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International Journal of Public Health

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Open Access 01-04-2019 | Original article

Sex differences in mortality in migrants and the Swedish-born population: Is there a double survival advantage for immigrant women?

Authors: Anna Oksuzyan, Eleonora Mussino, Sven Drefahl

Published in: International Journal of Public Health | Issue 3/2019

Abstract

Objectives

In the present study, we examine whether the relationships between country of origin or reason for migration and mortality differ between men and women.

Methods

We apply hazard regression models on high-quality Swedish register data with nationwide coverage.

Results

Relative to their Swedish counterparts, migrants from Nordic and East European (EU) countries and former Yugoslavia have higher mortality. This excess mortality among migrants relative to Swedes is more pronounced in men than in women. Migrants from Western and Southern European countries; Iran, Iraq, and Turkey; Central and South America; and Asia, have lower mortality than Swedes, and the size of the mortality reduction is similar in both sexes. The predictive effects of the reason for migration for mortality are also similar in migrant men and women.

Conclusions

This study provides little support for the hypothesis of a double survival advantage among immigrant women in Sweden. However, it does show that the excess mortality in migrants from Nordic and EU countries and former Yugoslavia relative to the Swedish-born population is more pronounced in men than in women.

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Albin B, Hjelm K, Ekberg J, Elmståhl S (2005) Mortality among 723 948 foreign- and native-born Swedes 1970–1999. Eur J Public Health 15:511–517. https://doi.org/10.1093/eurpub/cki026 CrossRefPubMed

Arnold M, Razum O, Coebergh JW (2010) Cancer risk diversity in non-western migrants to Europe: an overview of the literature. Eur J Cancer 46:2647–2659. https://doi.org/10.1016/j.ejca.2010.07.050 CrossRefPubMed

Bevelander P (2009) The immigration and integration experience: The case of Sweden. In: Segal UA, Mayadas NS, Elliott D (eds) Immigration worldwide. Oxford University, Oxford

DesMeules M, Gold J, McDermott S et al (2005) Disparities in mortality patterns among Canadian immigrants and refugees, 1980–1998: results of a national cohort study. J Immigr Minor Heal 7:221–232. https://doi.org/10.1007/s10903-005-5118-y CrossRef

Dion KLKK, Dion KLKK (2001) Gender and cultural adaptation in immigrant families. J Soc Issues 57:511–521. https://doi.org/10.1111/0022-4537.00226 CrossRef

Dixon LB, Sundquist J, Winkleby M (2000) Differences in Energy, nutrient, and food intakes in a US sample of Mexican- American women and men: findings from the third national health and nutrition examination survey, 1988–1994. Am J Epidemiol 152:548–557. https://doi.org/10.1093/aje/152.6.548 CrossRefPubMed

Drefahl S, Ahlbom A, Modig K (2014) Losing ground—Swedish life expectancy in a comparative perspective. PLoS ONE 9:1–10. https://doi.org/10.1371/journal.pone.0088357 CrossRef

Eng PM, Kawachi I, Fitzmaurice G, Rimm EB (2005) Effects of marital transitions on changes in dietary and other health behaviours in US male health professionals. J Epidemiol Community Health 59:56–62CrossRefPubMedPubMedCentral

Fox AJ, Collier PF (1976) Low mortality rates in industrial cohort studies due to selection for work and survival in the industry. Br J Prev Soc Med 30:225–230PubMedPubMedCentral

Gadd M, Sundquist J, Johansson S-E, Wändell P (2005) Do immigrants have an increased prevalence of unhealthy behaviours and risk factors for coronary heart disease? Eur J Cardiovasc Prev Rehabil 12:535–541. https://doi.org/10.1097/00149831-200512000-00004 CrossRefPubMed

Gompertz B (1977) On the nature of the function expressive of the law of human mortality. Springer, Berlin, pp 279–282

