LIVING-CONDITIONS AND HEALTH - POPULATION-BASED STUDY OF LABOR MIGRANTS AND LATIN-AMERICAN REFUGEES IN SWEDEN AND THOSE WHO WERE REPATRIATED

Objective - To examine whether there are differences in living conditions and self-rated health between South European labour migrants and Latin American refugees and those who were repatriated to Latin America. Design - Analysis of data from a survey (face-to-face interviews) in 1991 of 338 Latin American refugees and 60 repatriated refugees. A random sample of 161 South European and 396 Finnish labour migrants from the Swedish Annual Level-of-living Surveys 1980-1981 and 1988-89 was analysed. A random sample of 1159 age-, sex- and education-matched Swedes served as controls. Setting - Lund, a medium-sized town in southern Sweden, Santiago and Montevideo, capitals of Chile and Uruguay, respectively, and Sweden. Results - Labour migrants and refugees in particular lived in rented flats while Swedes lived in privately-owned one-family homes. All immigrants and in particular repatriated Latin Americans had low material standard and meagre economic resources compared with Swedes. Being a Latin American refugee, a South European or Finnish labour migrant were independent risk indicators of self-rated poor health in logistic regression (multivariate analyses). Not feeling secure in everyday life and poor leisure opportunities mere independent risk factors for poor health with an estimated odds ratio of 3.13(2.09-4.45) and 1.57(1.22-2.00), respectively. Conclusions - This study shows a clear ethnic segregation in housing and other living conditions between Swedes and immigrants, where Latin American refugees and repatriated Latin Americans were most vulnerable. All immigrants had increased self-rated poor health compared with Swedes. Being an immigrant was a risk factor for poor health of equal importance to more traditional risk factors such as lifestyle factors.