title: The Impact of Education and Socioeconomic and Occupational Conditions on Self-Perceived and Mental Health Inequalities Among Immigrants and Native Workers in Spain.
abstract: There is limited evidence on the influence of social determinants on the self-perceived and mental health of immigrants settled at least 8 years in Spain. The aim of this study was to examine differences between workers related to migrant-status, self-perceived and mental health, and to assess their relationship to occupational conditions, educational level and occupational social class, stratified by sex. Using data from the Spanish National Health Survey of 2011/12, we computed prevalence, odds ratios and explicative fractions. Mental (OR 2.02; CI 1.39-2.93) and self-perceived health (OR 2.64; CI 1.77-3.93) were poorer for immigrant women compared to natives. Occupational social class variable contributes 25% to self-perceived health OR in immigrant women. Settled immigrant women workers are a vulnerable group in Spain.
authors.affiliation: CISAL, Research Centre in Occupational Health, Parc Recerca Biomedica de Barcelona, Barcelona, Spain. acayuelam@gmail.com.|Public Health Area, Alicante University, Alicante, Spain. acayuelam@gmail.com.
authors.forename: Ana
authors.identifier: http://orcid.org/0000-0001-9515-5213
authors.initials: A
authors.lastname: Cayuela
authors.affiliation: Centre for Biomedical Network Research on Epidemiology and Public Health (CIBERESP), Barcelona, Spain. dmalmusi@aspb.cat.|Agència de Salut Pública de Barcelona, Biomedical Research Institute Sant Pau, Barcelona, Spain. dmalmusi@aspb.cat.|Unitat Docent de Medicina Preventiva i Salut Pública PSMAR-UPF-ASPB, Barcelona, Spain. dmalmusi@aspb.cat.
authors.forename: Davide
authors.initials: D
authors.lastname: Malmusi
authors.affiliation: CISAL, Research Centre in Occupational Health, Parc Recerca Biomedica de Barcelona, Barcelona, Spain. mlojacob@gmail.com.
authors.forename: María José
authors.initials: MJ
authors.lastname: López-Jacob
authors.affiliation: Centre for Biomedical Network Research on Epidemiology and Public Health (CIBERESP), Barcelona, Spain. mgotsens@aspb.cay.
authors.forename: Mercè
authors.initials: M
authors.lastname: Gotsens
authors.affiliation: CISAL, Research Centre in Occupational Health, Parc Recerca Biomedica de Barcelona, Barcelona, Spain. elena.ronda@ua.es.|Public Health Area, Alicante University, Alicante, Spain. elena.ronda@ua.es.|Centre for Biomedical Network Research on Epidemiology and Public Health (CIBERESP), Barcelona, Spain. elena.ronda@ua.es.
authors.forename: Elena
authors.initials: E
authors.lastname: Ronda
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000523:psychology*; D004777:Environment; D054624:Health Status Disparities; D006801:Humans; D007588:Job Satisfaction; D008603:Mental Health / Q000208:ethnology*; D008875:Middle Aged; D016272:Occupational Health; D009790:Occupations; D010465:Perception; D015995:Prevalence; D012737:Sex Factors; D064890:Social Determinants of Health / Q000208:ethnology; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D017132:Workplace / Q000523:psychology*
keywords: Health inequalities; Immigrants; Occupational health; Workers