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This study explores the impact of migration on health in Birmingham, a super-diverse city. It highlights the lack of reliable data, integration issues, poor health outcomes, and community cohesion challenges. The priorities include achieving equity in access to services, social inclusion, better health outcomes, and promoting healthy lifestyles.
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Migration and Health in Birmingham Jenny Phillimore, IASS
The Population of Birmingham • Lack of reliable data a particular issue for Birmingham • 1,006,500 residents projected 2006 • 1,105,520 residents projected for 2026 • Rapid change from 77% white 1991 to 48% white 2026 • Large increases projected • Pakistani, other, Bangladeshi and African communities • Wide range of immigration statuses – asylum seekers (6k), refugees (100k?), economic migrants (?), Accession country migrants (12k), spousal migrants and undocumented migrants • Birmingham is a super-diverse city and becoming move diverse
Ethnic clusters • Data is incomplete but tells us people in Bham from 170 different countries • Pakistani • African-Caribbean • Indian • Bangladeshi • Iranian • Chinese • Accession country migrants • Somali • African • Afghani • Other Asian • Kurdish/Iraqi • Middle Eastern
Integration issues • Transient population and poor data = no sense of who is living in Bham • Migrants concentrated in deprived areas • Extremely high u/e rates in some groups (c80%) • Housing conditions poor and unstable • 1 in 5 births to women born outside of UK • Highest infant mortality in new migrant groups • Mental health • Language, cultural barriers and immigration status prevent access to services
Issues for Birmingham • Trying to understand and address the implications of super-diversity • High levels of deprivation – persistent poverty in the key multi-cultural areas • Poor health outcomes and dealing with migrant specific issues such as FGM • Social exclusion – address high migrant u/e • Community cohesion and preventing violent extremism
Priorities for Birmingham • Achieving equity in access to services • Social inclusion of all groups • Maintaining good community relations • Addressing some gender specific issues • Better health outcomes • Healthy Lifestyles Project • Displaced people’s employment initiative