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Mortality by country of birth in the Nordic countries – a systematic review of the literature
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om ojämlikhet i hälsa (CHESS).
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om ojämlikhet i hälsa (CHESS).
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om ojämlikhet i hälsa (CHESS).
2017 (Engelska)Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, 511Artikel, forskningsöversikt (Refereegranskat) Published
Abstract [en]

Background

Immigration to the Nordic countries has increased in the last decades and foreign-born inhabitants now constitute a considerable part of the region’s population. Several studies suggest poorer self-reported health among foreign-born compared to natives, while results on mortality and life expectancy are inconclusive. To date, few studies have summarized knowledge on mortality differentials by country of birth. This article aims to systematically review previous results on all-cause and cause-specific mortality by country of birth in the Nordic countries.

Methods

The methodology was conducted and documented systematically and transparently using a narrative approach. We identified 43 relevant studies out of 6059 potentially relevant studies in August 2016, 35 of which used Swedish data, 8 Danish and 1 Norwegian.

Results

Our findings from fully-adjusted models on Swedish data support claims of excess mortality risks in specific categories of foreign-born. Most notably, immigrants from other Nordic countries, especially Finland, experience increased risk of mortality from all causes, and specifically by suicide, breast and gynaecological cancers, and circulatory diseases. Increased risks in people from Central and Eastern Europe can also be found. On the contrary, decreased risks for people with Southern European and Middle Eastern origins are found for all-cause, suicide, and breast and gynaecological cancer mortality. The few Danish studies are more difficult to compare, with conflicting results arising in the analysis. Finally, results from the one Norwegian study suggest significantly decreased mortality risks among foreign-born, to be explored in further research.

Conclusions

With new studies being published on mortality differentials between native and foreign-born populations in the Nordic countries, specific risk patterns have begun to arise. Regardless, data from most Nordic countries remains limited, as does the information on specific causes of death. The literature should be expanded in upcoming years to capture associations between country of birth and mortality more clearly.

Ort, förlag, år, upplaga, sidor
2017. Vol. 17, 511
Nyckelord [en]
Mortality, Country of birth, Migration, Nordic countries, Sweden, Denmark, Norway, Registry data
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:su:diva-143957DOI: 10.1186/s12889-017-4447-9ISI: 000403021900002OAI: oai:DiVA.org:su-143957DiVA: diva2:1106019
Tillgänglig från: 2017-06-06 Skapad: 2017-06-06 Senast uppdaterad: 2017-11-29Bibliografiskt granskad

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Av författaren/redaktören
Honkaniemi, HelenaBacchus-Hertzman, JennieRostila, Mikael
Av organisationen
Centrum för forskning om ojämlikhet i hälsa (CHESS)
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BMC Public Health
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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