Abstract
Mostly studied at the individual level, the analysis of immigrants’ health status at a populational level may provide a different perspective to investigate, including social determinants as part of the explanation of the relationship between them and health status in France. We analyzed freely accessible databases curated by French public bodies. The dependent variables were death rate and mean age at death. Immigrant rate and covariates associated with either of the outcomes were explored in univariate and multivariate models. Linear models were used to explain the mean age at death, whereas tobit models were used to explain the death rate. The immigrant rate varied markedly from one department to another, as did healthcare accessibility, population’s age profile, and economic covariates. Considering univariate models, almost all the studied covariates were significantly associated with comes. The immigrant rate was associated with a lower death rate and a lower age at death. In multivariate models, the immigrant rate was no longer associated with age at death but was still negatively associated with the death rate. In France, the departments with a higher proportion of immigrants were those with a lower death rate, possibly because immigrants are attracted to economically thriving areas.
Highlights
We considered the number of inhabitants [22], the mean age [22], the proportion of males, the proportion of the population receiving income support [24], the poverty rate, the share of households subject to income tax [23], the Gini index of economic inequality, and the immigrant rate
In the present study of the relationship between the immigrant rate and health status in France, we found that several variables differed markedly from one department to another: the immigrant rate, the proportion of income support beneficiaries, the poverty rate, the proportion of households liable for income tax, and the Gini index
As the French areas with the highest immigrant rates are those with lowest death rates, French policies should be adapted: specific policies may be needed toward immigrant population in territory that are not the one usually targeted by common programs
Summary
France’s immigrant population has almost doubled over the last 70 years with motivation evolving gradually from employment to geopolitical issues, partially due to the economic slowdown [1,2,3]. As their rate grew and motivations evolved, stakes changed, along with an increase in their unemployment rate. Both of these mutations contributed to deterioration of their health status and consider immigrants’ health as a major social and political issue [4,5,6,7,8]. Studied in many countries, including France [4,9,10,11,12,13,14,15], immigrants’
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