title: The relationship between social support and self-reported health status in immigrants: an adjusted analysis in the Madrid Cross Sectional Study.
abstract: BACKGROUND
  Social support is an important factor in the adaptation process of immigrants, helping for their integration in a new environment. The lack of social support may influence on well-being and health status. The aim of this study is to describe the social support of immigrant and native population and study the possible association between immigration and lack social support after adjusting for sociodemographic factors, income, stress and self-reported health status.
  
  
  METHODS
  Cross-sectional population based study of immigrants and national patients without mental disorders of 15 urban primary health centers in the north-eastern area of Madrid. Participants provided information on social support, stress level, perceived health status and socio-economic characteristics. Descriptive and multiple logistic regression were conducted.
  
  
  RESULTS
  The proportion of the global perception of social support among immigrants and natives was 79.2% and 94.2%, respectively. The lack of global social support adjusted prevalence ratio (PR) of immigrant was 2.72 (95% Confidence Interval=1.81-4.09), showing a significant association with being male (PR=2.26), having monthly income below 500 euros (PR=3.81) and suffering stress (PR=1.94). For the dimensions of lack of social support the higher association was being an immigrant and suffering stress.
  
  
  CONCLUSIONS
  We conclude that with regardless of the level of monthly income, stress level, self-reported health status, and gender, immigrant status is directly associated with lack social support. The variable most strongly associated with lack social support has been monthly income below 500 euros.
authors.affiliation: Fundación de Investigación Biomédica, Hospital Carlos III, and Departamento de Medicina Preventiva, Universidad Rey Juan Carlos, (Avda. de Atenas, s/n.), Alcorcón, C/Sinesio Delgado, 10, Madrid (28029), Spain. miguel.salinero@salud.madrid.org
authors.forename: Miguel Á
authors.initials: MÁ
authors.lastname: Salinero-Fort
authors.forename: Laura
authors.initials: L
authors.lastname: del Otero-Sanz
authors.forename: Carmen
authors.initials: C
authors.lastname: Martín-Madrazo
authors.forename: Carmen
authors.initials: C
authors.lastname: de Burgos-Lunar
authors.forename: Rosa M
authors.initials: RM
authors.lastname: Chico-Moraleja
authors.forename: Berta
authors.initials: B
authors.lastname: Rodés-Soldevila
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Jiménez-García
authors.forename: Paloma
authors.initials: P
authors.lastname: Gómez-Campelo
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants; D005260:Female; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D057566:Self Report; D012944:Social Support; D012959:Socioeconomic Factors; D013030:Spain; D014505:Urban Population