Liala Consoli ◽  
Aline Duvoisin ◽  
...  

Abstract Background In Europe, knowledge about the social determinants of health among undocumented migrants is scarce. The canton of Geneva, Switzerland, implemented in 2017–2018 a pilot public policy aiming at regularizing undocumented migrants. We sought to test for associations between self-rated health, proven eligibility for residence status regularization and social and economic integration. Methods This paper reports data from the first wave of the Parchemins Study, a prospective study whose aim is to investigate the effect of residence status regularization on undocumented migrants’ living conditions and health. The convenience sample included undocumented migrants living in Geneva for at least 3 years. We categorized them into those who were in the process of receiving or had just been granted a residence permit (eligible or newly regularized) and those who had not applied or were ineligible for regularization (undocumented). We conducted multivariate regression analyses to determine factors associated with better self-rated health, i.e., with excellent/very good vs. good/fair/poor self-rated health. Among these factors, measures of integration, social support and economic resources were included. Results Of the 437 participants, 202 (46%) belonged to the eligible or newly regularized group. This group reported better health more frequently than the undocumented group (44.6% versus 28.9%, p-value < .001), but the association was no longer significant after adjustment for social support and economic factors (odds ratio (OR): 1.12; 95% confidence interval (CI): 0.67–1.87). Overall, better health was associated with larger social networks (OR: 1.66; 95% CI: 1.04–2.64). This association remained significant even after adjusting for health-related variables. Conclusion At the onset of the regularization program, access to regularization was not associated with better self-rated health. Policies aiming at favouring undocumented migrants’ inclusion and engagement in social networks may promote better health. Future research should investigate long-term effects of residence status regularization on self-rated health.

2017 ◽  
Vol 46 (6) ◽  
pp. 606-612
Author(s):  
Lena Nordgren ◽  
Anne Söderlund

Aims: The aim of this study was to investigate social support in relation to self-rated health and the prevalence of low mood in people on sick leave due to heart failure. Methods: A cross-sectional design was used, and 590 individuals on sick leave due to heart failure in Sweden responded to the postal questionnaire. The questions therein concerned received and needed functional and structural support from managers, work colleagues, families and friends. Multivariate analyses were conducted. Results: The variables of income and needed support from family contributed significantly and negatively to self-rated health. Those who perceived that they needed more support from their manager reported experiencing low mood more frequently. Conclusions: The results showed a negative relation between manager support and low mood. Thus, support from managers and perceptions of low mood during sick leave are negatively associated, however, we do not know anything about the causality of this association. The results also indicated that needed support from family was negatively associated with self-rated health. The results also highlighted a multidimensional frailty in people with heart failure that needs to be recognized in future research as well as in clinical practice.


2020 ◽  
Vol 3 (3) ◽  
pp. 429-441
Author(s):  
Rana Muhammad Shahid Yaqub ◽  
Bilal Javaid Gondal

Job satisfaction has gathered a lot of attention and focus throughout the world from scholars as well as researchers. This study aims to investigate and analyze the relationships among perceived social support, rewards, and job satisfaction. Additionally, the moderating effect of school climate will be investigated between the relationships of perceived social support and rewards with job satisfaction, respectively. Data were collected from 200 teachers working in government schools of Bahawalpur District using self-administered questionnaires. This research is a quantitative and cross-sectional study and it has adopted a convenience sampling technique. Statistical Package for Social Sciences and Partial Least Squares-Structured Equation Modelling are the tools that have been used for data analysis to test the hypotheses. The results and findings of this study, indicate that a positive and significant relationship exists between perceived social support and job satisfaction. Also, the relationship between rewards and job satisfaction is positive and significant. However, no moderation of school climate is observed in both relationships of perceived social support and rewards with job satisfaction. This study provides implications i.e. theoretical and practical with the addition of limitations of the study. Lastly,  future research directions are given as well.


Author(s):  
M. Pilar Matud ◽  
M. Concepción García ◽  
Demelza Fortes

Background: Gender and social support are important social determinants of health, but the relevance of such variables in older people’s health has raised less scholarly attention than in younger age groups. This study examines the relevance of gender and social support in the self-rated health and life satisfaction of elderly Spanish people. A cross-sectional study with a sample of 702 men and 754 women aged between 60 and 94 years was conducted. All participants were evaluated through questionnaires that assess gender role traits, social support, and life satisfaction. Results: Men scored higher than women in masculine/instrumental trait and in life satisfaction whereas women scored higher than men in feminine/expressive trait. Results from multiple regression analyses indicated that women and men presenting higher social support had better self-rated health and higher life satisfaction. High scores in masculine/instrumental trait also proved to be an important predictor of men’s and women’s high life satisfaction and of women’s better self-rated health, whereas the high feminine/expressive trait predicted better self-rated health in the men group. A high educational level was associated in the women’s group with better self-rated health and higher life satisfaction. Conclusions: We conclude that gender and social support are important social determinants of health among older people.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Fakhoury ◽  
A Duvoisin ◽  
Y L Jackson ◽  
C Burton-Jeangros ◽  
L Consoli ◽  
...  

