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A 15-year registry based follow up study of site specific cancer mortality among immigrants with type 2 diabetes in Sweden
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences.ORCID iD: 0000-0002-3265-6034
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS).ORCID iD: 0000-0001-9086-7588
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS).ORCID iD: 0000-0002-5116-7180
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS). Stockholm University, Aging Research Center (ARC), (together with KI).ORCID iD: 0000-0002-6973-0381
2026 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 16, article id 6493Article in journal (Refereed) Published
Abstract [en]

Cancer is a leading cause of death among individuals with type 2 diabetes (T2D), and immigrants in Europe face a higher T2D risk than native populations. We investigated mortality disparities in overall and eight specific T2D-related cancers among immigrants and native Swedes diagnosed with T2D between 2006 and 2021. An open cohort of 478,607 individuals aged ≥ 35 years at the time of T2D diagnosis (28% first-generation [G1] and 6% second-generation [G2] immigrants) was followed until December 31, 2023. Flexible parametric survival models were used to estimate hazard ratios (HRs), stratified by age at arrival and duration of residence for G1 immigrants. G1 immigrants, except those from Nordic countries, generally had lower overall cancer mortality than natives. However, mortality risks for specific cancers converged toward those of natives with longer residence in Sweden, and notably liver and endometrial cancer mortality were higher among those who arrived early in life compared with natives. In G2 immigrants, kidney and endometrial cancer mortality rates were elevated, particularly for those with Western (HR = 1.63) and Nordic (HR = 1.82) parental origins, respectively. Mortality rates from colorectal and liver cancers also appeared to increase among those more recently diagnosed with T2D. These findings underscore the need for strengthening integrated diabetes and cancer care and tailored support services for high-risk immigrant populations.

Place, publisher, year, edition, pages
2026. Vol. 16, article id 6493
Keywords [en]
Type 2 diabetes, Cancer mortality, Immigrant generations, Registry-based, Sweden
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:su:diva-252632DOI: 10.1038/s41598-026-39293-xISI: 001693280800001PubMedID: 41688659Scopus ID: 2-s2.0-105030132000OAI: oai:DiVA.org:su-252632DiVA, id: diva2:2039243
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Stockholm UniversityAvailable from: 2026-02-17 Created: 2026-02-17 Last updated: 2026-03-04Bibliographically approved

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Nigusse Tollosa, DanielJuárez, Sol PiaGrotta, AlessandraRostila, Mikael

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Nigusse Tollosa, DanielJuárez, Sol PiaGrotta, AlessandraRostila, Mikael
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Department of Public Health SciencesCentre for Health Equity Studies (CHESS)Aging Research Center (ARC), (together with KI)
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Scientific Reports
Public Health, Global Health and Social Medicine

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