Immigration as a Social Determinant of Health


Book Description

Since 1965 the foreign-born population of the United States has swelled from 9.6 million or 5 percent of the population to 45 million or 14 percent in 2015. Today, about one-quarter of the U.S. population consists of immigrants or the children of immigrants. Given the sizable representation of immigrants in the U.S. population, their health is a major influence on the health of the population as a whole. On average, immigrants are healthier than native-born Americans. Yet, immigrants also are subject to the systematic marginalization and discrimination that often lead to the creation of health disparities. To explore the link between immigration and health disparities, the Roundtable on the Promotion of Health Equity held a workshop in Oakland, California, on November 28, 2017. This summary of that workshop highlights the presentations and discussions of the workshop.




Migration and Inequality


Book Description

The ‘migration-development’ nexus has emerged as an important area of both research and policy over the last ten years. However, most of the interest has focused on the potential that migration holds for poverty alleviation. Relatively little attention has been paid to the relationship between migration and inequality, particularly on inequality as a consequence of migration. This is unfortunate, given that inequality is emerging as an important area of inquiry within development studies. This edited collection explores the relationship between migration and inequality in Africa, Asia and Latin America by taking into account economic and social inequalities. While the focus on inequality as opposed to poverty is in itself original, the book offers additional points of interest. First, it combines chapters on internal and international migration, thereby challenging the current focus in the migration literature that focuses almost exclusively on cross-border migration. Internal migration greatly outnumbers cross-border moves. Yet policy-makers as well as most studies focus on cross-border international migration. We are only just beginning to unravel the relationship between internal and cross-border migration. Second, the theme of inequality complements the existing focus in the migration-development nexus on issues of poverty. Third, the chapters focus on both economic and social inequalities, often combining an analysis of different types of inequalities. The book also covers governance and migrants’ rights; gender and intersectionality; and health. The chapters in this edited volume make an original contribution to debates on the migration-development nexus as well as the literature on inequality, which often tends to focus on economic measurements of inequality at the expense of including a thorough analysis of social inequality.




Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




Migration and Mental Health


Book Description

Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.




Language, Migration and Social Inequalities


Book Description

Migration and the mobility of citizens around the globe pose important challenges to the linguistic and cultural homogeneity that nation-states rely on for defining their physical boundaries and identity, as well as the rights and obligations of their citizens. A new social order resulting from neoliberal economic practices, globalisation and outsourcing also challenges traditional ways the nation-state has organized its control over the people who have typically travelled to a new country looking for work or better life chances. This collection provides an account of the ways language addresses core questions concerning power and the place of migrants in various institutional and workplace settings. It brings together contributions from a range of geographical settings to understand better how linguistic inequality is (re)produced in this new economic order.




Health for Everyone?


Book Description

Good health is a key component of people's well-being. It is a value in itself but - through its influence on social, education and labour market outcomes - being in good or bad health has also wider implications on people's chances of leading a fulfilling and productive life. Yet, even in the OECD countries, health inequality persists with severe consequences on the goal of promoting inclusive growth. This report documents a comprehensive range of inequalities in health and health systems to the detriment of disadvantaged population groups in a large set of OECD and EU countries. It assesses the gaps in health outcomes and risk factors between different socio-economic groups. When it comes to health systems, the report measures inequalities in health care utilisation, unmet needs and the affordability of health care services. For each of these different domains, the report identifies groups of countries that display higher, intermediate, and low levels of inequality. The report makes a strong case for addressing health-related inequalities as a key component of a policy strategy to promote inclusive growth and reduce social inequalities. It also provides a framework for more in-depth analyses on how to address these inequalities at country level.




Migration and Poverty


Book Description

This volume uses recent research from the World Bank to document and analyze the bidirectional relationship between poverty and migration in developing countries. The case studies chapters compiled in this book (from Tanzania, Nepal, Albania and Nicaragua), as well as the last, policy-oriented chapter illustrate the diversity of migration experience and tackle the complicated nexus between migration and poverty reduction. Two main messages emerge: Although evidence indicates that migration reduces poverty, it also shows that migration opportunities of the poor differ from that of the rest. In general, the evidence suggests that the poor either migrate less or migrate to low return destinations. As a consequence, many developing countries are not maximizing the poverty-reducing potential of migration. The main reason behind this outcome is difficulties in access to remunerative migration opportunities and the high costs associated with migrating. It is shown, for example, that reducing migration costs makes migration more pro-poor. The volume shows that developing countries governments are not without means to improve this situation. Several of the country examples offer a few policy recommendations towards this end.




Irregular Migrants and the Right to Health


Book Description

In our globalised world, where inequality is deepening and migration movements are increasing, states continue to maintain strong regulatory control over immigration, health and social policies. Arguments based on state sovereignty can be employed to differentiate irregular migrants from other groups and reduce their right to physical and mental health to the provision of emergency medical care, even where resources are available. Drawing on the enabling and constraining factors of human rights law and public health, this book explores the scope and limits of the right to health of migrants in irregular situations, in international and European human rights law. Addressing these peoples' health solely with an exceptional medical paradigm is inconsistent with the special attention granted to people in vulnerable situations and non-discrimination in human rights, the emerging rights-based approach to disability, the social priorities of public health and the interdependence of human rights.




Migration, Ethnicity, Race, and Health in Multicultural Societies


Book Description

This book discusses the concepts of migration, race, and ethnicity and demonstrates how these can be applied in scientific research, policy making, health service planning, and health promotion. Extensive examples are used to demonstrate the application of the theory.




Does Inequality Matter? How People Perceive Economic Disparities and Social Mobility


Book Description

The recovery after the COVID-19 crisis requires policies and reforms that tackle inequalities and promote equal opportunities. However, the implementation of such reforms requires widespread support from the public. To better understand what factors drive public support, this report provides a detailed cross-country analysis of people’s perceptions of and concern over inequality.