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An overview of the health status of migrants in France, in relation to their dietary practices

Published online by Cambridge University Press:  27 September 2007

Nicole Darmon*
Affiliation:
Institut National de la Santé et de la Recherche Médicale/Institut Scientifique et Technique de la Nutrition et de l'Alimentation, 5 rue du Vert Bois, 75003-Paris, France
Myriam Khlat
Affiliation:
Institut National d'Etudes Démographiques, 133 Bd Davout, 75980-Paris cedex 20, France
*
*Corresponding author: Email darmon@cnam.fr
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Abstract

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Objective

To review studies on the morbidity, mortality and nutrition of migrant populations in France.

Design

A systematic search of the bibliographic database Medline, and direct contact with associations and institutions concerned with migrants' health.

Results

In France, as in other host countries, migrants belong to the lowest socio-economic strata. They have on average better health and lower mortality than the local-born population. Health benefits are particularly noticeable in Mediterranean men, especially for affluence-related diseases such as cancer and cardiovascular diseases. North African men smoke as heavily as the local-born of the same occupational categories, and yet their mortality rates from lung cancer are notably lower. Such a paradox may be the result of a synergy between different phenomena such as the selection of the fittest applicants for immigration and the maintenance of healthy lifestyles from the countries of origin. In contrast, migrant women do not enjoy the same health advantages, possibly because they are less likely to be selected on the basis of their health and because they are often non-working. Adult migrants from southern Europe and North Africa report dietary practices consistent with the typical Mediterranean diet, which is renowned for its positive effects on health.

