Ikram Umar Z, Mackenbach Johan P, Harding Seeromanie, Rey Grégoire, Bhopal Raj S, Regidor Enrique, Rosato Michael, Juel Knud, Stronks Karien, Kunst Anton E
Department of Public Health, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands.
Erasmus University Medical Center, Rotterdam, The Netherlands.
Eur J Epidemiol. 2016 Jul;31(7):655-65. doi: 10.1007/s10654-015-0083-9. Epub 2015 Sep 11.
This study aimed to examine differences in all-cause mortality and main causes of death across different migrant and local-born populations living in six European countries. We used data from population and mortality registers from Denmark, England & Wales, France, Netherlands, Scotland, and Spain. We calculated age-standardized mortality rates for men and women aged 0-69 years. Country-specific data were pooled to assess weighted mortality rate ratios (MRRs) using Poisson regression. Analyses were stratified by age group, country of destination, and main cause of death. In six countries combined, all-cause mortality was lower for men and women from East Asia (MRRs 0.66; 95 % confidence interval 0.62-0.71 and 0.76; 0.69-0.82, respectively), and Other Latin America (0.44; 0.42-0.46 and 0.56; 0.54-0.59, respectively) than local-born populations. Mortality rates were similar for those from Turkey. All-cause mortality was higher in men and women from North Africa (1.09; 1.08-1.11 and 1.19; 1.17-1.22, respectively) and Eastern Europe (1.30; 1.27-1.33 and 1.05; 1.01-1.08, respectively), and women from Sub-Saharan Africa (1.34; 1.30-1.38). The pattern differed by age group and country of destination. Most migrants had higher mortality due to infectious diseases and homicide while cancer mortality and suicide were lower. CVD mortality differed by migrant population. To conclude, mortality patterns varied across migrant populations in European countries. Future research should focus both on migrant populations with favourable and less favourable mortality pattern, in order to understand this heterogeneity and to drive policy at the European level.
本研究旨在调查生活在六个欧洲国家的不同移民群体和本地出生人口在全因死亡率和主要死因方面的差异。我们使用了来自丹麦、英格兰和威尔士、法国、荷兰、苏格兰以及西班牙的人口和死亡率登记数据。我们计算了0至69岁男性和女性的年龄标准化死亡率。汇总各国特定数据,使用泊松回归评估加权死亡率比(MRR)。分析按年龄组、目的地国和主要死因进行分层。在这六个国家中,东亚男性和女性(MRR分别为0.66;95%置信区间0.62 - 0.71和0.76;0.69 - 0.82)以及其他拉丁美洲男性和女性(分别为0.44;0.42 - 0.46和0.56;0.54 - 0.59)的全因死亡率低于本地出生人口。来自土耳其的人群死亡率相似。北非男性和女性(分别为1.09;1.08 - 1.11和1.19;1.17 - 1.22)以及东欧男性和女性(分别为1.30;1.27 - 1.33和1.05;1.01 - 1.08),还有撒哈拉以南非洲女性(1.34;1.30 - 1.38)的全因死亡率较高。这种模式因年龄组和目的地国而异。大多数移民因传染病和杀人罪导致的死亡率较高,而癌症死亡率和自杀率较低。心血管疾病死亡率因移民群体而异。总之,欧洲国家移民群体的死亡率模式各不相同。未来的研究应关注死亡率模式有利和不利的移民群体,以便了解这种异质性并推动欧洲层面的政策制定。