All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study

Ronellenfitsch U, Kyobutungi C, Becher H, Razum O (2006)
BMC Public Health 6(1): 16.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Ronellenfitsch, Ulrich; Kyobutungi, Catherine; Becher, Heiko; Razum, OliverUniBi
Abstract / Bemerkung
Background: Migration is a phenomenon of particular Public Health importance. Since 1990, almost 2 million ethnic Germans (Aussiedler) have migrated from the former Soviet Union (FSU) to Germany. This study compares their overall and cardiovascular disease (CVD) mortality to that of Germany's general population. Because of high overall and CVD mortality in the FSU and low socio-economic status of Aussiedler in Germany, we hypothesize that their mortality is higher. Methods: We conducted a retrospective cohort study for 1990–2002 with data of 34,393 Aussiedler. We assessed vital status at population registries and causes of death at the state statistical office. We calculated standardized mortality ratios (SMRs) for the whole cohort and substrata of covariables such as age, sex and family size. To assess multivariate effects, we used Poisson regression. Results: 1657 cohort members died before December 31, 2002, and 680 deaths (41.03%) were due to CVD. The SMR for the whole cohort was 0.85 (95%-CI 0.81–0.89) for all causes of death and 0.79 (95%-CI 0.73–0.85) for CVD. SMRs were higher than one for younger Aussiedler and lower for older ones. There was no clear effect of duration of stay on SMRs. For 1990–93, SMRs were significantly lower than in subsequent years. In families comprising at least five members upon arrival in Germany, SMRs were significantly lower than in smaller families. Conclusion: In contrast to our hypothesis on migrants' health, overall and CVD mortality among Aussiedler is lower than in Germany's general population. Possible explanations are a substantially better health status of Aussiedler in the FSU as compared to the local average, a higher perceived socio-economic status of Aussiedler in Germany, or selection effects. SMR differences between substrata need further exploration, and risk factor data are needed.
Erscheinungsjahr
2006
Zeitschriftentitel
BMC Public Health
Band
6
Ausgabe
1
Art.-Nr.
16
ISSN
1471-2458
Page URI
https://pub.uni-bielefeld.de/record/1773714

Zitieren

Ronellenfitsch U, Kyobutungi C, Becher H, Razum O. All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study. BMC Public Health. 2006;6(1): 16.
Ronellenfitsch, U., Kyobutungi, C., Becher, H., & Razum, O. (2006). All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study. BMC Public Health, 6(1), 16. https://doi.org/10.1186/1471-2458-6-16
Ronellenfitsch, Ulrich, Kyobutungi, Catherine, Becher, Heiko, and Razum, Oliver. 2006. “All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study”. BMC Public Health 6 (1): 16.
Ronellenfitsch, U., Kyobutungi, C., Becher, H., and Razum, O. (2006). All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study. BMC Public Health 6:16.
Ronellenfitsch, U., et al., 2006. All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study. BMC Public Health, 6(1): 16.
U. Ronellenfitsch, et al., “All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study”, BMC Public Health, vol. 6, 2006, : 16.
Ronellenfitsch, U., Kyobutungi, C., Becher, H., Razum, O.: All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study. BMC Public Health. 6, : 16 (2006).
Ronellenfitsch, Ulrich, Kyobutungi, Catherine, Becher, Heiko, and Razum, Oliver. “All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study”. BMC Public Health 6.1 (2006): 16.
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30 Zitationen in Europe PMC

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Mortality advantage among migrants according to duration of stay in France, 2004-2014.
Wallace M, Khlat M, Guillot M., BMC Public Health 19(1), 2019
PMID: 30898125
Understanding age variations in the migrant mortality advantage: An international comparative perspective.
Guillot M, Khlat M, Elo I, Solignac M, Wallace M., PLoS One 13(6), 2018
PMID: 29958274
Self-rated health among migrants from the former Soviet Union in Germany: a cross-sectional study.
Stolpe S, Ouma M, Winkler V, Meisinger C, Becher H, Deckert A., BMJ Open 8(10), 2018
PMID: 30361404
Global patterns of mortality in international migrants: a systematic review and meta-analysis.
Aldridge RW, Nellums LB, Bartlett S, Barr AL, Patel P, Burns R, Hargreaves S, Miranda JJ, Tollman S, Friedland JS, Abubakar I., Lancet 392(10164), 2018
PMID: 30528484
The global dynamics of diabetes and tuberculosis: the impact of migration and policy implications.
Girardi E, Sañé Schepisi M, Goletti D, Bates M, Mwaba P, Yeboah-Manu D, Ntoumi F, Palmieri F, Maeurer M, Zumla A, Ippolito G., Int J Infect Dis 56(), 2017
PMID: 28153793
Time trends of cause-specific mortality among resettlers in Germany, 1990 through 2009.
Kaucher S, Leier V, Deckert A, Holleczek B, Meisinger C, Winkler V, Becher H., Eur J Epidemiol 32(4), 2017
PMID: 28314982
Exploring the 'Healthy Migrant Paradox' in Sweden. A Cross Sectional Study Focused on Perinatal Outcomes.
Juárez SP, Revuelta-Eugercios BA., J Immigr Minor Health 18(1), 2016
PMID: 25618026
Suicide and external mortality pattern in a cohort of migrants from the former Soviet Union to Germany.
Deckert A, Winkler V, Meisinger C, Heier M, Becher H., J Psychiatr Res 63(), 2015
PMID: 25770349
[Mortality risks of migrants: Analysis of the healthy-migrant-effect after the 2011 German Census].
Kohls M., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 58(6), 2015
PMID: 25861041
Myocardial infarction incidence and ischemic heart disease mortality: overall and trend results in repatriates, Germany.
Deckert A, Winkler V, Meisinger C, Heier M, Becher H., Eur J Public Health 24(1), 2014
PMID: 23729483
Duration of residence and disease occurrence among refugees and family reunited immigrants: test of the 'healthy migrant effect' hypothesis.
Norredam M, Agyemang C, Hoejbjerg Hansen OK, Petersen JH, Byberg S, Krasnik A, Kunst AE., Trop Med Int Health 19(8), 2014
PMID: 24889930
Low immigrant mortality in England and Wales: a data artefact?
Wallace M, Kulu H., Soc Sci Med 120(), 2014
PMID: 25233336
Prostate cancer in Germany among migrants from the Former Soviet Union.
Winkler V, Holleczek B, Stegmaier C, Becher H., Glob Health Action 5(), 2012
PMID: 22229025
Prevention among immigrants: the example of Germany.
Spallek J, Zeeb H, Razum O., BMC Public Health 10(), 2010
PMID: 20181232
Stomach cancer mortality in two large cohorts of migrants from the Former Soviet Union to Israel and Germany: are there implications for prevention?
Ronellenfitsch U, Kyobutungi C, Ott JJ, Paltiel A, Razum O, Schwarzbach M, Winkler V, Becher H., Eur J Gastroenterol Hepatol 21(4), 2009
PMID: 19242359
Cancer profile of migrants from the Former Soviet Union in Germany: incidence and mortality.
Winkler V, Ott JJ, Holleczek B, Stegmaier C, Becher H., Cancer Causes Control 20(10), 2009
PMID: 19543985
Does language matter? A case study of epidemiological and public health journals, databases and professional education in French, German and Italian.
Baussano I, Brzoska P, Fedeli U, Larouche C, Razum O, Fung IC., Emerg Themes Epidemiol 5(), 2008
PMID: 18826570
[Epidemiological research on migrant health in Germany. An overview].
Zeeb H, Razum O., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 49(9), 2006
PMID: 16937322