Conclusions

The diet of Mediterranean adults living in France may partly explain the low rates of chronic diseases and high adult life expectancy observed in migrant men from northern Africa. Information about their diets might provide clues for the design of nutritional education campaigns aimed at low-income people.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1Moradi, T, Delfino, RJ, Bergström, SR, Yu, ES, Adami, HO, Yuen, J.Cancer risk among Scandinavian immigrants in the US and Scandinavian residents compared with US whites, 1973–89. Eur. J. Cancer Prev. 1998; 7: 117–25.Google Scholar
2McCredie, M, Williams, S, Coates, M.Cancer mortality in East and Southeast Asian migrants to New South Wales, Australia, 1975–1995. Br. J. Cancer 1999; 79: 1277–82.CrossRefGoogle Scholar
3Kunst, AE, Groenhof, F, Mackenbach, JP, Health, EW. Occupational class and cause specific mortality in middle aged men in 11 European countries: comparison of population based studies. EU Working Group on Socioeconomic Inequalities in Health. BMJ 1998; 316: 1636–42.Google Scholar
4Schrijvers, CT, Stronks, K, van de Mheen, HD, Mackenbach, JP. Explaining educational differences in mortality: the role of behavioral and material factors. Am. J. Public Health 1999; 89: 535–40.CrossRefGoogle ScholarPubMed
5Wild, S, McKeigue, P.Cross sectional analysis of mortality by country of birth in England and Wales, 1970–92. BMJ 1997; 314: 705–10.Google Scholar
6Markides, KS, Coreil, J.The health of Hispanics in the southwestern United States: an epidemiologic paradox. Public Health Rep. 1986; 101: 253–65.Google Scholar
7Scribner, R.Paradox as paradigm – the health outcomes of Mexican Americans [editorial; comment]. Am. J. Public Health 1996; 86: 303–5.CrossRefGoogle ScholarPubMed
8Sharma, S, Cade, J, Griffiths, S, Cruickshank, K.Nutrient intakes among UK African-Caribbeans: changing risk of coronary heart disease. Lancet 1998; 352: 114–5.Google ScholarPubMed
9Abraído, LA, Dohrenwend, BP, Ng, MD, Turner, JB. The Latino mortality paradox: a test of the ‘salmon bias’ and healthy migrant hypotheses. Am. J. Public Health 1999; 89: 1543–8.CrossRefGoogle Scholar
10Parkin, DM, Khlat, M.Studies of cancer in migrants: rationale and methodology. Eur. J. Cancer 1996; 32: 761–71.Google Scholar
11Haut Comité de la Santé Publique. Rapport du HCSP au Ministère de l'Emploi et de la Solidarité, editor. La progression de la précarité en France et ses effets sur la santé. 1998.Google Scholar
12Labat, J.La population étrangère en 1990 par nationalité. Insee Première 1992; 217: 14.Google Scholar
13Mesrine, A, Thave, S. Vieillir en France quand on est immigré. In: INSEE, eds. Données Sociales: La Société Française. INSEE, 1999: 2835.Google Scholar
14Desplanques, G, Tabard, N.La localisation de la population étrangère. Econ. Stat. 1991; 242: 5161.Google Scholar
15Willard, J.Conditions d'emploi et salaires de la main-d'oeuvre étrangère. Econ. Stat. 1984; 162: 1527.Google Scholar
16Maurin, E.Les étrangers: une main d'oeuvre à part?. Econ. Stat. 1991; 242: 3950.Google Scholar
17Thave, S.Les étrangers et leurs logements. Insee Première 1999; 689: 14.Google Scholar
18Tribalat, M. De l'immigration à l'assimilation. La Découverte/INED edition, 1995.Google Scholar
19Echardour, A.Les jeunes d'origine portugaise, immigrés ou enfants d'immigrés. Insee Première 1996; 427: 14.Google Scholar
20Firdion, J, Marpsat, M, Mizrahi, A.Vie et Santé des personnes sans domicile à Paris. Bull. Inf. Econ. Santé (Credes) 1998; 13: 14.Google Scholar
21Wanner, P, Khlat, M, Bouchardy, C.Habitudes de vie et comportements en matière de santé des immigrés de l'Europe du Sud et du Maghreb en France [Life style and health behavior of southern European and North African immigrants in France]. Rev. Epidémiol. Santé Publique 1995; 43: 548–59.Google Scholar
22Lehingue, Y, Fassio, F, Momas, I, Daures, JP. Surveillance épidémiologique des enfants des écoles maternelles de l'Hérault lors des bilans de santé du service de protection maternelle et infantile [Epidemiologic surveillance through five clinic screenings of children in the Herault]. Rev. Epidemiol. Santé Publique 1992; 40: 2532.Google Scholar
23Kaminski, M, Blondel, B, Breart, G, Franc, M, du, MC. Issue de la grossesse et surveillance prénatale chez les femmes migrantes [Outcome of pregnancy and prenatal care among immigrant women]. Rev. Epidémiol. Santé Publique 1978; 26: 2946.Google Scholar
