Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Acculturation or unequal assimilation?: Smoking during pregnancy and duration of residence among migrants in Sweden
Stockholm University/Karolinska Institute/Karolinska University Hospital.
Stockholm University/Karolinska Institute/Karolinska University Hospital.
Stockholm University/Karolinska Institute.
2019 (English)In: SSM - Population Health, ISSN 2352-8273, Vol. 8, article id 100416Article in journal (Refereed) Published
Abstract [en]

A growing corpus of evidence reveals that smoking patterns of migrant women tend to converge with that of the host population over time (‘acculturation paradox’). In this paper we aim to adopt a health equity perspective by studying the extent to which this pattern reflects a convergence with the group of natives who are more socioeconomically disadvantaged. Using population-based registers, we study 1,194,296 women who gave birth in Sweden between 1991 and 2012. Using logistic regression, we estimated odds ratios to assess the effect of duration of residence on the association between smoking during pregnancy and women's origin (classified according to inequality-adjusted Human Development Index (iHDI) of the country of birth). Sibling information and multilevel models were used to assess the extent to which our results might be affected by the cross-sectional nature of the data. Smoking during pregnancy increases with duration of residence among migrants from all levels of iHDI to such an extent that they tend to converge or increase in relation to the levels of the Swedish population with low education and low income, leaving behind the native population with high education and income. The results are robust to possible selection bias related to the cross-sectional nature of the data. Ourfindings indicate the need of a health equity perspective and suggest the use of ‘unequal assimilation’ rather than ‘acculturation paradox’ as a more suitable framework to interpret these findings.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 8, article id 100416
Keywords [en]
Assimilation paradox, Acculturation paradox, Tobacco, Migration, Social determinants, Unequal assimilation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:rkh:diva-2833DOI: 10.1016/j.ssmph.2019.100416OAI: oai:DiVA.org:rkh-2833DiVA, id: diva2:1319861
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07128Swedish Research Council, 2018/018-25NordForsk, 7465Available from: 2019-06-03 Created: 2019-06-03 Last updated: 2019-06-10Bibliographically approved

Open Access in DiVA

fulltext(1235 kB)23 downloads
File information
File name FULLTEXT01.pdfFile size 1235 kBChecksum SHA-512
5409f413ffe8143fe202283139c0564f1f4f49720f819eb06aef9e7ded80c257fde4f234ea5e730868c93c520a7376cf8112112cf2505cf6b214db3799c1bf5c
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Klöfvermark, Josefin
In the same journal
SSM - Population Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 23 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 52 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf