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Generally speaking, most immigrants report worse perceived general [ 21, 22] or mental [ 20] health status than that of people in their host country (at least after living in the host country for some time, since, for the new migrants, a health migrant effect is often reported [ 23]).

In general, the loss to follow-up was consistent with a healthy migrant effect, being highest in participants who were never married, who were employed and who did not have a mental disorder at baseline, although, interestingly, it was associated with lower rather than higher resilience at baseline.

Similarly, Hunt (2011) and Hunt and Gauthier-Loiselle (2010) find that individual 'migrant effects' are largely explained by education and industry hiring patterns.

In sharp contrast, for non-migrant households, the effects are positive and significant, regardless of gender or location.

This has been explained as a "healthy migrant effect": migrants are a selection of the whole population and only people with good health migrate [ 26- 28].

Although these comparisons are somewhat biased by the lack of comparability of the age-structure of the patient populations and the healthy migrant effect, they are likely to reflect true differences in survival, possibly due to higher breast cancer awareness, availability of early detection activities, and access to diagnostic and treatment facilities in England.

Migrants in this study are mostly ethnic Russians; hence, ethnic network effects are not very important.

By controlling for age structure differences between immigrants and native-born Italians, and taking into account the "healthy migrant effect", foreigners are much less likely to suffer from chronic diseases.

However, emigrants are a selected sample, and a healthy migrant effect has been described, meaning that newly arrived immigrants are healthier than the average [ 2, 3].

Regarding the frequently debated epidemiologic paradox of low birthweight and PTB and the healthy migrant effect, it is noteworthy that these two hypotheses have been largely discussed in the literature in the absence of information on duration of residence.

As noted in the discussion for Research Question 1, a main migrant parent effect was only observed for general happiness, with children in mother migrant households least likely to be assessed as happy based on either self- or caregiver report.

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