The political determinants of the health of undocumented immigrants : a comparative analysis of mortality patterns in Switzerland

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dc.contributor.authorPICCOLI, Lorenzo
dc.contributor.authorWANNER, Philippe
dc.date.accessioned2022-05-06T11:00:52Z
dc.date.available2022-05-06T11:00:52Z
dc.date.issued2022
dc.description.abstractThe health of undocumented immigrants is an important concern in most societies. However, there is no conclusive evidence that inclusive health care policies lead to better outcomes for this group of the population. The aim of this study is to analyse whether there is an association between inclusive health care policies and the mortality patterns of undocumented immigrants, or the distribution of different causes of death among those who have died. We analyse individual data concerning the deceased in Switzerland between 2011 and 2017. We proceed in two steps. First, we estimate and compare the patterns of mortality of Swiss citizens, documented immigrants, and undocumented immigrants. Second, we test whether there is an association between cantonal authorities’ policies and differing mortality patterns. We use logistic regressions and multinomial regressions to estimate the relationship between legal status and mortality patterns both in Switzerland and across different cantons. We find a difference in the patterns of mortality between undocumented immigrants and the other groups of the population. Specifically, death from circulatory system diseases is twice as frequent among undocumented immigrants compared to documented immigrants and Swiss citizens. However, this difference is smaller in the Swiss cantons that have more inclusive health care policies towards undocumented immigrants. We interpret these results as an indication that policies that expand access to health services lead to better outcomes for undocumented immigrants. This finding has implications for research on civic stratification and public health. Further analysis is needed to evaluate the effects of extending public health care for undocumented immigrants in different contexts.en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationBMC public health, 2022, Vol. 22, Art. 804, OnlineOnlyen
dc.identifier.doi10.1186/s12889-022-13188-8
dc.identifier.issn1471-2458
dc.identifier.other804
dc.identifier.urihttps://hdl.handle.net/1814/74500
dc.identifier.volume22
dc.language.isoenen
dc.orcid.uploadtrue*
dc.publisherBioMed Centralen
dc.relation.ispartofBMC public healthen
dc.relation.ispartofseries[Migration Policy Centre]en
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.rights.licenseAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.titleThe political determinants of the health of undocumented immigrants : a comparative analysis of mortality patterns in Switzerlanden
dc.typeArticleen
dspace.entity.typePublication
eui.subscribe.skiptrue
person.identifier.orcid0000-0002-4032-4793
person.identifier.other37185
relation.isAuthorOfPublication87079218-c1c8-457e-8da9-ca0e03be2a2f
relation.isAuthorOfPublication.latestForDiscovery87079218-c1c8-457e-8da9-ca0e03be2a2f
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