Presentation is loading. Please wait.

Presentation is loading. Please wait.

The MEHO project Mortality of migrant groups in different European countries Anton Kunst for the MEHO mortality working group Departments of Public Health.

Similar presentations


Presentation on theme: "The MEHO project Mortality of migrant groups in different European countries Anton Kunst for the MEHO mortality working group Departments of Public Health."— Presentation transcript:

1 The MEHO project Mortality of migrant groups in different European countries Anton Kunst for the MEHO mortality working group Departments of Public Health of AMC Amsterdam & Erasmus MC Rotterdam This project is funded under the framework of Public Health Programme of the European Commission (contract number )

2 Migrants are usually compared to native populations: headlines of newspapers “Young Moroccans have 10 times more risk of schizophrenia” “ “ More suicide attempts by Turkish and Surinamese” “Elderly migrants more often depressive”

3 Looking at other European countries: what can be learned? If migrant-native inequalities are similar across Europe: - identify common European patterns - generalise results from individual countries If migrant-native inequalities are similar across Europe: - identify common European patterns - generalise results from individual countries If migrant-native inequalities differ between countries: - learn from countries with small inequalities - identify the role of “national” factors If migrant-native inequalities differ between countries: - learn from countries with small inequalities - identify the role of “national” factors

4 Objective Specific objective: To assess whether European countries have similar migrant-native inequalities in mortality Specific objective: To assess whether European countries have similar migrant-native inequalities in mortality General aim: To explore the potentials of an international data set created in the MEHO project General aim: To explore the potentials of an international data set created in the MEHO project

5 Data sets constructed in MEHO (1) Countries: Scotland, England/Wales, Denmark, Sweden, Netherlands, Belgium, France, Spain, Italy, Estonia, Latvia Countries: Scotland, England/Wales, Denmark, Sweden, Netherlands, Belgium, France, Spain, Italy, Estonia, Latvia Mostly cross-sectional studies, around the year 2000 Longitudinal studies: Denmark, Sweden, Netherlands, Belgium Mostly cross-sectional studies, around the year 2000 Longitudinal studies: Denmark, Sweden, Netherlands, Belgium Nationally representative populations Nationally representative populations Data problems carefully evaluated Data problems carefully evaluated

6 Data sets constructed in MEHO (2) Measure of ethnicity and migrant status: Measure of ethnicity and migrant status: –self-identity (Estonia, Latvia) –nationality (Italy) –country of birth of subjects and their parents (other) Country-of-birth groupings Country-of-birth groupings –aimed to cover largest immigrants groups per country –great diversity between European countries

7 Preliminary data analysis Age group 40 to 54 years Age group 40 to 54 years Age-standardised mortality rates (indirect standardisation) Age-standardised mortality rates (indirect standardisation) Ratio to the rates for native population (=SMR) Ratio to the rates for native population (=SMR) All-cause mortality only All-cause mortality only

8 Results (1) Migrant-native inequalities: migrants from Latin America and China

9 Results (2) Migrant-native inequalities: migrants from Turkey and Morocco

10 Results (3) Absolute mortality rates of Moroccan and native populations

11 Results (4) Migrant-native inequalities: migrants from SSA and Poland

12

13 Results (5) Absolute mortality rates of SSA migrants and native populations

14 Results (6) Absolute mortality rates of migrants from specific SSA countries

15 Summary Do European countries have similar migrant-native inequalities in mortality? - yes: migrants from Latin America, China - partly: migrants from Morocco and Turkey (larger in Denmark) - no: migrants from Poland (larger in Spain) Sub-Saharan Africa (larger in France)Do European countries have similar migrant-native inequalities in mortality? - yes: migrants from Latin America, China - partly: migrants from Morocco and Turkey (larger in Denmark) - no: migrants from Poland (larger in Spain) Sub-Saharan Africa (larger in France)

16 Looking at other European countries: what can be learned? If migrant-native inequalities are similar across Europe: - identify common European patterns - generalise results from individual countries If migrant-native inequalities are similar across Europe: - identify common European patterns - generalise results from individual countries If migrant-native inequalities differ between countries: - learn from countries with small inequalities - identify the role of “national” factors If migrant-native inequalities differ between countries: - learn from countries with small inequalities - identify the role of “national” factors

17 Does it matter where migrants move to?

18 Further work in the MEHO mortality part Analyses of specific causes of death: - infectious diseases - cancer - cardiovascular diseases - diabetes mellitus Analyses of specific causes of death: - infectious diseases - cancer - cardiovascular diseases - diabetes mellitus Analysis of specific groups - Polish immigrants to 7 countries - Russians in Estonia, Latvia and adjacent Russia Analysis of specific groups - Polish immigrants to 7 countries - Russians in Estonia, Latvia and adjacent Russia

19 Factors that may influence migrant- native inequalities Factors related to migration flows: - different origins: countries, or groups with countries - different migration flows: e.g. Polish Factors related to migration flows: - different origins: countries, or groups with countries - different migration flows: e.g. Polish Factors related to host country: - general host environment, including epidemiology - position of migrants with host society Factors related to host country: - general host environment, including epidemiology - position of migrants with host society


Download ppt "The MEHO project Mortality of migrant groups in different European countries Anton Kunst for the MEHO mortality working group Departments of Public Health."

Similar presentations


Ads by Google