ArticleSSM - population health2019
Acculturation or unequal assimilation? Smoking during pregnancy and duration of residence among migrants in Sweden.
Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 14 citations in OpenAlex.
- Hazardous drinking by age at migration and duration of residence among migrants in Sweden.Drug and alcohol review · 2025Article
- Is duration of residence a proxy for acculturation? The case of health risk behaviors among international immigrants.Scandinavian journal of public health · 2024Article
- Intersectional socioeconomic disparities in continuous smoking through pregnancy among pre-pregnant smokers in Sweden between 2006 and 2016.BMC pregnancy and childbirth · 2024Article
- COVID-19 mortality among immigrants by duration of residence in Sweden: a population-based cohort study.Scandinavian journal of public health · 2024Article
- Income mortality paradox by immigrants' duration of residence in Sweden: a population register-based study.Journal of epidemiology and community health · 2023Article
- A scoping review of maternal health among resettled refugee women in the United States.Frontiers in public health · 2023Article
- Early pregnancy overweight/obesity and length of residence among immigrants in Sweden: a pooled analysis of Swedish population registers between 1992 and 2012.Public health nutrition · 2021Article
- Smoking During Pregnancy Among Immigrant Women With Same-Origin and Swedish-Born Partners.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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. Our findings 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.
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