Health and Place
Volume 16, Issue 1, 2010, Pages 79-84

The impact of duration of residence on cause-specific mortality: A cohort study of migrants from the Former Soviet Union residing in Israel and Germany (Article)

Ott J.J.* , Paltiel A.M. , Winkler V. , Becher H.
  • a Unit of Epidemiology and Biostatistics, Institute of Public Health, Medical Faculty, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany
  • b Department of Social and Welfare Statistics, Israel Central Bureau of Statistics, Jerusalem, Israel
  • c Unit of Epidemiology and Biostatistics, Institute of Public Health, Medical Faculty, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany
  • d Unit of Epidemiology and Biostatistics, Institute of Public Health, Medical Faculty, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany

Abstract

A cohort study of migrants from the Former Soviet Union in Israel (N=528,848) and in Germany (N=34,393) was conducted. The impact of length of residence on cause-specific mortality was investigated using Poisson regression and differences between the migrant groups were assessed. In both migrant cohorts, all cause mortality in males but not in females significantly decreased with increasing duration of residence (RR=0.76, 95% CI: 0.73-0.79 for 9+years of residence compared to 0-3 years), specifically in Israel for infectious diseases, cancer and CVD. For male and female migrants in Israel there was a large reduction in external cause mortality. The cancer risk in male migrants declined from 1 to 0.76 (95% CI: 0.69-0.83) and in female migrants to 0.85 (95% CI: 0.78-0.93) after nine and more years of stay. Adjusting for several covariables, there were differences between migrants in the cause of death patterns in the two host countries, which may be associated with differences in their initial conditions or with effects of the destination country. The study highlights the need for migrant-specific prevention approaches. © 2009 Elsevier Ltd. All rights reserved.

Author Keywords

Cohort study Duration of residence Migrant mortality Israel and Germany

Index Keywords

Germany immigrant Eurasia Central Europe Israel regression analysis Europe neoplasm infectious disease human sex difference Asia Middle East controlled study priority journal cancer risk USSR respiratory tract disease cancer migrants experience cardiovascular disease male female risk factor Article adult migration cohort analysis infection cause of death mortality time
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-70350754337&doi=10.1016%2fj.healthplace.2009.08.006&partnerID=40&md5=e07d4379c5303b58d840394c55576a0d
DOI: 10.1016/j.healthplace.2009.08.006
ISSN: 13538292
Cited by: 9
Original Language: English