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Health-related quality of life of latin-american immigrants and spanish-born attended in spanish primary health care: socio-demographic and psychosocial factors.

Salinero-Fort MÁ, Gómez-Campelo P, Bragado-Alvárez C, Abánades-Herranz JC, Jiménez-García R, de Burgos-Lunar C, Health & Immigration Gro - PLoS ONE (2015)

Bottom Line: Both men and women with higher social support and income had significantly better mental health.Finally, for immigrants, the physical and mental health components of health-related quality of life were not found to be significantly associated with any of the pre-migration factors or conditions of migration.Only the variable "exposure to political violence" was significantly associated with the mental health component (p = 0.014).

View Article: PubMed Central - PubMed

Affiliation: Gerencia Adjunta de Planificación y Calidad, Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain; Group 27- Aging and fragility in the elderly, Hospital La Paz Institute for Health Research-IdiPAZ, Madrid, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Madrid, Spain.

ABSTRACT

Background: This study compares the health-related quality of life of Spanish-born and Latin American-born individuals settled in Spain. Socio-demographic and psychosocial factors associated with health-related quality of life are analyzed.

Methods: A cross-sectional Primary Health Care multi center-based study of Latin American-born (n = 691) and Spanish-born (n = 903) outpatients from 15 Primary Health Care Centers (Madrid, Spain). The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) was used to assess health-related quality of life. Socio-demographic, psychosocial, and specific migration data were also collected.

Results: Compared to Spanish-born participants, Latin American-born participants reported higher health-related quality of life in the physical functioning and vitality dimensions. Across the entire sample, Latin American-born participants, younger participants, men and those with high social support reported significantly higher levels of physical health. Men with higher social support and a higher income reported significantly higher mental health. When stratified by gender, data show that for men physical health was only positively associated with younger age. For women, in addition to age, social support and marital status were significantly related. Both men and women with higher social support and income had significantly better mental health. Finally, for immigrants, the physical and mental health components of health-related quality of life were not found to be significantly associated with any of the pre-migration factors or conditions of migration. Only the variable "exposure to political violence" was significantly associated with the mental health component (p = 0.014).

Conclusions: The key factors to understanding HRQoL among Latin American-born immigrants settled in Spain are age, sex and social support. Therefore, strategies to maintain optimal health outcomes in these immigrant communities should include public policies on social inclusion in the host society and focus on improving social support networks in order to foster and maintain the health and HRQoL of this group.

No MeSH data available.


Related in: MedlinePlus

Physical and Mental components of Health Related Quality of Life, stratified by length of residence in Spain.
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pone.0122318.g001: Physical and Mental components of Health Related Quality of Life, stratified by length of residence in Spain.

Mentions: Fig 1 shows the differences in PCS and MCS scores between the three groups (Latin-American born with <5 years of residence in Spain, Latin-American born with ≥ 5 years in Spain, and Spanish born) and Fig 2 shows the same data stratified by gender. There were no statistically significant differences between the three groups (Fig 1), however, Latin American-born men with five or more years of residence reported significantly higher PCS than women in this group (Fig 2). Furthermore, significant differences were noted in MCS when stratifying by gender and by length of residence in Spain. Finally, Spanish-born women reported significantly worse MCS than the three groups of men. Furthermore, Latin American-born women with five or more years of residence in Spain reported worse MCS than their male counterparts, independently of the length of residence in Spain.


Health-related quality of life of latin-american immigrants and spanish-born attended in spanish primary health care: socio-demographic and psychosocial factors.

Salinero-Fort MÁ, Gómez-Campelo P, Bragado-Alvárez C, Abánades-Herranz JC, Jiménez-García R, de Burgos-Lunar C, Health & Immigration Gro - PLoS ONE (2015)

Physical and Mental components of Health Related Quality of Life, stratified by length of residence in Spain.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4383449&req=5

pone.0122318.g001: Physical and Mental components of Health Related Quality of Life, stratified by length of residence in Spain.
Mentions: Fig 1 shows the differences in PCS and MCS scores between the three groups (Latin-American born with <5 years of residence in Spain, Latin-American born with ≥ 5 years in Spain, and Spanish born) and Fig 2 shows the same data stratified by gender. There were no statistically significant differences between the three groups (Fig 1), however, Latin American-born men with five or more years of residence reported significantly higher PCS than women in this group (Fig 2). Furthermore, significant differences were noted in MCS when stratifying by gender and by length of residence in Spain. Finally, Spanish-born women reported significantly worse MCS than the three groups of men. Furthermore, Latin American-born women with five or more years of residence in Spain reported worse MCS than their male counterparts, independently of the length of residence in Spain.

Bottom Line: Both men and women with higher social support and income had significantly better mental health.Finally, for immigrants, the physical and mental health components of health-related quality of life were not found to be significantly associated with any of the pre-migration factors or conditions of migration.Only the variable "exposure to political violence" was significantly associated with the mental health component (p = 0.014).

View Article: PubMed Central - PubMed

Affiliation: Gerencia Adjunta de Planificación y Calidad, Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain; Group 27- Aging and fragility in the elderly, Hospital La Paz Institute for Health Research-IdiPAZ, Madrid, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Madrid, Spain.

ABSTRACT

Background: This study compares the health-related quality of life of Spanish-born and Latin American-born individuals settled in Spain. Socio-demographic and psychosocial factors associated with health-related quality of life are analyzed.

Methods: A cross-sectional Primary Health Care multi center-based study of Latin American-born (n = 691) and Spanish-born (n = 903) outpatients from 15 Primary Health Care Centers (Madrid, Spain). The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) was used to assess health-related quality of life. Socio-demographic, psychosocial, and specific migration data were also collected.

Results: Compared to Spanish-born participants, Latin American-born participants reported higher health-related quality of life in the physical functioning and vitality dimensions. Across the entire sample, Latin American-born participants, younger participants, men and those with high social support reported significantly higher levels of physical health. Men with higher social support and a higher income reported significantly higher mental health. When stratified by gender, data show that for men physical health was only positively associated with younger age. For women, in addition to age, social support and marital status were significantly related. Both men and women with higher social support and income had significantly better mental health. Finally, for immigrants, the physical and mental health components of health-related quality of life were not found to be significantly associated with any of the pre-migration factors or conditions of migration. Only the variable "exposure to political violence" was significantly associated with the mental health component (p = 0.014).

Conclusions: The key factors to understanding HRQoL among Latin American-born immigrants settled in Spain are age, sex and social support. Therefore, strategies to maintain optimal health outcomes in these immigrant communities should include public policies on social inclusion in the host society and focus on improving social support networks in order to foster and maintain the health and HRQoL of this group.

No MeSH data available.


Related in: MedlinePlus