Immigration, work and health in Spain: the influence of legal status and employment contract on reported health indicators

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dc.contributorSalud Públicaen
dc.contributor.authorSousa, Emily-
dc.contributor.authorAgudelo Suárez, Andrés A.-
dc.contributor.authorGarcía Benavides, Marc-
dc.contributor.authorSchenker, Marc-
dc.contributor.authorGarcía García, Ana María-
dc.contributor.authorBenach de Rovira, Joan-
dc.contributor.authorDelclos Gómez-Morán, Carlos-
dc.contributor.authorLópez Jacob, María José-
dc.contributor.authorRuiz Frutos, Carlos-
dc.contributor.authorRonda-Pérez, Elena-
dc.contributor.authorPorthé, Victoria-
dc.contributor.otherUniversidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Cienciaen
dc.identifier.citationSOUSA, Emily, et al. “Immigration, work and health in Spain: the influence of legal status and employment contract on reported health indicators”. International Journal of Public Health. Published online: 17 April 2010. ISSN 1661-8556en
dc.identifier.issn1661-8556 (Print)-
dc.identifier.issn1661-8564 (Online)-
dc.description.abstractObjective To analyze the relationship of legal status and employment conditions with health indicators in foreign-born and Spanish-born workers in Spain. Methods Cross-sectional study of 1,849 foreign-born and 509 Spanish-born workers (2008–2009, ITSAL Project). Considered employment conditions: permanent, temporary and no contract (foreign-born and Spanish-born); considered legal statuses: documented and undocumented (foreign-born). Joint relationships with self-rated health (SRH) and mental health (MH) were analyzed via logistical regression. Results When compared with male permanently contracted Spanish-born workers, worse health is seen in undocumented foreign-born, time in Spain ≤3 years (SRH aOR 2.68, 95% CI 1.09–6.56; MH aOR 2.26, 95% CI 1.15–4.42); in Spanish-born, temporary contracts (SRH aOR 2.40, 95% CI 1.04–5.53); and in foreign-born, temporary contracts, time in Spain >3 years (MH: aOR 1.96, 95% CI 1.13–3.38). In females, highest self-rated health risks are in foreign-born, temporary contracts (aOR 2.36, 95% CI 1.13–4.91) and without contracts, time in Spain >3 years (aOR 4.63, 95% CI 1.95–10.97). Conclusions Contract type is a health determinant in both foreign-born and Spanish-born workers. This study offers an uncommon exploration of undocumented migration and raises methodological issues to consider in future research.en
dc.description.sponsorshipThe study was funded partially by Fondo de Investigaciones Sanitarias [Spanish Fund for Health Research] grant numbers FIS PI050497, PI052334, PI061701.en
dc.rightsThis article is published with open access at This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.en
dc.subjectEmigration and immigrationen
dc.subjectIllegal migrantsen
dc.subjectMigrant workersen
dc.subjectOccupational healthen
dc.subject.otherMedicina Preventiva y Salud Públicaen
dc.titleImmigration, work and health in Spain: the influence of legal status and employment contract on reported health indicatorsen
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