Health selection on self-rated health and the healthy migrant effect: Baseline and 1-year results from the health of Philippine Emigrants Study

Details

• Alternative Title:
  PLOS Glob Public Health
• Personal Author:
  Bacong, Adrian Matias ; Hing, Anna K. ; Morey, Brittany ; Crespi, Catherine M. ; Kabamalan, Maria Midea ; Lee, Nanette R. ; Wang, May C. ; de Castro, A. B. ; Gee, Gilbert C.
• Description:
  Studies of migration and health focus on a "healthy migrant effect" whereby migrants are healthier than individuals not migrating. Health selection remains the popular explanation of this phenomenon. However, studies are mixed on whether selection occurs and typically examine migrants post-departure. This study used a novel pre-migration dataset to identify which health and social domains differ between migrants and their non-migrant counterparts and their contribution to explaining variance in self-rated health by migrant status at pre-migration and 1-year later. Data were used from the baseline and 1-year follow-up of the Health of Philippine Emigrants Study (HoPES). We used multivariable ordinary least squares regression to examine differences in self-rated health between migrants to the U.S. and a comparable group of non-migrants at baseline (premigration) and one year later, accounting for seven domains: physical health, mental health, health behavior, demographics, socioeconomic factors and healthcare utilization, psychosocial factors, and social desirability. A migrant advantage was present for self-rated health at baseline and 1-year. Accounting for all domains, migrants reported better self-rated health compared to non-migrants both at baseline (β = 0.32; 95% CI = 0.22, 0.43) and at 1-year (β = 0.28; 95% CI = 0.10, 0.46). Migrant status, health behavior, and mental health accounted for most of the variance in self-rated health both at baseline and 1-year follow-up. This analysis provides evidence of migrant health selection and nuanced understanding to what is being captured by self-rated health in studies of migrant health that should be considered in future research.
• Keywords:
  Buprenorphine Methadone Mortality Naltrexone Treatment
• Source:
  PLOS Glob Public Health. 2(7)
• Pubmed ID:
  36082314
• Pubmed Central ID:
  PMC9450558
• Document Type:
  Journal Article
• Funding:
  T42 OH008433/OH/NIOSH CDC HHSUnited States/ ; R01 MD012755/MD/NIMHD NIH HHSUnited States/ ; P2C HD042828/HD/NICHD NIH HHSUnited States/ ; R01 HD083574/HD/NICHD NIH HHSUnited States/ ; P30 CA016042/CA/NCI NIH HHSUnited States/ ; R21 CA137297/CA/NCI NIH HHSUnited States/ ; F31 MD015931/MD/NIMHD NIH HHSUnited States/ ; P2C HD041022/HD/NICHD NIH HHSUnited States/
• Volume:
  2
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:5248ee30c9586bf20809da18b25542d15ee40672afe85cd7ff869eeec035ca07cc9b1b1e71d59584d1bb1b035cb907b5c3e33d41d21cdd9a63916bf496c3ec24
• Download URL:
  https://stacks.cdc.gov/view/cdc/124316/cdc_124316_DS1.pdf
• File Type:
  [PDF - 459.26 KB ]