The impact of economic recession on the health of migrant fathers over time: results from the Growing up in Ireland longitudinal study.
Attrition
Cohort
Depression
Ethnicity
Health status
Migrant men
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
24 01 2022
24 01 2022
Historique:
received:
06
05
2021
accepted:
11
01
2022
entrez:
25
1
2022
pubmed:
26
1
2022
medline:
19
4
2022
Statut:
epublish
Résumé
The relationship between economic conditions and health can depend on both the health outcome measured and the composition of the population. Analysis of outcomes by both ethnicity and country of birth has been recommended. The aim of our study is to explore the impact of recession on self-rated health and depression of migrant fathers in Ireland over time, considering both ethnicity and country of birth. Longitudinal data from waves of a population-representative cohort study (Growing up in Ireland, 2008-2013) was used with Wave 1 collected before the recession and Wave 2 collecting information on how the recession affected families. Socio-demographic variables, self-rated health and depression were compared across three groups of fathers classified by self-identified ethnicity and country of birth: White Irish (n = 5628), Other White European (EU-10) (n = 431), and Black African (n = 192) using chi-square tests and logistic regression models. Rates of follow-up were compared across groups at Wave 3. Prior to the recession, the rate of employment was lowest for African fathers (51% vs 81% for EU-10 fathers and 92% for Irish fathers, p < 0.001). At Wave 2, African families were more likely to have experienced a very significant effect of the recession (40.1% compared to 22.4% for families from EU-10 and 21.3% for Irish families, p < 0.001). However, the impact of the recession on depression and self-rated health was only found in Irish fathers. By Wave 3, rates of follow-up were lower for migrant fathers, particularly for EU-10 fathers. Understanding the relationship between economic conditions and health is complex and may be related to multiple dimensions of socio-economic advantage and disadvantage. African families were already more likely to be disadvantaged prior to the recession and that pattern persisted during the recession. Further research on attrition rates of migrants in population cohort studies is needed and the development of effective strategies for recruitment, follow-up and analysis.
Sections du résumé
BACKGROUND
The relationship between economic conditions and health can depend on both the health outcome measured and the composition of the population. Analysis of outcomes by both ethnicity and country of birth has been recommended. The aim of our study is to explore the impact of recession on self-rated health and depression of migrant fathers in Ireland over time, considering both ethnicity and country of birth.
METHODS
Longitudinal data from waves of a population-representative cohort study (Growing up in Ireland, 2008-2013) was used with Wave 1 collected before the recession and Wave 2 collecting information on how the recession affected families. Socio-demographic variables, self-rated health and depression were compared across three groups of fathers classified by self-identified ethnicity and country of birth: White Irish (n = 5628), Other White European (EU-10) (n = 431), and Black African (n = 192) using chi-square tests and logistic regression models. Rates of follow-up were compared across groups at Wave 3.
RESULTS
Prior to the recession, the rate of employment was lowest for African fathers (51% vs 81% for EU-10 fathers and 92% for Irish fathers, p < 0.001). At Wave 2, African families were more likely to have experienced a very significant effect of the recession (40.1% compared to 22.4% for families from EU-10 and 21.3% for Irish families, p < 0.001). However, the impact of the recession on depression and self-rated health was only found in Irish fathers. By Wave 3, rates of follow-up were lower for migrant fathers, particularly for EU-10 fathers.
CONCLUSIONS
Understanding the relationship between economic conditions and health is complex and may be related to multiple dimensions of socio-economic advantage and disadvantage. African families were already more likely to be disadvantaged prior to the recession and that pattern persisted during the recession. Further research on attrition rates of migrants in population cohort studies is needed and the development of effective strategies for recruitment, follow-up and analysis.
Identifiants
pubmed: 35073892
doi: 10.1186/s12889-022-12596-0
pii: 10.1186/s12889-022-12596-0
pmc: PMC8788144
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
166Informations de copyright
© 2022. The Author(s).
Références
Lancet. 2018 Jun 30;391(10140):2589-2591
pubmed: 30070211
BMJ Open. 2017 Nov 17;7(11):e015603
pubmed: 29151045
Ir J Med Sci. 2007 Mar;176(1):11-4
pubmed: 17849517
BMC Public Health. 2018 Jun 20;18(1):777
pubmed: 29925353
Am J Epidemiol. 2018 Jul 1;187(7):1438-1448
pubmed: 29370331
Ethn Health. 2015;20(6):564-93
pubmed: 25271468
Ethn Health. 2016;21(3):251-67
pubmed: 26166550
PLoS Med. 2018 Mar 1;15(3):e1002515
pubmed: 29494587
Epidemiology. 2014 Jul;25(4):473-84
pubmed: 24887159
Eur J Public Health. 2016 Dec;26(6):984-991
pubmed: 27259721
Int J Epidemiol. 2015 Jun;44(3):969-77
pubmed: 26082406
Ir Med J. 2009 Apr;102(4):108-10
pubmed: 19552289
Int J Soc Psychiatry. 2016 Aug;62(5):477-86
pubmed: 27282174
BMJ Open. 2018 Oct 31;8(10):e026335
pubmed: 30385450
JAMA. 2018 Mar 27;319(12):1187-1188
pubmed: 29584830