000078850 001__ 78850
000078850 005__ 20200716101422.0
000078850 0247_ $$2doi$$a10.1186/s12889-019-6555-1
000078850 0248_ $$2sideral$$a111228
000078850 037__ $$aART-2019-111228
000078850 041__ $$aeng
000078850 100__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu, L.A.$$uUniversidad de Zaragoza
000078850 245__ $$aThe definition of immigrant status matters: Impact of nationality, country of origin, and length of stay in host country on mortality estimates
000078850 260__ $$c2019
000078850 5060_ $$aAccess copy available to the general public$$fUnrestricted
000078850 5203_ $$aBackground: Mortality is a robust indicator of health and offers valuable insight into the health of immigrants. However, mortality estimates can vary significantly depending on the manner in which immigrant status is defined. Here, we assess the impact of nationality, country of origin, and length of stay in the host country on mortality estimates in an immigrant population in Aragón, Spain.
Methods: Cross-sectional retrospective study of all adult subjects from the EpiChron Cohort in 2011 (n = 1,102,544), of whom 146,100 were foreign-born (i.e., according to place of birth) and 127,213 were non-nationals (i.e., according to nationality). Directly standardized death proportions between years 2012-2015 were calculated, taking into account the age distribution of the European population in 2013. Binary logistic regression was used to compare the four-year probability of death.
Results: The age- and sex-standardized number of deaths per 1000 subjects were 45.1 (95%CI 44.7-45.2) for the Spanish-born population, 29.3 (95%CI 26.7-32.1) for the foreign-born population, and 18.4 (95%CI 15.6-21.6) for non-Spanish nationals. Compared with the Spanish-born population, the age- and sex-adjusted likelihood of dying was equally reduced in the foreign-born and non-national populations (OR 0.6; 95%CI 0.5-0.7) when the length of stay was less than 10 years. No significant differences in mortality estimates were detected when the length of stay was over 10 years.
Conclusions: Mortality estimates in immigrant populations were lower than those of the native Spanish population, regardless of the criteria applied. However, the proportion of deaths was lower when immigrant status was defined using nationality instead of country of birth. Age- and sex-standardized death proportions tended to increase with increased length of stay in the host country.
000078850 536__ $$9info:eu-repo/grantAgreement/ES/DGA-FEDER/B01-17R$$9info:eu-repo/grantAgreement/ES/DGA-FEDER/Construyendo Europa desde Aragón$$9info:eu-repo/grantAgreement/ES/MINECO-ISCIII/FIS/PI11-01126
000078850 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000078850 590__ $$a2.521$$b2019
000078850 592__ $$a1.198$$b2019
000078850 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b70 / 193 = 0.363$$c2019$$dQ2$$eT2
000078850 593__ $$aPublic Health, Environmental and Occupational Health$$c2019$$dQ1
000078850 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000078850 700__ $$0(orcid)0000-0001-9064-9222$$aCalderón-Larrañaga, A.
000078850 700__ $$aDÍaz, E.
000078850 700__ $$aLaguna-Berna, C.
000078850 700__ $$aPoblador-Plou, B.
000078850 700__ $$0(orcid)0000-0002-4817-9527$$aCoscollar-Santaliestra, C.
000078850 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.
000078850 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000078850 773__ $$g19, 1 (2019), 247 [8 pp]$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458
000078850 8564_ $$s410510$$uhttps://zaguan.unizar.es/record/78850/files/texto_completo.pdf$$yVersión publicada
000078850 8564_ $$s83191$$uhttps://zaguan.unizar.es/record/78850/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000078850 909CO $$ooai:zaguan.unizar.es:78850$$particulos$$pdriver
000078850 951__ $$a2020-07-16-08:41:35
000078850 980__ $$aARTICLE