24Saurel, CM, Stengel, B, Kaminski, M, Blondel, B.Surveillance prénatale et issue de la grossesse selon l'origine des femmes nées hors de France métropolitaine [Prenatal surveillance and outcome of pregnancy according to the origin of women born outside continental France]. J. Gynecol. Obstet. Biol. Reprod. 1986; 15: 1927.Google Scholar
25Mizrahi, A, Mizrahi, A, Wait, S, CREDES, eds. Accès aux soins et état de santé des populations immigrées en France. Report No. 968. Paris, 1993.Google Scholar
26Brücker, G, Nguyen, DT, Lebas, J.L'accès aux soins des personnes démunies à l'Assistance Publique-Hopitaux de Paris [Access to health care for destitute persons at Public Assistance Hospitals in Paris]. Bull. Acad. Natl. Med. 1997; 181: 1681–97.Google Scholar
27Savignoni, A, Lot, F, Pillonel, J, Laporte, A.Institut de Veille Sanitaire. Situation du SIDA dans la population étrangère domiciliée France – depuis le début de l'épidémie jusqu'en Juin 1998. Bull. Epidemiol. Hebdo. 1999; 27: 17.Google Scholar
28 CRIPS. Rapport du Centre Régional d'Information et de Prévention du Sida de Provence-Alpes Cote d'Azur, ed. Migrants et VIH, 1999.Google Scholar
29Khlat, M, Sermet, C, Laurier, D.La morbidité dans les ménages originaires du Maghreb sur la base de l'enquête Santé de l'Insee. Population 1998; 6: 1155–84.Google Scholar
30Brahimi, M.La mortalité des étrangers en France. Population 1980; 3: 603–22.Google Scholar
31Wanner, P, Bouchardy, C, Khlat, M.Causes de décès des immigrés en France 1979–1985. Migrations Santé 1997; 91: 938.Google Scholar
32Khlat, M.Cancer in Mediterranean migrants – based on studies in France and Australia. Cancer Causes and Control 1995; 6: 525–31.Google Scholar
33Bouchardy, C, Parkin, DM, Wanner, P, Khlat, M.Cancer mortality among North African migrants in France. Int. J. Epidemiol 1996; 25: 513.CrossRefGoogle ScholarPubMed
34Courbage, Y, Khlat, M. Mortality and causes of death of Moroccans in France, 1979–1985. Population: An English selection. Population 1996; 8: 5994.Google Scholar
35Bouvier-Colle, M, Magescas, JHF. Causes de décès des jeunes étrangers en France [Causes of death among young foreign people in France]. Rev. Epidémiol. Santé Publique 1985; 33: 409–16.Google Scholar
36Gey, KF, Puska, P, Jordan, P, Moser, UK. Inverse correlation between plasma vitamin E and mortality from ischemic heart disease in cross-cultural epidemiology. Am. J. Clin. Nutr. 1991; 53: 326S–34S.CrossRefGoogle ScholarPubMed
37The diet and all-causes death rate in the Seven Countries Study. Lancet 1981; 2: 5861.Google Scholar
38Renaud, S, de Lorgeril, M.Wine, alcohol, platelets, and the French paradox for coronary heart disease. Lancet 1992; 339: 1523–6.CrossRefGoogle ScholarPubMed
39Keys, A, Menotti, A, Karvonen, MJ, Aravanis, C, Blackburn, H, Buzina, R, et al. The diet and 15-year death rate in the seven countries study. Am. J. Epidemiol 1986; 124: 903–15.CrossRefGoogle ScholarPubMed
40Hertog, MG, Kromhout, D, Aravanis, C, Blackburn, H, Buzina, R, Fidanza, F, et al. Flavonoid intake and long-term risk of coronary heart disease and cancer in the seven countries study. Arch. Intern. Med. 1995; 155: 381–6.Google Scholar
41Menotti, A, Kromhout, D, Blackburn, H, Fidanza, F, Buzina, R, Nissinen, A.Food intake patterns and 25-year mortality from coronary heart disease: cross-cultural correlations in the Seven Countries Study. The Seven Countries Study Research Group. Eur. J. Epidemiol 1999; 15: 507–15.CrossRefGoogle Scholar
42Jansen, MC, Bueno, dMH, Buzina, R, Fidanza, F, Menotti, A, Blackburn, H.Dietary fiber and plant foods in relation to colorectal cancer mortality: the Seven Countries Study. Int. J. Cancer 1999; 81: 174–9.Google Scholar
43Farchi, G, Fidanza, F, Grossi, P, Lancia, A, Mariotti, S, Menotti, A.Relationship between eating patterns meeting recommendations and subsequent mortality in 20 years. Eur. J. Clin. Nutr. 1995; 49: 408–19.Google Scholar
44Willet, W, Sacks, F, Trichopoulou, A, Drescher, G, Ferro-Luzzi, A, Helsing, E, et al. Mediterranean diet pyramid: a cultural model for healthy eating. Am. J. Clin. Nutr. 1995; 61: 1402S–6S.CrossRefGoogle Scholar
45Ghannem, H, Hadj, FA. Habitudes alimentaires et facteurs de risque cardiovasculaire [Eating habits and cardiovascular risk factors. Epidemiologic study of the Tunisian Sahel]. Presse Med. 1999; 28: 1005–8.Google Scholar
