Disparities in mortality patterns among Canadian immigrants and refugees, 1980-1998: results of a national cohort study.

被引：86

作者：

DesMeules M. ^{[1
]}

Gold J. ^{[1
]}

McDermott S. ^{[1
]}

Cao Z. ^{[1
]}

Payne J. ^{[1
]}

Lafrance B. ^{[1
]}

Vissandjée B. ^{[1
]}

Kliewer E. ^{[1
]}

Mao Y. ^{[1
]}

机构：

[1] Surveillance and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, AL 6702A, 120 Colonnade Road, Ottawa, K1A 0K9, ON

来源：

Journal of Immigrant and Minority Health | 2005年 / 7卷 / 4期

关键词：

mortality; immigration; refugees; longitudinal; record linkage;

D O I：

10.1007/s10903-005-5118-y

中图分类号：

学科分类号：

摘要：

This study examines mortality patterns among Canadian immigrants, including both refugees and non-refugees, 1980-1998. Records of a stratified random sample of Canadian immigrants landing between 1980-1990 (N = 369,936) were probabilistically linked to mortality data (1980-1998). Mortality rates among immigrants were compared to those of the general Canadian population, stratifying by age, sex, immigration category, region of birth and time in Canada. Multivariate analysis examined mortality risks for various immigrant subgroups. Although immigrants presented lower all-cause mortality than the general Canadian population (SMR between 0.34 and 0.58), some cause-specific mortality rates were elevated among immigrants, including mortality from stroke, diabetes, infectious diseases (AIDS and hepatitis among certain subgroups), and certain cancers (liver and nasopharynx). Mortality rates differed by region of birth, and were higher among refugees than other immigrants. These results support the need to consider the heterogeneity of immigrant populations and vulnerable subgroups when developing targeted interventions.

引用

页码：221 / 232

页数：11

共 108 条

[1]

Wilkins K(1996)Tuberculosis, 1994 Health Rep 8 33-39

[2]

Gushulak BD(2004)National immigration health policy: existing policy, changing needs, and future directions Can J Public Health 95 I27-I29

[3]

Williams LS(1996)Health expectancy by immigrant status, 1986 and 1991 Health Rep 8 29-38

[4]

Chen J(2004)Proceedings of the National Symposium on Immigrant Health in Canada Can J Public Health 95 I1-I39

[5]

Wilkins R(1992)Health status of Canadian-born and foreign-born residents Can J Public Health 83 311-314

[6]

Ng E(2002)Health status and health behavior among immigrants Health Rep 13 S1-S12

[7]

Gold J(1990)Mortality differentials among immigrant populations in Canada Int Migration 28 443-450

[8]

DesMeules M(2001)All-cause and cause-specific mortality of immigrants and native born in the United States Am J Public Health 91 392-399

[9]

Manuel D(1992)General and cause specific adult mortality among immigrants in Canada, 1971 and 1981 Canadian Studies in Population 19 47-80

[10]

Kazanjian A(1995)Cancer mortality among Chinese migrants: A review Int J Epidemiol 24 255-265

← 1 2 3 4 5 6 7 8 9 10 →