Differences in mortality by immigrant status in Italy. Results of the Italian Network of Longitudinal Metropolitan Studies

European Journal of Epidemiology
Volume 31, Issue 7, 2016, Pages 691-701

Differences in mortality by immigrant status in Italy. Results of the Italian Network of Longitudinal Metropolitan Studies (Article)

Pacelli B.* , Zengarini N. , Broccoli S. , Caranci N. , Spadea T. , Di Girolamo C. , Cacciani L. , Petrelli A. , Ballotari P. , Cestari L. , Grisotto L. , Rossi P.G. , The IN-LiMeS Group , Biggeri A. , Mirisola C. , Canova C. , Luberto F. , Costanzo G. , Terni G. , Cesaroni G. , Costa G. , Bonvicini L. , Simonato L. , Mondo L. , Davoli M. , Agabiti N. , Carnà P.

^a Regional Health and Social Care Agency of Emilia-Romagna, via A. Moro 21, Bologna, 40127, Italy
^b Epidemiology Unit, ASL TO3 Piedmont Region, Grugliasco, TO, Italy
^c Epidemiology Unit, Azienda Unità Sanitaria Locale, Reggio Emilia, Italy, Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
^d Regional Health and Social Care Agency of Emilia-Romagna, via A. Moro 21, Bologna, 40127, Italy
^e Epidemiology Unit, ASL TO3 Piedmont Region, Grugliasco, TO, Italy
^f Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy, Cancer Survival Group, London School of Hygiene and Tropical Medicine, London, United Kingdom
^g Department of Epidemiology, Lazio Regional Health Service, Rome, Italy
^h National Institute for Health, Migration and Poverty (INMP), Rome, Italy
ⁱ Epidemiology Unit, Azienda Unità Sanitaria Locale, Reggio Emilia, Italy, Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
^j Laboratory of Public Health and Population Studies, Department of Molecular Medicine, University of Padova, Padua, Italy
^k Department of Statistics, Computer Science, Applications, University of Florence, Florence, Italy
^l Epidemiology Unit, Azienda Unità Sanitaria Locale, Reggio Emilia, Italy, Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
^m [Affiliation not available]
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Abstract

Despite a rapid increase in immigration from low-income countries, studies on immigrants’ mortality in Italy are scarce. We aimed to describe differences in all and cause-specific mortality among immigrants and Italians residing in Turin and Reggio Emilia (Northern Italy), two cities participating in the Italian Network of Longitudinal Metropolitan Studies (IN-LiMeS). We used individual data from the municipal population registers linked to the cause of death registers. All people aged 1–64 years residing between 2001 and 2010 were enrolled (open cohort) and followed up until 2013. The mortality of citizens from high migratory pressure countries (as a whole, and for each macro-area group) was compared with that of Italians; differences were estimated by Poisson regression adjusted by age and calendar year mortality rate ratios (MRRs), and by age-standardized mortality ratios for the analysis of cause-specific mortality. Compared with Italians, immigrants had lower overall mortality (MRR for men: 0.82, 95 % CI: 0.75–0.90; for women: 0.71, 95 % CI: 0.63–0.81). Sub-Saharan Africans experienced a significant higher mortality than Italians (MRR for men 1.29, 95 % CI: 1.03–1.61; for women: 1.70, 95 % CI: 1.22–2.36). Higher mortality for immigrants compared to Italians was observed for infectious diseases, congenital anomalies, some site-specific tumours and homicide mortality. Our study showed heterogeneity in mortality across the macro-areas of origin, and in particular Sub-Saharan Africans seemed to be a vulnerable population. The extension to other cohorts of IN-LiMeS will allow the health status of immigrants and vulnerable groups to be studied and monitored in more depth. © 2016, Springer Science+Business Media Dordrecht.

Author Keywords

immigrants Italy Cause of death Open cohort Mortality

Index Keywords

urban population vulnerable population immigrant longitudinal study Africa south of the Sahara Registries encephalitis Pericarditis register Neoplasms human sex ratio follow up middle aged statistics and numerical data controlled study cancer epidemiology ethnology Young Adult Humans migrant septicemia Adolescent homicide male Emigrants and Immigrants Italian (citizen) preschool child female Infant Child, Preschool congenital malformation nonhodgkin lymphoma hepatitis Article cancer mortality liver cancer leukemia major clinical study adult uterine cervix cancer migration mortality rate pneumonia meningitis age distribution cohort analysis Emigration and Immigration Italy endocarditis cause of death mortality risk standardized mortality ratio mortality Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979700840&doi=10.1007%2fs10654-016-0177-z&partnerID=40&md5=f96d9e4f8f12ab5d06599af6a0b16873

DOI: 10.1007/s10654-016-0177-z

ISSN: 03932990

Cited by: 13

Original Language: English