Höhn A, Larsen LA, Schneider DC et al (2018) Sex differences in the 1-year risk of dying following all-cause and cause-specific hospital admission after age 50. A register-based cohort study of the Danish population. BMJ Open 25:30. https://doi.org/10.1136/bmjopen-2018-021813 CrossRef

Hollander AC, Bruce D, Ekberg J et al (2012) Longitudinal study of mortality among refugees in Sweden. Int J Epidemiol 41:1153–1161. https://doi.org/10.1093/ije/dys072 CrossRefPubMed

Holmes JS, Driscoll AK, Heron M (2015) Mortality among US-born and immigrant Hispanics in the US: effects of nativity, duration of residence, and age at immigration. Int J Public Health 60:609–617. https://doi.org/10.1007/s00038-015-0686-7 CrossRefPubMed

Ishizawa H, Stevens G (2011) Who arrived first? the timing of arrival among young immigrant wives and husbands. J Ethn Migr Stud 37:525–542. https://doi.org/10.1080/1369183X.2010.545267 CrossRef

Jayaweera H, Quigley MA (2010) Health status, health behaviour and healthcare use among migrants in the UK: evidence from mothers in the millennium cohort study. Soc Sci Med 71:1002–1010. https://doi.org/10.1016/j.socscimed.2010.05.039 CrossRefPubMed

Kanaiaupuni SM (2000) Reframing the migration question: an analysis of men, women, and gender in Mexico. Soc Forces 78:1311–1348CrossRef

Lariscy JT, Hummer RA, Hayward MD (2015) Hispanic older adult mortality in the United States: new estimates and an assessment of factors shaping the hispanic paradox. Demography 52:1–14. https://doi.org/10.1007/s13524-014-0357-y CrossRefPubMedPubMedCentral

Llácer A, Zunzunegui MV, Del Amo J et al (2007) The contribution of a gender perspective to the understanding of migrants’ health. J Epidemiol Community Health 61:4–10. https://doi.org/10.1136/jech.2007.061770 CrossRef

Ludvigsson JF, Otterblad-Olausson P, Pettersson BU, Ekbom A (2009) The Swedish personal identity number: possibilities and pitfalls in healthcare and medical research. Eur J Epidemiol 24:659–667. https://doi.org/10.1007/s10654-009-9350-y CrossRefPubMedPubMedCentral

Méjean C, Traissac P, Eymard-Duvernay S et al (2007) Diet quality of North African migrants in France partly explains their lower prevalence of diet-related chronic conditions relative to their native French peers. J Nutr 137:2106–2113. https://doi.org/10.1093/jn/137.9.2106 CrossRefPubMed

Moon JR, Glymour MM, Vable AM et al (2014) Short- and long-term associations between widowhood and mortality in the United States: longitudinal analyses. J Public Health (Oxf) 36:382–389. https://doi.org/10.1093/pubmed/fdt101 CrossRef

Norredam M, Nielsen SS, Krasnik A (2010) Migrants’ utilization of somatic healthcare services in Europe - A systematic review. Eur J Public Health 20:555–563. https://doi.org/10.1093/eurpub/ckp195 CrossRefPubMed

Oksuzyan A, Jacobsen R, Glaser K et al (2011) Sex differences in medication and primary healthcare use before and after spousal bereavement at older ages in Denmark: nationwide register study of over 6000 bereavements. J Aging Res. https://doi.org/10.4061/2011/678289 CrossRefPubMedPubMedCentral

Preston SH, Glei DA, Wilmoth JR (2010) Contribution of smoking to international differences in life expectancy. In: Crimmins EM, Preston SH, Cohen B (eds) National Academies Press (US). 4. Available from: https://www.ncbi.nlm.nih.gov/books/NBK62593/; Crimmins EM, Preston SH, Cohen B editors. ID in M at OAD and SW (DC): NAP (US); 2010. 4. A from: https://www.ncbi.nlm.nih.gov/books/NBK62593. (ed) International Differences in Mortality at Older Ages: Dimensions and Sources. pp 105–131