46Moutardier, M.Les conditions de vie des étrangers se sont améliorées depuis dix ans. Econ. Stat. 1991; 242: 6982.Google Scholar
47Michaud, C, Baudier, F, Loundou, A, Le Bihan, G, Janvrin, MP, Rotily, M.Food habits, consumption, and knowledge of a low-income French population. Santé Publique 1998; 10: 333–47.Google ScholarPubMed
48Cohen, M, Soares, L, Mordelles, A.Quelques observations sur l'alimentation des enfants de travailleurs migrants d'origine portugaise. Cah. Nutr. Diet 1977; 14: 1923.Google Scholar
49Raulin, A.Concommation et adaptation urbaine des minorités en région parisienne. Soc. Contemporaines 1990; 4: 1936.CrossRefGoogle Scholar
50Mabe, B.Comportement alimentaire et migration ou ‘le changement dans la continuité’. Migrations Santé 1985; 43: 11–6.Google Scholar
51Popkin, BM. The nutrition transition in low-income countries: an emerging crisis. Nutr. Rev. 1994; 52: 285–98.CrossRefGoogle ScholarPubMed
52Helsing, E.Trends in fat consumption in Europe and their influence on the Mediterranean diet. Eur. J. Clin. Nutr. 1993; 47(Suppl. 1), S4–12.Google ScholarPubMed
53Sharma, S, Cade, J, Riste, L, Cruickshank, K.Nutrient intake trends among African-Caribbeans in Britain: a migrant population and its second generation. Public Health Nutr. 1999; 2: 469–76.CrossRefGoogle Scholar
54Calvo, M.Migration and alimentation. Soc. Sci. Inf. 1982; 21: 383446.CrossRefGoogle Scholar
55Colmant, A, Freycon, MT, Serio, AM, Durr, F, Frederich, A, Freycon, F.Plasma 25-OH D deficiency in Maghrebian children more than 10 years of age immigrated to France. Pediatrie 1985; 40: 1725.Google ScholarPubMed
56Guy, C, Annino, MC, Danis, C, Durr, F, Frederich, A.Etude de la 25-hydroxyvitamine D chez des enfants de 3 à 6 ans suivis en consultation de protection maternelle et infantile [Study on 25-hydroxyvitamin D in children 3 to 6 years old followed at the Service de Protection Maternelle et Infantile]. Pediatrie 1986; 41: 205–14.Google Scholar
57Mekki, N, Galan, P, Rossignol, C, Farnier, MA, Hercberg, S.Le statut en fer chez l'enfant de 10 mois, 2 ans et 4 ans présumé bien-portant [Iron status in presumably healthy children 10 months, 2 years and 4 years of age]. Arch. Fr. Pediatr. 1989; 46: 481–5.Google Scholar
58Mahiou, C, Frappaz, D, Freycon, MT, Freycon, F.Iron deficiency in infants and children. Pediatrie 1992; 47: 551–5.Google Scholar
59Valeix, P, Preziosi, P, Rossignol, C, Farnier, MA, Hercberg, S.Relationship between urinary iodine concentration and hearing capacity in children. Eur. J. Clin. Nutr. 1994; 48: 54–9.Google Scholar
60Hercberg, S, Wainer, R, Bard, D, Soustre, Y, Galan, P.Study of the iron status of a population of pregnant women. Rev. Fr. Gynecol. Obstet. 1985; 80: 467–72.Google Scholar
61Rovillé, SF. Evolution en 20 ans de la corpulence des enfants de 0 à 4 ans issus de l'immigration maghrébine [Increase during the last 20 years of body mass of children 0 to 4 years of age born to Maghrebian immigrants]. Rev. Epidémiol. Santé Publique 1999; 47: 3744.Google Scholar
62Razum, O, Zeeb, H, Akgün, H, Yilmaz, S.Low overall mortality of Turkish residents in Germany persists and extends into a second generation: merely a healthy migrant effect?. Trop. Med. Int. Health 1998; 3: 297303.Google Scholar
63Weitof, G, Gullberg, A, Hjern, A, Rosen, M.Mortality statistics in immigrant research: method for adjusting underestimation of mortality. Int. J. Epidemiol. 1999; 28: 756–63.CrossRefGoogle Scholar
64Marmot, MG, Adelstein, AM, Bulusu, L.Lessons from the study of immigrant mortality. Lancet 1984; 1: 1455–7.CrossRefGoogle Scholar
65Powles, J. The best of both worlds: attempting to explain the persisting low mortality of Greek migrants to Australia. In: The Australian National University HTC, eds. What we Know about Health Transition: The Cultural, Social and Behavioural Determinants of Health. Canberra, Australia: The Australian National University, 1990: 584894.Google Scholar
66Bachtarzi, H, Benmiloud, M.TSH-regulation and goitrogenesis in severe iodine deficiency. Acta Endocrinol. (Copenhagen) 1983; 103: 21–7.Google Scholar
67Cappuccio, FP, Cook, DG, Atkinson, RW, Strazzullo, P.Prevalence, detection, and management of cardiovascular risk factors in different ethnic groups in south London. Heart 1997; 78: 555–63.Google Scholar
