Evidence has demonstrated that immigrants have a mental health advantage over the indigenous population of developed countries. However, much of the evidence-base demonstrating this mental health advantage is susceptible to confounding and inadequate adjustment across immigrant and non-immigrant groups preventing a rigorous assessment of a ’healthy migrant effect’. To compare the risk of common mental disorders in the immigrant population compared to the non-immigrant population in ethnic minority groups in England. A propensity-score matched analysis was carried out to adequately balance immigrant and non-immigrant groups for known confounders using the EMPIRIC national survey of Black-Caribbean, Indian, Pakistani and Bangladeshi groups. The mental health of participants was assessed using the validated Revised Clinical Interview Schedule tool. Immigrant participants were significantly less likely to have a common mental disorder than non-immigrant participants; OR = 0.47, (95% CI 0.40, 0.56). The results from this study demonstrate that a mental health advantage exists in ethnic minority immigrants compared to non-immigrants when balancing the two groups for confounding factors. This may be due to immigrants possessing certain personality traits, such as "psychological hardiness", that the migration process may select for. © 2017, The Author(s).

Mental health UK immigrants Healthy migrant effect

minority group mental health human epidemiology middle aged Asian continental ancestry group Ethnic Groups ethnic group Aged Health Surveys ethnology Mental Disorders Cross-Sectional Studies mental disease Young Adult cross-sectional study migrant psychology Humans Adolescent Minority Groups male Emigrants and Immigrants England female Socioeconomic Factors Black person African Continental Ancestry Group socioeconomics adult propensity score sex factor Sex Factors Age Factors age health survey