Objective: To investigate the effect of immigration on life expectancy in Australia for the period from 1981 to 2003, and to compare life expectancy of the Australian-born population with that of other countries in the Organisation for Economic Cooperation and Development (OECD). Methods: Standard life-table methods using age-specific all-cause mortality and population data from 1981 to 2003 were used to calculate life expectancy at birth (e0) for the total Australian population (including migrants) and for people born in Australia (excluding migrants). Mean differences in life expectancy for each sex were compared using paired t-tests. Rankings of life expectancy among OECD countries were reassessed, and rank changes measured using the Wilcoxon signed rank test. Findings: Life expectancy of males and females was significantly lower in the Australian-born group than in the total Australian population. During 1981 to 2003, there was a mean difference in life expectancy of 0.41 years (95% confidence interval, CI: 0.37-0.44; t17 = 27.0; P < 0.0001) in males and 0.29 years (95% CI: 0.26-0.31; t17 = 27.6; P < 0.0001) in females between the Australian-born and the total population. After excluding migrant groups, Australia no longer ranked among the top five OECD countries with the highest life expectancy in the two most recent years examined. Conclusion: While Australia has one of the highest life expectancies in the industrialized world, this is partly attributable to immigration of populations with low rates of mortality. This effect needs to be considered in international comparative assessments of mortality levels.

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statistical analysis Australia Student t test Life Tables Australasia human immigration sex difference industrialization middle aged controlled study comparative study Aged groups by age statistical significance Confidence interval migrant worker Humans economic development Adolescent life table life expectancy male female Aged, 80 and over Infant Child, Preschool socioeconomics population research OECD Article economic evaluation adult migration Sex Factors Age Factors Wilcoxon signed ranks test normal human Emigration and Immigration assessment method mortality life table method Child