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Klöfvermark, Josefin
Publications (4 of 4) Show all publications
Klöfvermark, J., Hjern, A. & Juárez, S. P. (2019). Acculturation or unequal assimilation?: Smoking during pregnancy and duration of residence among migrants in Sweden. SSM - Population Health, 8, Article ID 100416.
Open this publication in new window or tab >>Acculturation or unequal assimilation?: Smoking during pregnancy and duration of residence among migrants in Sweden
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
Keywords
Assimilation paradox, Acculturation paradox, Tobacco, Migration, Social determinants, Unequal assimilation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2833 (URN)10.1016/j.ssmph.2019.100416 (DOI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07128Swedish Research Council, 2018/018-25NordForsk, 7465
Available from: 2019-06-03 Created: 2019-06-03 Last updated: 2019-06-10Bibliographically approved
Hjern, A. & Klöfvermark, J. (2017). Barn som anhöriga till flyktingföräldrar med post-traumatisk stress: en systematisk litteraturstudie. Kalmar: Nationellt kompetenscentrum anhöriga
Open this publication in new window or tab >>Barn som anhöriga till flyktingföräldrar med post-traumatisk stress: en systematisk litteraturstudie
2017 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Kalmar: Nationellt kompetenscentrum anhöriga, 2017. p. 33
Series
BSA-rapport ; 2017:1
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2548 (URN)978-91-87731-47-1 (ISBN)
Note

Detta är den sjätte rapporten i projektet ”Barn som anhöriga”, som genomförs av CHESS vid Stockholms universitet/Karolinska Institutet i samarbete med Nationellt kompetenscentrum anhöriga (Nka) på uppdrag av Socialstyrelsen.

Available from: 2018-02-20 Created: 2018-02-20 Last updated: 2018-02-23Bibliographically approved
Hjern, A., Berg, L., Arat, A., Klöfvermark, J., Manhica, H., Rostila, M., . . . Magnusson, L. (2017). Children as next of kin in Sweden. Kalmar
Open this publication in new window or tab >>Children as next of kin in Sweden
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2017 (English)Report (Other academic)
Place, publisher, year, edition, pages
Kalmar: , 2017. p. 28
Series
BSA-rapport ; 2017:2
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2549 (URN)978-91-87731-49-5 (ISBN)
Note

This overview, ‘Children as next of kin in Sweden’ is a summary of eight reports on children as next of kin in Sweden.

Available from: 2018-02-20 Created: 2018-02-20 Last updated: 2019-04-09Bibliographically approved
Hjern, A., Arat, A. & Klöfvermark, J. (2017). Report on differences in outcomes and performance by SES, family type and migrants of different primary care models for children. European Commission
Open this publication in new window or tab >>Report on differences in outcomes and performance by SES, family type and migrants of different primary care models for children
2017 (English)Report (Refereed)
Place, publisher, year, edition, pages
European Commission, 2017. p. 99
Series
Models of Child Health Appraised - a study on primary health care in 30 european countries
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2550 (URN)
Projects
Models of Child Health Appraised (MOCHA) project
Note

Work Package 7

Available from: 2018-02-20 Created: 2018-02-20 Last updated: 2018-02-23Bibliographically approved
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