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Healthy Immigrant Effect: Trayectoria de salud de la población inmigrante a partir de la ENSE 2011-2012/Healthy Immigrant Effect: An Empirical Approach to the Health Trajectory of Immigrant Population Based on the 2011-2012 ENSE



    () (Universidad de A Coruña, Facultad de Economía y Empresa, Campus de Elviña, s/n, 15071 A Coruña, España.)


    () (Universidad de A Coruña, E.U. de Relaciones Laborales, C/ Leopoldo Alas “Clarín”,2, 15008 A Coruña, España.)


    () (Universidad de A Coruña, Facultad de Economía y Empresa, Campus de Elviña, s/n, 15071 A Coruña, España.)


El objetivo principal de este artículo es estudiar la dinámica de salud de la población inmigrante en España y aportar evidencia empírica que demuestre la existencia del Healthy Immigrant Effect. Se utilizan datos de la Encuesta Nacional de Salud de España 2011-2012 y se estiman diferentes modelos probabilísticos, tomando como variables de resultado indicadores de salud autopercibida, presencia de trastornos crónicos y limitacio¬nes de actividad. Los resultados obtenidos indican que la población inmigrante presenta un mejor estado de salud que la nacional. Se obtiene también evidencia a favor del Healthy Immigrant Effect, dado que el estado de salud tiende a empeorar con el tiempo de residencia en el país, convergiendo hacia los niveles de salud de la población nacional. Desde el punto de vista de los sistemas sanitarios, el estudio de las diferencias en salud en la población extranjera, y su evolución temporal, se muestra relevante para garantizar el acceso de la pobla¬ción inmigrante a los diferentes servicios de salud y atender a unas necesidades que varían con el tiempo transcurrido desde que se produce la migración. The main aim of this article is to study the health dynamics of the immigrant population in Spain and provide empiri¬cal evidence which proves the existence of the Healthy Immigrant Effect. Data from the 2011-2012 Spanish National Health Survey is used to estimate different probabilistic models, taking as outcome variables the self-assessed health status, the presence of chronic conditions and limitations in main activity. Our results show that the immigrant population has a better level of health than their Spanish counterparts. Evidence in favour of the Healthy Immigrant Effect is also found, since the health status tends to decline with length of time since immigration and to converge to native-born levels. From the point of view of health systems, the analysis of immi¬grant health differences and its trends is essential to meet the healthcare needs. It must be pointed that these necessi¬ties tend to vary with time since migration. Consequently, immigrants’ access to different health services should be guaranteed.

Suggested Citation

  • Rivera, Berta & Casal, Bruno & Currais, Luis, 2013. "Healthy Immigrant Effect: Trayectoria de salud de la población inmigrante a partir de la ENSE 2011-2012/Healthy Immigrant Effect: An Empirical Approach to the Health Trajectory of Immigrant Population," Estudios de Economía Aplicada, Estudios de Economía Aplicada, vol. 31, pages 339-358, Septiembr.
  • Handle: RePEc:lrk:eeaart:31_2_10

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    References listed on IDEAS

    1. Dunn, James R. & Dyck, Isabel, 2000. "Social determinants of health in Canada's immigrant population: results from the National Population Health Survey," Social Science & Medicine, Elsevier, vol. 51(11), pages 1573-1593, December.
    2. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics,in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408 Elsevier.
    3. Peter Adams & Michael D. Hurd & Daniel L. McFadden & Angela Merrill & Tiago Ribeiro, 2004. "Healthy, Wealthy, and Wise? Tests for Direct Causal Paths between Health and Socioeconomic Status," NBER Chapters,in: Perspectives on the Economics of Aging, pages 415-526 National Bureau of Economic Research, Inc.
    4. McDonald, James Ted & Kennedy, Steven, 2004. "Insights into the 'healthy immigrant effect': health status and health service use of immigrants to Canada," Social Science & Medicine, Elsevier, vol. 59(8), pages 1613-1627, October.
    5. Hamilton, Tod G. & Hummer, Robert A., 2011. "Immigration and the health of U.S. black adults: Does country of origin matter?," Social Science & Medicine, Elsevier, vol. 73(10), pages 1551-1560.
    6. Bruce Newbold, K. & Danforth, Jeff, 2003. "Health status and Canada's immigrant population," Social Science & Medicine, Elsevier, vol. 57(10), pages 1981-1995, November.
    7. Nicholas Biddle & Steven Kennedy & James Ted Mcdonald, 2007. "Health Assimilation Patterns Amongst Australian Immigrants," The Economic Record, The Economic Society of Australia, vol. 83(260), pages 16-30, March.
    8. Steven Kennedy & James Ted McDonald & Nicholas Biddle, 2006. "The Healthy Immigrant Effect and Immigrant Selection: Evidence from Four Countries," Social and Economic Dimensions of an Aging Population Research Papers 164, McMaster University.
    9. Guillermina Jasso & Douglas S. Massey & Mark R. Rosenzweig & James P. Smith, 2004. "Immigrant Health--Selectivity and Acculturation," Labor and Demography 0412002, EconWPA.
    10. Mireille Laroche, 2000. "Health Status and Health Services Utilization of Canada's Immigrant and Non-Immigrant Populations," Canadian Public Policy, University of Toronto Press, vol. 26(1), pages 51-75, March.
    11. Nolan, Anne, 2012. "The ‘healthy immigrant’ effect: initial evidence for Ireland," Health Economics, Policy and Law, Cambridge University Press, vol. 7(03), pages 343-362, July.
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    More about this item


    Healthy Immigrant Effect; estado de salud; inmigrante; años de inmigración ; Healthy Immigrant Effect; Health Status; Immigrant; Years Since Immigration.;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General
    • J61 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Geographic Labor Mobility; Immigrant Workers


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