Abstract Background Little is known about the social determinants of undocumented migrants' health. The canton of Geneva, which hosts 10-15'000 undocumented migrants, implemented a selective regularization policy in 2017-2018. We sought to assess whether the regularization of the residence status was associated with self-rated health. Methods Analyses were based on the first-wave data of the Parchemins Project, a prospective multidisciplinary study evaluating the impact of regularization on undocumented migrants' health and wellbeing. We included 444 undocumented or recently (&lt;3 months) regularized migrants living in Geneva for at least 3 years recruited in the community and healthcare settings. We used multivariate logistic regression to estimate odds of excellent or very good versus good, fair or bad self-rated health. Explanatory variables included measures of integration, financial situation and social support. Models were adjusted for health variables. Results Of the 444 undocumented migrants included, 204 (46%) had recently obtained a residence permit. These regularized migrants reported excellent or very good health more frequently than those undocumented (44.6% vs. 29.2% respectively, p-value &lt; 0.01). However, this difference was not explained by the residence permit (OR = 1.14 [0.70, 1.85]), but rather by the ability to overcome financial hardships (OR = 1.66 [1.02, 2.71]) and better social support (OR = 1.67 [1.07, 2.62]). Adjustment for health variables did not alter these associations. Conclusions Policies aiming at promoting better health among undocumented migrants should include measures strengthening financial security and social resources. Further evidence is needed to assess the impact of residence status regularization on self-rated health in the longer term. Key messages Studies assessing the impact of the regularization of the legal status on health are generally scarce and evidence in the European context is lacking. This study contributes to fill these gaps. The relationships between the regularization of the residence status, socioeconomic conditions and social participation are of central interest to better understand undocumented migrants’ health.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e023878
Author(s):  
Fang-Fang Zhao ◽  
Riitta Suhonen ◽  
Jouko Katajisto ◽  
Minna Stolt ◽  
Helena Leino-Kilpi

ObjectivesThe study aimed to examine the diabetes-related self-care activities (DRSCA) in association with positive health consisting of resilience, subjective well-being (SWB) and disease-related quality of life (DRQoL), and the associations of background information with resilience, SWB and DRQoL.DesignA cross-sectional study.MethodsA convenience sample of people with type 2 diabetes (T2DM) was recruited from two tertiary hospitals in eastern China. Self-reported survey data included DRSCA, resilience, SWB, DRQoL, and background information comprising demographics and social support. Data were analysed using hierarchical multiple regression analyses.ResultsTwo hundred and forty-six valid questionnaires were analysed. Among the components of positive health, hierarchical multiple regression analysis showed that DRSCA were significantly associated with improved SWB (β=0.140, p=0.020), but not with resilience and DRQoL after adjusting for background information. Participants with higher level of education had higher resilience and men had higher SWB than women. Social support (β=0.186, p=0.003) in Model 1 and resilience (β=0.298, p<0.001) in Model 2 were positively associated with SWB.ConclusionsThis study indicated an association between DRSCA and one component of positive health, namely SWB. This finding could help motivate patients to perform DRSCA and to improve SWB in people with T2DM. In addition, the fact that demographics, for example, gender, were associated with SWB and education was associated with resilience also needs to be accommodated when aiming to improve SWB and build resilience.Trial registration numberNCT02594748


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jihyun Lee ◽  
Yui Park ◽  
Dong-Hun Han ◽  
Ji Won Yoo ◽  
Wenlian Zhou ◽  
...  

Abstract Background The number of North Korean defectors (NKDs) escaping to South Korea has increased. The health status of NKDs is an essential factor for a successful settlement into South Korean society. However, no studies have been conducted on the health status of NKDs in terms of education and social support. The aim of this study was to determine the associations of education and social support with the self-rated health status among NKDs. Methods This study utilized data gained from face-to-face interviews with 126 NKDs. A multivariable logistic regression and path analysis were performed to assess the effects of education in South Korea and social support on their self-rated health status and to explore the complex relationships between direct and indirect effects of the variables. Results NKDs who did not experience regular education in South Korea responded that they were in poor health compared to their counterpart (OR = 5.78). Although a direct association between education in South Korea and self-rated health was not shown, there was an indirect path from education in South Korea to self-rated health through social support. Conclusions Participation in regular education in South Korea is important for the health status of NKDs. Moreover, social support has an important role in the association between education and self-rated health. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs.


2020 ◽  
Author(s):  
Jihyun Lee ◽  
Yui Park ◽  
Dong-Hun Han ◽  
Ji Won Yoo ◽  
Wenlian Zhou ◽  
...  

Abstract Background: The number of North Korean defectors (NKDs) escaping to South Korea has increased. The health status of NKDs is an essential factor for a successful settlement into South Korean society. However, no studies have been conducted on the health status of NKDs in terms of education and social support. The aim of this study was to determine the effects of education and social support on the self-rated health status among NKDs.Methods: This study utilized data gained from face-to-face interviews with 126 NKDs. A multivariable logistic regression and path analysis were performed to assess the effects of education in South Korea and social support with their self-rated health status and to explore the complex relationships between direct and indirect effects of the variables.Results: NKDs who did not experience regular education in South Korea responded that they were in poor health compared to their counterpart (OR=5.78). Although a direct association between education in South Korea and self-rated health was not shown, there was an indirect path from education in South Korea to self-rated health through social support. Conclusions: Participation in regular education is important for the health status of NKDs. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs.


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