title: Revisiting the Healthy Migrant Paradox in Perinatal Health Outcomes Through a Scoping Review in a Recent Host Country.
abstract: Ample evidence shows that, in many developed countries, immigrants have similar or better perinatal health outcomes than natives despite facing socioeconomic disadvantages in the host country ("healthy migrant paradox" -HMP). This scoping review aims to: (1) summarize the literature on perinatal health among immigrants and natives in Spain and (2) examine whether there is evidence of the HMP in a context of recent migration. A total of 25 articles published between 1998 and 2014 were reviewed. Overall, we found evidence of the HMP in low birthweight and to a lesser extent in preterm, though the patterns vary by origin, but not in macrosomia and post-term. The results are consistent across settings, levels of adjustment, and birth year. Policies should be oriented towards identifying the modifiable risk factors leading to a higher risk of macrosomia and post-term among immigrants.
authors.affiliation: Centre for Health Equity Studies, Stockholm University/Karolinska Institute, 106 91, Stockholm, Sweden. Sol.juarez@chess.su.se.|Division of Occupational and Environmental Medicine, University of Lund, Lund, Sweden. Sol.juarez@chess.su.se.
authors.forename: Sol P
authors.initials: SP
authors.lastname: Juárez
authors.affiliation: Department of Health Promotion and Development, University of Bergen, Bergen, Norway.|Public Health Research Group, University of Alicante, San Vicente del Raspeig, Spain.
authors.forename: Gaby
authors.initials: G
authors.lastname: Ortiz-Barreda
authors.affiliation: Public Health Research Group, University of Alicante, San Vicente del Raspeig, Spain.|Faculty of Dentristry, University of Antioquia, Medellin, Colombia.
authors.forename: Andrés A
authors.initials: AA
authors.lastname: Agudelo-Suárez
authors.affiliation: Public Health Research Group, University of Alicante, San Vicente del Raspeig, Spain.|CIBERESP Immigration and Health Subprogram, Madrid, Spain.|Centro de Investigación Biomédica en Red, CIBER, Barcelona, Spain.|Center for Research in Occupational Health (Cisal), Pompeu Fabra University, Barcelona, Spain.
authors.forename: Elena
authors.initials: E
authors.lastname: Ronda-Pérez
mesh_terms: D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D005320:Fetal Macrosomia / Q000208:ethnology; D006801:Humans; D000068104:Infant Health / Q000208:ethnology*; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000208:ethnology*; D047928:Premature Birth / Q000208:ethnology; D012307:Risk Factors; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology
keywords: Birthweight; Gestational age; Immigrants; Perinatal health; Spain