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1000 Titel
  • Comparative analysis of premature mortality among urban immigrants in Bremen, Germany: a retrospective register-based linkage study
1000 Autor/in
  1. Makarova, Nataliya |
  2. Brünings-Kuppe, Claudia |
  3. Luttmann, Sabine |
  4. Brand, Tilman |
  5. Pohlabeln, Hermann |
1000 Erscheinungsjahr 2016
1000 Art der Datei
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2016-03-21
1000 Erschienen in
1000 Quellenangabe
  • 6(3): e007875
1000 Sammlung
1000 Copyrightjahr
  • 2016
1000 Lizenz
1000 Verlagsversion
  • http://dx.doi.org/10.1136/bmjopen-2015-007875 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4809093/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • OBJECTIVES: The main objective of this study was to explore differences in mortality patterns among two large immigrant groups in Germany: one from Turkey and the other from the former Soviet Union (FSU). To this end, we investigated indicators of premature mortality. DESIGN: This study was conducted as a retrospective population-based study based on mortality register linkage. Using mortality data for the period 2004–2010, we calculated age-standardised death rates (SDR) and standardised mortality ratios (SMR) for premature deaths (<age 65 years). We computed years of potential life lost (YPLL) and analysed the underlying causes of death contributing to premature mortality. SETTING AND PARTICIPANTS: In this study, we made use of the unique possibilities of register-based research in relation to migration and health. Analyses were performed in three population groups in the federal state of Bremen, Germany: immigrants from Turkey, those from the FSU and the general population. RESULTS: The SDRs for premature deaths of the two immigrant groups were lower compared to those of the general population. The SMRs remained under 1. Using the indicator of YPLL, we observed higher age-standardised YPLL rates among immigrant populations, particularly among males from the FSU compared to females and population groups 4238/100 000, 95% CI (4119 to 4358). Regarding main causes of premature death, we found larger contributions of infant mortality and diseases of the respiratory system among Turkish immigrants, and of injuries and poisonings, and mental and behavioural disorders among immigrants from the FSU. CONCLUSIONS: While the overall trends favour the immigrant populations, the indicator of YPLL and cause-specific results indicate areas where the healthcare systems responsiveness may need to be improved, including preventive services. Further work with broader databases providing a similar level of differentiation is necessary to substantiate these findings.
1000 Freie Schlagwörter
  • Turkey
  • Migrant health
  • EPIDEMIOLOGY
  • Premature mortality
  • Former Soviet Union
  • Access and quality in healthcare
1000 Fachgruppe
  1. Biologie |
  2. Gesundheitswesen |
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/creator/TWFrYXJvdmEsIE5hdGFsaXlh|https://frl.publisso.de/adhoc/creator/QnLDvG5pbmdzLUt1cHBlLCBDbGF1ZGlh|https://frl.publisso.de/adhoc/creator/THV0dG1hbm4sIFNhYmluZQ==|http://orcid.org/0000-0001-5140-7511|http://orcid.org/0000-0002-9575-1119
1000 Förderer
  1. Friedrich Ebert Foundation
  2. Leibniz Institute for Prevention Research and Epidemiology - BIPS, Germany
  3. Leibniz Association
1000 Fördernummer
  1. -
  2. -
  3. -
1000 Förderprogramm
  1. -
  2. -
  3. Open Access fund
1000 Dateien
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6404285.rdf
1000 Erstellt am 2017-09-04T12:26:46.538+0200
1000 Erstellt von 218
1000 beschreibt frl:6404285
1000 Bearbeitet von 218
1000 Zuletzt bearbeitet Mon May 07 12:04:03 CEST 2018
1000 Objekt bearb. Mon May 07 12:04:03 CEST 2018
1000 Vgl. frl:6404285
1000 Oai Id
  1. oai:frl.publisso.de:frl:6404285 |
1000 Sichtbarkeit Metadaten public
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