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Adolescent Health Inequality Across Immigrant Generations
Miriam Evensen1, Sara Cools1, Are Skeie Hermansen2
1Institute for Social Research, Oslo, Norway.
Summary
Adolescents with immigrant parents show better health outcomes, with fewer somatic and mental health diagnoses compared to native adolescents. This immigrant health advantage persists across generations and diagnoses.
Area of Science:
- Public Health
- Sociology
- Epidemiology
Background:
- The immigrant health paradox, suggesting better health in immigrants than natives, is debated for children and youth.
- Existing evidence often relies on less robust self-reported survey data.
Purpose of the Study:
- To investigate health inequalities in adolescents using population-wide administrative data.
- To examine the immigrant health paradox across immigrant generations, countries of origin, and diagnostic types.
Main Methods:
- Registry-based study analyzing Norwegian demographic and health records.
- Logistic regression used to estimate differences in somatic and mental disorder likelihood.
- Adolescents aged 16-20 years (N=616,835) included in the analysis.
Main Results:
- Adolescents with foreign-born parents had fewer consultations for somatic and psychiatric diagnoses than natives.
- Native-born children of immigrants showed better health outcomes compared to natives.
- Differences were most pronounced for mental health disorders and persisted across immigrant generations.
Conclusions:
- Findings support an immigrant health advantage in adolescents across various diagnoses and generations.
- Further research should explore underlying mechanisms and potential healthcare quality inequities.
- The study highlights the need for nuanced understanding of immigrant health beyond self-reporting.
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