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L Ferrer, F Gaillardin, A Cayuela, F Collazos, J Casabona Centre d’Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Agència de Salut Publica de Catalunya (ASPC), Barcelona, Spain Centro de Investigación Biomédica en Red en Epidemiologı́a y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain Grupo de Investigación en Salud Pública. Universidad de Alicante, Spain Instituto de Investigación Vall d’Hebrón, Hospital Vall d’Hebrón, Spain Background: In a culturally diverse society like Spain understanding migrants’ health status is crucial to ensure equity. Self-perceived health (SPH) is a strong predictor of general health and it is a proxy for health needs. While scientific evidence on migration and health in Spain is growing it remains scarce, especially from a gender perspective. In 2014, a multi-site cohort of migrant families in Spain (PELFI study) was established to improve knowledge on migrants’ health and its determinants. Objectives: to compare SPH between migrants and natives and to identify health determinants in migrants by gender. Methods: At the baseline of the PELFI sub-cohort in Badalona, 167 adult migrants and 38 natives (as a control group) were recruited. Data on demographics, psicosocial characteristics, migration process and SPH were collected through a questionnaire. Simple comparisons were assessed with X2 and multivariate logistic regressions were performed. SPH was measured by visual analogue scale included in EQ-5D (EQ-VAS). Ratings below the median EQ-VAS in migrant participants were recorded as ‘‘poor SPH’’ (EQ-VAS<77) Results: Migrants present worse SPH than natives (OR = 2.2; 95%CI: 1.02-4.6). After adjusting for sex, socioeconomic variables and social support, the probability disappears. Among migrants, women reported worse SPH than men (71 vs 79). The variables associated with poor SPH in migrant men in the final model adjusted by length of residence were: low social support (aOR=8.71; 95%CI: 1.7-45.2) and unemployment (aOR=4.65; 95%CI: 1.32-16.32). In migrant women they were: to have visited an emergency healthcare service (aOR=2.95; 95%CI: 1.03-8.49), low income (aOR=5.79; 95%CI: 1.49-22.52) and poor Spanish language skills (aOR=5.58; 95% CI: 1.49-20.7). Conclusions: Migration and gender are both crosscutting vulnerability factors for health. Migrant women have worse health than men and explicative factors differ by gender. Main message: A better understanding of how gender interacts with other determinants is needed to diminish health inequalities.

4.2-O5Self-reported health status among migrant men and women in Spain. PELFI Study