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Healthy Migrants? Health Selection of Internal Migrants in Germany

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  • Christina Westphal

    (Rostock Center for the Study of Demographic Change
    Project Group Extracorporeal Immunomodulation)

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.

Suggested Citation

  • Christina Westphal, 2016. "Healthy Migrants? Health Selection of Internal Migrants in Germany," European Journal of Population, Springer;European Association for Population Studies, vol. 32(5), pages 703-730, December.
    • Handle: RePEc:spr:eurpop:v:32:y:2016:i:5:d:10.1007_s10680-016-9397-x
    DOI: 10.1007/s10680-016-9397-x
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    References listed on IDEAS

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    Cited by:

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    2. Michael Mühlichen, 2019. "Avoidable Mortality in the German Baltic Sea Region Since Reunification: Convergence or Persistent Disparities?," European Journal of Population, Springer;European Association for Population Studies, vol. 35(3), pages 609-637, July.
    3. Krzysztof Czaderny, 2019. "Lung cancer mortality in historical context. How stable are spatial patterns of smoking over time?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 40(15), pages 395-416.
    4. Mühlichen, Michael & Lerch, Mathias & Sauerberg, Markus & Grigoriev, Pavel, 2023. "Different health systems – Different mortality outcomes? Regional disparities in avoidable mortality across German-speaking Europe, 1992–2019," Social Science & Medicine, Elsevier, vol. 329(C).
    5. Maria Vaalavuo & Mikko-Waltteri Sihvola, 2021. "Are the Sick Left Behind at the Peripheries? Health Selection in Migration to Growing Urban Centres in Finland," European Journal of Population, Springer;European Association for Population Studies, vol. 37(2), pages 341-366, April.

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