Wellcome Open Research
Volume 4, 2019

Million migrants study of healthcare and mortality outcomes in non-eu migrants and refugees to england: Analysis protocol for a linked population-based cohort study of 1.5 million migrants [version 1; referees: 2 approved, 2 approved with reservations] (Article) (Open Access)

Burns R. , Pathak N. , Campos-Matos I. , Zenner D. , Katikireddi S.V. , Muzyamba M.C. , Miranda J.J. , Gilbert R. , Rutter H. , Jones L. , Williamson E. , Hayward A.C. , Smeeth L. , Abubakar I. , Hemingway H. , Aldridge R.W.*
  • a Centre for Public Health Data Science, University College London, London, United Kingdom
  • b Centre for Public Health Data Science, University College London, London, United Kingdom, Institute of Epidemiology and Healthcare, University College London, London, United Kingdom
  • c Public Health England, London, United Kingdom
  • d Migration Health Division, International Organization for Migration, Brussels, Belgium, Institute for Global Health, University College London, London, United Kingdom
  • e MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom
  • f Public Health England, London, United Kingdom
  • g CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru, School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru
  • h Institute of Epidemiology and Healthcare, University College London, London, United Kingdom, Administrative Data Research Centre for England, University College London, London, United Kingdom
  • i Faculty of Humanities and Social Sciences, University of Bath, Bath, United Kingdom
  • j London, United Kingdom
  • k Faculty of Epidemiology amp; amp; Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
  • l Institute of Epidemiology and Healthcare, University College London, London, United Kingdom
  • m Department of Non-Communicable Diseases Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
  • n Institute for Global Health, University College London, London, United Kingdom
  • o Institute of Health Informatics Research, Faculty of Population Health Sciences, University College London, London, United Kingdom
  • p Centre for Public Health Data Science, University College London, London, United Kingdom, Public Health England, London, United Kingdom

Abstract

Background: In 2017, 15.6% of the people living in England were born abroad, yet we have a limited understanding of their use of health services and subsequent health conditions. This linked population-based cohort study aims to describe the hospital-based healthcare and mortality outcomes of 1.5 million non-European Union (EU) migrants and refugees in England. Methods and analysis: We will link four data sources: first, non-EU migrant tuberculosis pre-entry screening data; second, refugee pre-entry health assessment data; third, national hospital episode statistics; and fourth, Office of National Statistics death records. Using this linked dataset, we will then generate a population-based cohort to examine hospital-based events and mortality outcomes in England between Jan 1, 2006, and Dec 31, 2017. We will compare outcomes across three groups in our analyses: 1) non-EU international migrants, 2) refugees, and 3) general population of England. Ethics and dissemination: We will obtain approval to use unconsented patient identifiable data from the Secretary of State for Health through the Confidentiality Advisory Group and the National Health Service Research Ethics Committee. After data linkage, we will destroy identifying data and undertake all analyses using the pseudonymised dataset. The results will provide policy makers and civil society with detailed information about the health needs of non-EU international migrants and refugees in England. © 2019 Burns R et al.

Author Keywords

Migration Health migrant healthcare Mortality Refugee

Index Keywords

[No Keywords available]

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062790701&doi=10.12688%2fwellcomeopenres.15007.1&partnerID=40&md5=2a1e56ededa1a1292c6d18c301d91754

DOI: 10.12688/wellcomeopenres.15007.1
ISSN: 2398502X
Cited by: 1
Original Language: English