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Health Place. 2008 Dec;14(4):678-92. Epub 2007 Oct 30.

Contextual factors and immigrants' health status: double jeopardy.

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Public Health School, Université Catholique de Louvain, Clos Chapelle aux Champs 30.41, Brussels, Belgium.


Poor health among immigrants may be accounted for not only by socio-economic factors affecting individuals but also by the environment in which they live. We investigated the association of contextual factors with disparities in self-rated health between native and immigrant groups. The findings indicated that, compared with native-born Belgians, immigrant groups from Turkey and Morocco were more likely to have poorer self-rated health. When contextual factors and individual socio-economic status were allowed for, all immigrant groups had a health status that was similar to or even better than that of native-born Belgians. Immigrants face a double jeopardy at both the individual and the contextual level.

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