NDLI: Healthy Migrants? Health Selection of Internal Migrants in Germany

Content Provider	Springer Nature Link
Author	Westphal, Christina
Copyright Year	2016
Abstract	In Germany, internal migration streams have shaped the population structure quite notably during the past two decades. As selective migration can have a substantial impact on the geographical distribution of health, this paper examines whether internal migrants in Germany are selected regarding their health status. To capture health selection, one measure—i.e. self-rated contentment with health—and two established risk factors for poor health—i.e. smoking and BMI—were included. Applying event history analysis, the health status of migrants was compared to non-migrants, controlling for other individual characteristics. The analyses were based on the German Socio-Economic Panel, a retrospective data set representative of the German population. Results for self-rated health and smoking were inconclusive. While self-rated health was only related to migration in men, smoking was only linked to migration in women. However, there was a clear association between BMI and migration, i.e. the propensity to migrate decreased significantly with increasing weight. The results suggest that BMI is an important indicator of increased susceptibility to ill health, which prevent people from migration. Leaving behind a population who has a greater susceptibility to chronic conditions, selective migration is likely to reinforce the consequences of population ageing and healthcare demand, in particular in regions characterized by outmigration.
Starting Page	703
Ending Page	730
Page Count	28
File Format	PDF
ISSN	01686577
Journal	European Journal of Population / Revue européenne de Démographie
Volume Number	32
Issue Number	5
e-ISSN	15729885
Language	English
Publisher	Springer Netherlands
Publisher Date	2016-09-22
Publisher Place	Dordrecht
Access Restriction	Subscribed
Subject Keyword	Internal migration Healthy migrant Health selection Smoking Overweight Demography Sociology Human Geography Population Economics Public Finance Methodology of the Social Sciences
Content Type	Text
Resource Type	Article
Subject	Demography

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