County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999

Background. Regional variations in mortality and morbidity have been shown in Europe and USA. Longitudinal studies have found increased mortality, dissimilarities in mortality pattern, and differences in utilization of healthcare between foreign- and native-born Swedes. No study has been found compa...

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Main Authors: Björn Albin, Katarina Hjelm, Jan Ekberg, Sölve Elmståhl
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/136581
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author Björn Albin
Katarina Hjelm
Jan Ekberg
Sölve Elmståhl
author_facet Björn Albin
Katarina Hjelm
Jan Ekberg
Sölve Elmståhl
author_sort Björn Albin
collection DOAJ
description Background. Regional variations in mortality and morbidity have been shown in Europe and USA. Longitudinal studies have found increased mortality, dissimilarities in mortality pattern, and differences in utilization of healthcare between foreign- and native-born Swedes. No study has been found comparing mortality among foreign-born and native-born Swedes in relation to catchment areas/counties. Methods. The aim was to describe and compare mortality among foreign-born persons and native Swedes during 1970–1999 in 24 counties in Sweden. Data from the Statistics Sweden and the National Board of Health and Welfare was used, and the database consisted of 723,948 persons, 361,974 foreign-born living in Sweden in 1970 and aged 16 years and above and 361,974 matched Swedish controls. Results. Latest county of residence independently explained higher mortality among foreign-born persons in all but four counties; OR varied from 1.01 to 1.29. Counties with a more rural structure showed the highest differences between foreign-born persons and native controls. Foreign-born persons had a lower mean age (1.0–4.3 years) at time of death. Conclusion. County of residence influences mortality; higher mortality is indicated among migrants than native Swedes in counties with a more rural structure. Further studies are needed to explore possible explanations.
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spelling doaj-art-7b4794acbe824c1f8185473206a664f42025-02-03T01:10:21ZengWileyNursing Research and Practice2090-14292090-14372012-01-01201210.1155/2012/136581136581County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999Björn Albin0Katarina Hjelm1Jan Ekberg2Sölve Elmståhl3School of Health and Caring Sciences, Linnaeus University, 351 95 Växjö, SwedenSchool of Health and Caring Sciences, Linnaeus University, 351 95 Växjö, SwedenDepartment of Health Sciences, Division of Geriatric Medicine, Lund University, 221 00 Lund, SwedenCentre of Labour Market Policy Research (CAFO), School of Business and Economics, Linnaeus University, 351 95 Växjö, SwedenBackground. Regional variations in mortality and morbidity have been shown in Europe and USA. Longitudinal studies have found increased mortality, dissimilarities in mortality pattern, and differences in utilization of healthcare between foreign- and native-born Swedes. No study has been found comparing mortality among foreign-born and native-born Swedes in relation to catchment areas/counties. Methods. The aim was to describe and compare mortality among foreign-born persons and native Swedes during 1970–1999 in 24 counties in Sweden. Data from the Statistics Sweden and the National Board of Health and Welfare was used, and the database consisted of 723,948 persons, 361,974 foreign-born living in Sweden in 1970 and aged 16 years and above and 361,974 matched Swedish controls. Results. Latest county of residence independently explained higher mortality among foreign-born persons in all but four counties; OR varied from 1.01 to 1.29. Counties with a more rural structure showed the highest differences between foreign-born persons and native controls. Foreign-born persons had a lower mean age (1.0–4.3 years) at time of death. Conclusion. County of residence influences mortality; higher mortality is indicated among migrants than native Swedes in counties with a more rural structure. Further studies are needed to explore possible explanations.http://dx.doi.org/10.1155/2012/136581
spellingShingle Björn Albin
Katarina Hjelm
Jan Ekberg
Sölve Elmståhl
County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999
Nursing Research and Practice
title County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999
title_full County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999
title_fullStr County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999
title_full_unstemmed County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999
title_short County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999
title_sort county differences in mortality among foreign born compared to native swedes 1970 1999
url http://dx.doi.org/10.1155/2012/136581
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