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Mortality Differentials by Immigrant Groups in Sweden: The Contributionof Socioeconomic Position

机译:瑞典移民群体的死亡率差异:贡献社会经济地位

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摘要

Objectives. We studied mortality differentials between specific groups of foreign-born immigrants in Sweden and whether socioeconomic position (SEP) could account for such differences.Methods. We conducted a follow-up study of 1 997 666 men and 1 964 965 women ages 30 to 65 years based on data from national Swedish total population registers. We examined mortality risks in the 12 largest immigrant groups in Sweden between 1998 and 2006 using Cox regression. We also investigated deaths from all causes, circulatory disease, neoplasms, and external causes.Results. We found higher all-cause mortality among many immigrant categories, although some groups had lower mortality. When studying cause-specific mortality, we found the largest differentials in deaths from circulatory disease, whereas disparities in mortality from neoplasms were smaller. SEP, especially income and occupational class, accounted for most of the mortality differentials by country of birth.Conclusions. Our findings stressed that different aspects of SEP were not interchangeable in relation to immigrant health. Although policies aimed at improving immigrants’ socioeconomic conditions might be beneficial for health and longevity, our findings indicated that such policies might have varying effects depending on the specific country of origin and cause of death.
机译:目标。我们研究了瑞典特定外国移民群体之间的死亡率差异,以及社会经济地位(SEP)是否可以解释这种差异。根据瑞典全国总人口登记数据,我们对年龄在30至65岁之间的1 997 666男性和1 964 965女性进行了跟踪研究。我们使用Cox回归分析了1998年至2006年瑞典12个最大的移民群体中的死亡风险。我们还调查了各种原因造成的死亡,循环系统疾病,肿瘤和外部原因。我们发现,在许多移民类别中,全因死亡率较高,尽管某些群体的死亡率较低。在研究特定原因的死亡率时,我们发现循环系统疾病的死亡率差异最大,而肿瘤的死亡率差异较小。 SEP,尤其是收入和职业类别,是造成出生国家/地区死亡率差异最大的原因。我们的发现强调,在移民健康方面,SEP的不同方面是不可互换的。尽管旨在改善移民的社会经济条件的政策可能有益于健康和长寿,但我们的研究结果表明,根据具体的原籍国和死亡原因,此类政策可能会产生不同的影响。

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