Migration pattern and mortality of ethnic German migrants from the former Soviet Union: a cohort study in Germany
Objective We aimed to investigate all-cause and cause-specific mortality among ethnic German migrants from the former Soviet Union by different immigration periods to describe associations with migration pattern and mortality. Design: We used pooled data from three retrospective cohort studies in Ge...
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| Main Authors: | , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
December 19, 2017
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| In: |
BMJ open
Year: 2017, Volume: 7, Issue: 12 |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2017-019213 |
| Online Access: | Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1136/bmjopen-2017-019213 Verlag, kostenfrei, Volltext: http://bmjopen.bmj.com/content/7/12/e019213 
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| Author Notes: | Simone Kaucher, Andreas Deckert, Heiko Becher, Volker Winkler |
| Summary: | Objective We aimed to investigate all-cause and cause-specific mortality among ethnic German migrants from the former Soviet Union by different immigration periods to describe associations with migration pattern and mortality. Design: We used pooled data from three retrospective cohort studies in Germany. Participants: Ethnic German migrants from the former Soviet Union (called resettlers), who immigrated to Germany since 1990 to the federal states North Rhine-Westphalia and Saarland and to the region of Augsburg (n=59 390). Outcome: All-cause and cause-specific mortality among resettlers in comparison to the general German population, separated by immigration period. Methods: Immigration periods were defined following legislative changes in German immigration policy (1990-1992, 1993-1995, 1996+). Resettlers’ characteristics were described accordingly. To investigate mortality differences by immigration period, we calculated age-standardised mortality rates (ASRs) and standardised mortality ratios (SMRs) of resettlers in comparison to the general German population. Additionally, we modelled sex-specific ASRs with Poisson regression, using age, year and immigration period as independent variables. Results: The composition of resettlers differed by immigration period. Since 1993, the percentage of resettlers from the Russian Federation and non-German spouses increased. Higher all-cause mortality was found among resettlers who immigrated in 1996 and after (ASR 628.1, 95% CI 595.3 to 660.8), compared with resettlers who immigrated before 1993 (ASR 561.8, 95% CI 537.2 to 586.4). SMR analysis showed higher all-cause mortality among resettler men from the last immigration period compared with German men (SMR 1.11, 95% CI 1.04 to 1.19), whereas resettlers who immigrated earlier showed lower all-cause mortality. Results from Poisson regression, adjusted for age and year, corroborated those findings. Conclusions: Mortality differences by immigration period suggest different risk-factor patterns and possibly deteriorated integration opportunities. Health policy should guard the consequences of immigration law alterations with respect to changing compositions of migrant groups and their health status. |
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| Item Description: | Gesehen am 06.04.2018 |
| Physical Description: | Online Resource |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2017-019213 |