Journal of immigrant health
Volume 7, Issue 4, 2005, Pages 221-232

Disparities in mortality patterns among Canadian immigrants and refugees, 1980-1998: results of a national cohort study. (Article)

DesMeules M.* , Gold J. , McDermott S. , Cao Z. , Payne J. , Lafrance B. , Vissandjée B. , Kliewer E. , Mao Y.
  • a Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, ON K1A 0K9, Canada
  • b Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, ON K1A 0K9, Canada
  • c Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, ON K1A 0K9, Canada
  • d Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, ON K1A 0K9, Canada
  • e Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, ON K1A 0K9, Canada
  • f Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, ON K1A 0K9, Canada
  • g Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, ON K1A 0K9, Canada
  • h Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, ON K1A 0K9, Canada
  • i Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, ON K1A 0K9, Canada

Abstract

This study examines mortality patterns among Canadian immigrants, including both refugees and non-refugees, 1980-1998. Records of a stratified random sample of Canadian immigrants landing between 1980-1990 (N = 369,936) were probabilistically linked to mortality data (1980-1998). Mortality rates among immigrants were compared to those of the general Canadian population, stratifying by age, sex, immigration category, region of birth and time in Canada. Multivariate analysis examined mortality risks for various immigrant subgroups. Although immigrants presented lower all-cause mortality than the general Canadian population (SMR between 0.34 and 0.58), some cause-specific mortality rates were elevated among immigrants, including mortality from stroke, diabetes, infectious diseases (AIDS and hepatitis among certain subgroups), and certain cancers (liver and nasopharynx). Mortality rates differed by region of birth, and were higher among refugees than other immigrants. These results support the need to consider the heterogeneity of immigrant populations and vulnerable subgroups when developing targeted interventions.

Author Keywords

[No Keywords available]

Index Keywords

longitudinal study refugee health disparity Health Status Disparities risk human Longitudinal Studies Refugees middle aged statistics Cohort Studies Confidence Intervals comparative study Aged Confidence interval Young Adult Humans Adolescent Infant, Newborn Canada male preschool child Emigrants and Immigrants Infant risk factor Risk Factors Child, Preschool Multivariate Analysis newborn female Article adult migration cohort analysis Poisson distribution mortality Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-38849208010&partnerID=40&md5=a317fef4256de3568bc91d3183725123

ISSN: 10964045
Cited by: 74
Original Language: English