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Sandra FLORIAN (INSERM) – “Parental migrant status and health inequalities at birth in France: Assessing immigrant selectivity”

May 18, 2022 @ 10:00 am - 11:00 pm

Sociology Seminar: Wenesday

Time: 10:00-11am
Date: 18th of May 2022
Place: 3060

Sandra FLORIAN (INSERM) – “Parental migrant status and health inequalities at birth in France: Assessing immigrant selectivity”

Abstract : Immigrants tend to exhibit better health than natives despite immigrants’ more disadvantaged socioeconomic status, a phenomenon known as the immigrant health paradox. This paradox has often been attributed to immigrants’ pre-migration selectivity. However, most empirical studies investigating the role of selectivity have focused on adult health; less attention has been paid to children’s birth outcomes outside the U.S. context. Using data from the Étude Longitudinale Française depuis l’Enfance (ELFE), a nationally representative sample of over 18000 births in France in 2011, we investigate the role of immigrant parents’ educational selectivity in shaping health inequality in four birth outcomes: birthweight, low birthweight, prematurity, and being born small for gestational age. Results from linear and logistic regressions confirm a health advantage for children of immigrants in France compared to natives despite lower parental socioeconomic status, mainly among children of Middle Eastern and North African parents. Immigrant parents’ positive pre-migration educational selectivity explains most of this health advantage, predominantly among second generation children, that is, with two immigrant parents. Further, mediation analyses indicate that between 30% to 59% of the effect of educational selectivity is partially mediated by parental health behaviors, particularly smoking during pregnancy. Our analyses suggest that selectivity improves birth outcomes only for children of recent arrivals, with less than five years of residence in France. We found that the beneficial effect of selectivity declines with length of residence, suggesting that a process of “unhealthy assimilation,” coupled with the cumulative exposure to health risks and disadvantaged living conditions, may lead to the erosion of the protective effect of immigrant selectivity.


Organizers :
Sofian EL ATIFI, Etienne OLLION, Patrick PRÄG (Pôle de Sociologie du CREST)
Sponsors :