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New Working Paper “A ‘healthy immigrant effect’ or a ‘sick immigrant effect’? Selection and policies matter”

October 05, 2016
by POP
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by A. Constant, T. García-Muñoz, S. Neuman & T. Neuman                                                                       .

Previous literature in a variety of countries has documented a “healthy immigrant effect” (HIE).                                                                                                                                                                              . Accordingly, immigrants arriving in the host  country are, on average, healthier than comparable natives. However,  their health status dissipates with additional years in the country. HIE  is explained through the positive self-selection of the healthy  immigrants as well as the positive selection, screening and  discrimination applied by host countries. In this paper we study the  health of immigrants within the context of selection and migration  policies. Using SHARE data we examine the HIE comparing Israel and  sixteen countries in Europe that have fundamentally different migration  policies. Israel has virtually unrestricted open gates for Jewish people  around the world, who in turn have ideological rather than economic  considerations to move. European countries have selective policies with  regards to the health, education and wealth of migrants, who also  self-select themselves. Our results provide evidence that a) immigrants  to Israel have compromised health and suffer from many health ailments,  making them less healthy than comparable natives. Their health does not  improve for up to 20 years of living in Israel, after which they become  similar to natives; b) immigrants to Europe have better health than  natives and their health advantage persists up to six years from their  arrival, after which they are not significantly different than natives  except in one case in which the health of immigrants became worse than  that of natives after 21 years. Our results are important for migration  policy and relevant for domestic health policy.

Keywords: self-reported health status, immigration, Europe, Israel, older population, multilevel regression, SHARE

JEL Classification: C22, J11, J12, J14, O12, O15, O52

Read the paper 2016-51 here.

 

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