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Mortality from external causes among ethnic German immigrants from former Soviet Union countries, in Germany.
Eur J Public Health 2006; 16(4):376-82EJ

Abstract

BACKGROUND

Diaspora migration flows from the former Soviet Union to Western Europe and Israel have increased since the late 1980s. Risk factors responsible for the East-West mortality gap and post-migration factors may lead to higher mortality from external causes of death like suicide amongst such Diaspora immigrants. We investigated whether ethnic German immigrants from the former Soviet Union had increased mortality from external causes compared to native Germans.

METHODS

We conducted a retrospective cohort study of 34 393 adults, so-called Aussiedler who arrived in Germany's largest federal state between 1990 and 2001. We ascertained vital status and causes of death from registry data. Standardized mortality ratios (SMRs) were calculated using the native German population as comparison. Multivariate effects were assessed using Poisson regression.

RESULTS

1 657 members (4.8%) died, 88 from external causes. Overall SMR was 1.29 (95% confidence intervals 1.05-1.61). Males had a 39% higher mortality from all external causes and accidents, and a 30% higher mortality from suicide than German males. Females had slightly higher mortality from accidents but comparable mortality from all external causes. Aussiedler aged <65 years had rate ratios above one for external causes and accidents in multivariate models. SMRs for suicide and all external causes decreased with length of stay.

CONCLUSION

While ethnic German immigrants have a mortality disadvantage compared to the NRW population, it is on a much lower scale than expected if they were representative of their source populations in former Soviet Union countries.

Authors+Show Affiliations

Department of Tropical Hygiene and Public Health, University of Heidelberg, Germany.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16478807

Citation

Kyobutungi, Catherine, et al. "Mortality From External Causes Among Ethnic German Immigrants From Former Soviet Union Countries, in Germany." European Journal of Public Health, vol. 16, no. 4, 2006, pp. 376-82.
Kyobutungi C, Ronellenfitsch U, Razum O, et al. Mortality from external causes among ethnic German immigrants from former Soviet Union countries, in Germany. Eur J Public Health. 2006;16(4):376-82.
Kyobutungi, C., Ronellenfitsch, U., Razum, O., & Becher, H. (2006). Mortality from external causes among ethnic German immigrants from former Soviet Union countries, in Germany. European Journal of Public Health, 16(4), pp. 376-82.
Kyobutungi C, et al. Mortality From External Causes Among Ethnic German Immigrants From Former Soviet Union Countries, in Germany. Eur J Public Health. 2006;16(4):376-82. PubMed PMID: 16478807.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mortality from external causes among ethnic German immigrants from former Soviet Union countries, in Germany. AU - Kyobutungi,Catherine, AU - Ronellenfitsch,Ulrich, AU - Razum,Oliver, AU - Becher,Heiko, Y1 - 2006/02/14/ PY - 2006/2/16/pubmed PY - 2006/12/21/medline PY - 2006/2/16/entrez SP - 376 EP - 82 JF - European journal of public health JO - Eur J Public Health VL - 16 IS - 4 N2 - BACKGROUND: Diaspora migration flows from the former Soviet Union to Western Europe and Israel have increased since the late 1980s. Risk factors responsible for the East-West mortality gap and post-migration factors may lead to higher mortality from external causes of death like suicide amongst such Diaspora immigrants. We investigated whether ethnic German immigrants from the former Soviet Union had increased mortality from external causes compared to native Germans. METHODS: We conducted a retrospective cohort study of 34 393 adults, so-called Aussiedler who arrived in Germany's largest federal state between 1990 and 2001. We ascertained vital status and causes of death from registry data. Standardized mortality ratios (SMRs) were calculated using the native German population as comparison. Multivariate effects were assessed using Poisson regression. RESULTS: 1 657 members (4.8%) died, 88 from external causes. Overall SMR was 1.29 (95% confidence intervals 1.05-1.61). Males had a 39% higher mortality from all external causes and accidents, and a 30% higher mortality from suicide than German males. Females had slightly higher mortality from accidents but comparable mortality from all external causes. Aussiedler aged <65 years had rate ratios above one for external causes and accidents in multivariate models. SMRs for suicide and all external causes decreased with length of stay. CONCLUSION: While ethnic German immigrants have a mortality disadvantage compared to the NRW population, it is on a much lower scale than expected if they were representative of their source populations in former Soviet Union countries. SN - 1101-1262 UR - https://www.unboundmedicine.com/medline/citation/16478807/Mortality_from_external_causes_among_ethnic_German_immigrants_from_former_Soviet_Union_countries_in_Germany_ L2 - https://academic.oup.com/eurpub/article-lookup/doi/10.1093/eurpub/ckl013 DB - PRIME DP - Unbound Medicine ER -