Razum O (2006) Commentary: of salmon and time travellers—musing on the mystery of migrant mortality. Int J Epidemiol 35:919–921. https://doi.org/10.1093/ije/dyl143 CrossRefPubMed

Richardson VE, Bennett KM, Carr D et al (2015) How does bereavement get under the skin? the effects of late-life spousal loss on cortisol levels. J Gerontol-Ser B Psychol Sci Soc Sci 70:341–347. https://doi.org/10.1093/geronb/gbt116 CrossRef

Riosmena F, Wong R, Palloni A (2013) Migration selection, protection, and acculturation in health: a binational perspective on older adults. Demography 50:1039–1064. https://doi.org/10.1007/s13524-012-0178-9 CrossRefPubMedPubMedCentral

Singh GK, Miller BA (2004) Health, life expectancy, and mortality patterns among immigrant populations in the United States. Can J Public Heal 95:14–21

Statistics Sweden (2017) Summary of Population Statistics 1960–2016: http://www.scb.se/en/finding-statistics/statistics-by-subject-area/population/population-composition/population-statistics/pong/tables-and-graphs/yearly-statistics–the-whole-country/summary-of-population-statis. Accessed 09 June 2017

Straiton ML, Reneflot A, Diaz E (2016) Socioeconomic status and primary health service use for mental health problems among immigrants with short and long lengths of stay. Int J Migr Heal Soc Care 12:85–98. https://doi.org/10.1108/IJMHSC-01-2015-0001 CrossRef

Syse A, Strand BH, Naess O et al (2016) Differences in all-cause mortality: a comparison between immigrants and the host population in Norway 1990-2012. Demogr Res 34:615–656. https://doi.org/10.4054/DemRes.2016.34.22 CrossRef

Turra CM, Elo IT (2008) The impact of salmon bias on the hispanic mortality advantage: new evidence from social security data. Popul Res Policy Rev 27:515–530. https://doi.org/10.1007/s11113-008-9087-4 CrossRefPubMedPubMedCentral

Wallace M, Kulu H (2014) Low immigrant mortality in England and Wales: a data artefact? Soc Sci Med 120:100–109. https://doi.org/10.1016/j.socscimed.2014.08.032 CrossRefPubMed

Wändell PE, Wajngot A, de Faire U, Hellénius ML (2007) Increased prevalence of diabetes among immigrants from non-European countries in 60-year-old men and women in Sweden. Diabetes Metab 33:30–36. https://doi.org/10.1016/j.diabet.2006.07.001 CrossRefPubMed

Weitoft GR, Gullberg A, Hjern A, Rosén M (1999) Mortality statistics in immigrant research: method for adjusting underestimation of mortality. Int J Epidemiol 28:756–763. https://doi.org/10.1093/ije/28.4.756 CrossRefPubMed

WHO (2017) European health for all database. WHO Regional Office for Europe; Copenhagen; Denmark. Accessed 09 Aug 2017

Wild SH, Fischbacher C, Brock A et al (2007) Mortality from all causes and circulatory disease by country of birth in England and Wales 2001–2003. J Public Health (Bangkok) 29:191–198. https://doi.org/10.1093/pubmed/fdm010 CrossRef

Zarulli V, Barthold Jones JA, Oksuzyan A et al (2018) Women live longer than men even during severe famines and epidemics. Proc Natl Acad Sci USA 115:E832. https://doi.org/10.1073/pnas.1701535115 CrossRefPubMed

Title: Sex differences in mortality in migrants and the Swedish-born population: Is there a double survival advantage for immigrant women?
Authors: Anna Oksuzyan
Eleonora Mussino
Sven Drefahl
Publication date: 01-04-2019
Publisher: Springer International Publishing
Published in: International Journal of Public Health / Issue 3/2019
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-019-01208-1

At a glance: The STEP trials

Springer Medicine

Sex differences in mortality in migrants and the Swedish-born population: Is there a double survival advantage for immigrant women?

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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