68Flegal, KM, Carroll, MD, Kuczmarski, RJ, Johnson, CL. Overweight and obesity in the United States: prevalence and trends, 1960–1994. Int. J. Obes. Relat. Metab. Disord. 1998; 22: 3947.Google Scholar
69Buemann, B, Tremblay, A, Bouchard, C.Social class interacts with the association between macronutrient intake and subcutaneous fat. Int. J. Obes. Relat. Metab. Disord. 1995; 19: 770–5.Google Scholar
70Sobal, J, Stunkard, AJ. Socioeconomic status and obesity: a review of the literature. Psychol. Bull. 1989; 105: 260–75.Google Scholar
71Ziegler, O, Drolez, B, Siest, G, Guéguen, R.Relationship between body mass index and socioeconomic status: the RMI family study. Int. J. Obes. Relat. Metab. Disord. 1998; 22: S244.Google Scholar
72World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation on Obesity, 1997.Google Scholar
73Neel, JV, Weder, AB, Julius, S.Type II diabetes, essential hypertension, and obesity as ‘syndromes of impaired genetic homeostasis’: the ‘thrifty genotype’ hypothesis enters the 21st century. Perspect. Biol. Med. 1998; 42: 4474.CrossRefGoogle Scholar
74Solomon, CG, Manson, JE. Obesity and mortality: a review of the epidemiologic data. Am. J. Clin. Nutr. 1997; 66: 1044S–50S.Google Scholar
75Obadia, G, Lombrail, P, Thibult, N, Eschwege, E, Passa, P.Prise en charge hospitalière du diabète insulino-traité chez les immigrés Africains en France [Hospital care of insulin-treated diabetes in African immigrants, in France]. Diabete Metab 1986; 12: 1620.Google Scholar
76Stevens, J, Plankey, MW, Williamson, DF, Thun, MJ, Rust, PF, Palesch, Y, O'Neil, PM. The body mass index–mortality relationship in white and African American women. Obes. Res. 1998; 6: 268–77.Google Scholar
77Folsom, AR, Stevens, J, Schreiner, PJ, McGovern, PG. Body mass index, waist/hip ratio, and coronary heart disease incidence in African Americans and whites. Atherosclerosis Risk in Communities Study Investigators. Am. J. Epidemiol 1998; 148: 1187–94.Google Scholar
78Deurenberg, P, Yap, M, van Staveren, WA. Body mass index and percent body fat: a meta analysis among different ethnic groups. Int. J. Obes. Relat. Metab. Disord. 1998; 22: 1164–71.Google Scholar
79Bose, K.A comparative study of generalised obesity and anatomical distribution of subcutaneous fat in adult white and Pakistani migrant males in Peterborough. J. R. Soc. Health 1995; 115: 90–5.Google Scholar
80Pomerleau, J, McKeigue, PM, Chaturvedi, N.Factors associated with obesity in South Asian. Afro-Caribbean and European women. Int. J. Obes. Relat. Metab. Disord. 1999; 23: 2533.Google Scholar
81Stevens, J, Kumanyika, SK, Keil, JE. Attitudes toward body size and dieting: differences between elderly black and white women. Am. J. Public Health 1994; 84: 1322–5.Google Scholar
82Mei, Z, Scanlon, KS, Grummer, SL, Freedman, DS, Yip, R, Trowbridge, FL. Increasing prevalence of overweight among US low-income preschool children: the Centers for Disease Control and Prevention pediatric nutrition surveillance, 1983 to 1995. Pediatrics 1998; 101: 16.CrossRefGoogle ScholarPubMed
83Rose, D, Habicht, JP, Devaney, B.Household participation in the Food Stamp and WIC programs increases the nutrient intakes of preschool children. J. Nutr. 1998; 128: 548–55.Google Scholar
84Saurel, CM. Situation des femmes nées en Afrique Noire ayant accouché en France en 1981: surveillance prénatale, accouchement et santé de l'enfant à la naissance. Migrations Santé 1985; 44: 20–3.Google Scholar
85Chauliac, M, Chateil, S.Nutrition et alimentation des enfants en bas âge (6 à 36 mois) de familles défavorisées. Med. Nutr. 2000; 36: 1324.Google Scholar
86Tribalat, M.Les immigrés au recensement de 1990 et les populations liées à leur installation en France. Population 1993; 6: 1911–46.Google Scholar
87Ben Slama, L, Association Nord-Sud Solidaires, eds. Nutrition, urbanisme et immigration. Projet d'enquête nutritionnelle dans le quartier des Tarterêts, 1999.Google Scholar
88Groupe de travail réuni par le Haut Comité de la Santé Publique. Chapitre 6. Les objectifs nutritionnels prioritaires de santé publique et les objectifs spécifiques. In: Pour une politique nutritionelle de santé publique en France. Enjeux et propositions. Collection Avis et Rapports, ENSP eds, Rennes (France) 06 2000: 189–95.Google Scholar