Sociala determinanter för hälsa hos individer med utländsk bakgrund (SMASH)

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Sociala determinanter för hälsa hos individer med utländsk bakgrund (SMASH)

Smash

Syftet med forskningen är att undersöka hur olika sociala bestämningsfaktorer (socialpolitik, boendesegregation, arbetsvillkor, hälsobeteenden, socioekonomiska förhållanden och krigstrauma) kan påverka hälsan bland individer som har en utländsk bakgrund.
Mer information om projektet finns på engelska nedan.

Project description

In recent years Sweden has experienced a substantial increase in the proportion of the population that is of foreign-origin. Ensuring the successful integration and positive well-being of persons of foreign-origin is of great social importance. Although Swedish research on health inequalities by country of origin is relatively extensive, most previous research is descriptive and does not thoroughly examine the causes of these inequalities. The present research programme is devoted to the investigation of the social determinants of health among individuals with foreign backgrounds in Sweden.

Utilizing the theory of fundamental causes of disease, we will consider how different social determinants of health in individuals with foreign backgrounds are causally related, and how distal factors influence the proximal factors. In six interrelated projects, ranging from upstream (distal) to downstream (proximal) social determinants, we will study the contribution for health of societal policies and processes, contextual-level exposures (i.e. characteristics of the residential area), working life factors, socioeconomic conditions, health behaviours and post-traumatic stress due to war trauma.

We have access to optimal data including total-population register data, several regional longitudinal public health surveys, and longitudinal Level-of-Living survey data including a sub-survey of the foreign-born population. We will use various methods and tools which allow us to examine causal relationships assess such as survival analysis, structural equation modelling (SEM), multilevel modelling and directed acyclic graphs (DAGs) that take advantage of the detailed covariate information available within the data. Sweden has been at the forefront of research on migration and health. We believe that this research programme has the potential to further develop and elaborate on research on migration and health.

SMASH Sub-projects

The research programme includes six different sub-projects which examine the impact of upstream and downstream social determinants of health, while also recognizing the ways in which various background factors such as gender, country of birth, reason for migration, duration of residence and socioeconomic position may influence relationships between such determinants and health.

1. Social policies:

Immigration policies, economic recessions, and health selection

2. Contextual exposures:

Examining the influence of area-level characteristics

3. Working life and health:

Employment, discrimination, and working conditions

4. Socioeconomic conditions:

Education, income, occupational status and self-perceived social disadvantage

5. Health behaviours:

Physical activity, eating habits, smoking, criminal behaviour, and harmful use of alcohol or drugs

6. Trauma and post-traumatic stress:

Consequences for mental health, education, and criminality in children born to refugee parents

About the project

Studies of Migration and Social Determinants of Health (SMASH) is a collaborative research project based at the Department of Public Health Sciences, Stockholm University and funded by the Swedish Research Council for Health, Working Life and Welfare (Forte) for the period 2017-2019(2022).

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The SMASH Team

Program Manager
Mikael Rostila, Director, Professor, Department of Public Health Sciences
Program Coordinator
Sol Pia Juarez, Associate Professor, Department of Public Health Sciences

Project Managers
Sol Pia Juarez, Associate Professor, Department of Public Health Sciences
Andrea Dunlavy, PhD, Department of Public Health Sciences
Alexander Miething, Postdoc, Department of Public Health Sciences
Lisa Berg, PhD, Department of Public Health Sciences
Anders Hjern, Professor, Department of Public Health Sciences

Project Members

Anna Brydsten, PhD, Department of Public Health Sciences, Stockholm University
Agneta Cederström, PhD, Department of Public Health Sciences, Stockholm University
Jenny Eklund, PhD, Department of Public Health Sciences, Stockholm University
Karin Engström, Associate Professor, Department of Public Health Sciences, Karolinska Institutet
Nina-Katri Gustafsson, PhD, Department of Public Health Sciences, Stockholm University
Göran Henriksson, PhD, Region Västra Götaland
Helena Honkaniemi, Doctoral student, Department of Public Health Sciences, Stockholm University
Srinivasa Katikireddi, Clinical Senior Research Fellow/Honorary Consultant, MRC/CSO Social and Public Health Sciences Unit, University of Glasgow
Petra Lindfors, Professor, Department of Psychology, Stockholm University
Helio Manhica, PhD, Swedish Red Cross University College
Gabriella Olsson, PhD, Department of Public Health Sciences, Stockholm University
Jens Rydgren, Professor, Department of Sociology, Stockholm University
Susanna Toivanen, Associate Professor, Department of Public Health Sciences, Stockholm University
Denny Vågerö, Professor, Department of Public Health Sciences, Stockholm University
Per-Olof Östergren, Professor, Department of Clinical Sciences, Lund University

Collaborators

Jon-Ivar Elstad, Jan Saarela, Ichiro Kawachi, S.V. Subramanian, Spencer Moore, Rosane Härter Griep, Roger Keller-Celeste, Jussi Vahtera