Mortality differences between migrants and Italians residing in Rome before, during, and in the aftermath of the great recession. A longitudinal cohort study from 2001 to 2015

Abstract Background In Europe, one of the most consistent findings is that of migrant mortality advantage in high-income countries. Furthermore, the literature shows that economic shocks, which bring worse health outcomes, can severely affect the most disadvantaged individuals. We analyse difference...

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Autores principales:	Eleonora Trappolini, Claudia Marino, Nera Agabiti, Cristina Giudici, Marina Davoli, Laura Cacciani
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Mortality Migrants Longitudinal study Dynamic cohort Great recession Italy Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/45f216e236fc4c5ab7c7f8b185751c03
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spelling	oai:doaj.org-article:45f216e236fc4c5ab7c7f8b185751c032021-11-21T12:10:35ZMortality differences between migrants and Italians residing in Rome before, during, and in the aftermath of the great recession. A longitudinal cohort study from 2001 to 201510.1186/s12889-021-12176-81471-2458https://doaj.org/article/45f216e236fc4c5ab7c7f8b185751c032021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12176-8https://doaj.org/toc/1471-2458Abstract Background In Europe, one of the most consistent findings is that of migrant mortality advantage in high-income countries. Furthermore, the literature shows that economic shocks, which bring worse health outcomes, can severely affect the most disadvantaged individuals. We analyse differences and changes in all-cause mortality between Italians and migrants residing in Rome before, during, and in the aftermath of the Great Recession (2001–2015) by birth-cohort. Methods The analysis is a longitudinal open cohort study. Mortality data come from the Register of the Causes of Death (58,637 deaths) and the population denominator (n = 2,454,410) comes from the Municipal Register of Rome. By comparing three time-periods (2001–2005, 2006–2010, and 2011–2015), we analyse all-cause mortality of Rome residents born, respectively, in the intervals 1937–1976, 1942–1981, 1947–1986 (aged 25–64 years at entry into observation). Computing birth-cohort-specific death rates and applying parametric survival models with age as the time-scale, we compare mortality differences between migrants and Italians by gender, area of origin, and time-period. Results Overall, we find a lower risk of dying for migrants than Italians regardless of gender (Women: HR = 0.61, 95% CI 0.56–0.66; Men: HR = 0.49, 95% CI 0.45–0.53), and a lower death risk over time for the total population. Nevertheless, such a pattern changes according to gender and migrants’ area of origin. Conclusion Given the relevance of international migrations in Europe, studying migrants’ health has proved increasingly important. The deterioration in migrant health and the gradual weakening of migrants’ mortality advantage is likely to become a public health issue with important consequences for the healthcare system of all European countries.Eleonora TrappoliniClaudia MarinoNera AgabitiCristina GiudiciMarina DavoliLaura CaccianiBMCarticleMortalityMigrantsLongitudinal studyDynamic cohortGreat recessionItalyPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mortality Migrants Longitudinal study Dynamic cohort Great recession Italy Public aspects of medicine RA1-1270
spellingShingle	Mortality Migrants Longitudinal study Dynamic cohort Great recession Italy Public aspects of medicine RA1-1270 Eleonora Trappolini Claudia Marino Nera Agabiti Cristina Giudici Marina Davoli Laura Cacciani Mortality differences between migrants and Italians residing in Rome before, during, and in the aftermath of the great recession. A longitudinal cohort study from 2001 to 2015
description	Abstract Background In Europe, one of the most consistent findings is that of migrant mortality advantage in high-income countries. Furthermore, the literature shows that economic shocks, which bring worse health outcomes, can severely affect the most disadvantaged individuals. We analyse differences and changes in all-cause mortality between Italians and migrants residing in Rome before, during, and in the aftermath of the Great Recession (2001–2015) by birth-cohort. Methods The analysis is a longitudinal open cohort study. Mortality data come from the Register of the Causes of Death (58,637 deaths) and the population denominator (n = 2,454,410) comes from the Municipal Register of Rome. By comparing three time-periods (2001–2005, 2006–2010, and 2011–2015), we analyse all-cause mortality of Rome residents born, respectively, in the intervals 1937–1976, 1942–1981, 1947–1986 (aged 25–64 years at entry into observation). Computing birth-cohort-specific death rates and applying parametric survival models with age as the time-scale, we compare mortality differences between migrants and Italians by gender, area of origin, and time-period. Results Overall, we find a lower risk of dying for migrants than Italians regardless of gender (Women: HR = 0.61, 95% CI 0.56–0.66; Men: HR = 0.49, 95% CI 0.45–0.53), and a lower death risk over time for the total population. Nevertheless, such a pattern changes according to gender and migrants’ area of origin. Conclusion Given the relevance of international migrations in Europe, studying migrants’ health has proved increasingly important. The deterioration in migrant health and the gradual weakening of migrants’ mortality advantage is likely to become a public health issue with important consequences for the healthcare system of all European countries.
format	article
author	Eleonora Trappolini Claudia Marino Nera Agabiti Cristina Giudici Marina Davoli Laura Cacciani
author_facet	Eleonora Trappolini Claudia Marino Nera Agabiti Cristina Giudici Marina Davoli Laura Cacciani
author_sort	Eleonora Trappolini
title	Mortality differences between migrants and Italians residing in Rome before, during, and in the aftermath of the great recession. A longitudinal cohort study from 2001 to 2015
title_short	Mortality differences between migrants and Italians residing in Rome before, during, and in the aftermath of the great recession. A longitudinal cohort study from 2001 to 2015
title_full	Mortality differences between migrants and Italians residing in Rome before, during, and in the aftermath of the great recession. A longitudinal cohort study from 2001 to 2015
title_fullStr	Mortality differences between migrants and Italians residing in Rome before, during, and in the aftermath of the great recession. A longitudinal cohort study from 2001 to 2015
title_full_unstemmed	Mortality differences between migrants and Italians residing in Rome before, during, and in the aftermath of the great recession. A longitudinal cohort study from 2001 to 2015
title_sort	mortality differences between migrants and italians residing in rome before, during, and in the aftermath of the great recession. a longitudinal cohort study from 2001 to 2015
publisher	BMC
publishDate	2021
url	https://doaj.org/article/45f216e236fc4c5ab7c7f8b185751c03
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Mortality differences between migrants and Italians residing in Rome before, during, and in the aftermath of the great recession. A longitudinal cohort study from 2001 to 2015

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