56 References

Daten bereitgestellt von Europe PubMed Central.

Migration in the Twentieth Century
Moch LP., 1992
Lessons from the study of immigrant mortality.
Marmot MG, Adelstein AM, Bulusu L., Lancet 1(8392), 1984
PMID: 6145889
Epidemiology of diseases among migrants
Kliewer E., 1992

AUTHOR UNKNOWN, 2003

Kosubek S., 1998
WHO Statistical Information System WHOSIS
AUTHOR UNKNOWN, 0
Migration and mortality: a 20 year follow up of Finnish twin pairs with migrant co-twins in Sweden.
Hammar N, Kaprio J, Hagstrom U, Alfredsson L, Koskenvuo M, Hammar T., J Epidemiol Community Health 56(5), 2002
PMID: 11964433
Canadian cardiovascular disease mortality: first generation immigrants versus Canadian born.
Nair C, Nargundkar M, Johansen H, Strachan J., Health Rep 2(3), 1990
PMID: 2101285
Premature death in the New Independent States: Overview
Bobadilla JL, Costello CA., 1997
The peculiar pattern of mortality of Jews in Moscow, 1993-95.
Shkolnikov VM, Andreev EM, Anson J, Mesle F., Popul Stud (Camb) 58(3), 2004
PMID: 15513286
Increasing ethnic differences in mortality in Estonia after the collapse of the Soviet Union.
Leinsalu M, Vagero D, Kunst AE., J Epidemiol Community Health 58(7), 2004
PMID: 15194720
Deutsche Aussiedler aus der Sowjetunion. Sozialer Hintergrund. Ausreise. Integration
Dietz B, Hilkes P., 1992
Herkunft, Zuwanderung und soziale Probleme deutschstämmiger Aussiedler
Münz R., 1999
Socioeconomic status and health: what we know and what we don't.
Adler NE, Ostrove JM., Ann. N. Y. Acad. Sci. 896(), 1999
PMID: 10681884
Deteriorating health satisfaction among immigrants from Eastern Europe to Germany.
Ronellenfitsch U, Razum O., Int J Equity Health 3(1), 2004
PMID: 15193155
Integrationschancen von Aussiedlern. Eine Einschätzung ihrer sozialen Situation in der Bundesrepublik
Hülskemper M., 1994
Aussiedlerfamilien aus der ehemaligen Sowjetunion in Bielefelder Übergangsheimen – wichtigste Ergebnisse
Pütz H-G., 1993
Socio-economic factors in cardiovascular disease
Marmot MG., 1996
[Development of a model for explaining health inequality]
Elkeles T, Mielck A., Gesundheitswesen 59(3), 1997
PMID: 9206540
Aussiedler
AUTHOR UNKNOWN, 2000
Migration, distress and cultural identity.
Bhugra D., Br. Med. Bull. 69(), 2004
PMID: 15226202
Sozio-kulturelle Identifikation von Aussiedlern 15 Jahre nach der Einreise
Fuchs M., 1999
"Das Kulturgut des deutschen Volkes erhalten". Zur Integration von Aussiedlern
Holtfreter U., 1999
Large-scale, population-based epidemiological studies with record linkage can be done in Germany.
Ronellenfitsch U, Kyobutungi C, Becher H, Razum O., Eur. J. Epidemiol. 19(12), 2004
PMID: 15678785

AUTHOR UNKNOWN, 1999

AUTHOR UNKNOWN, 1987
Statistisches Bundesamt, Robert-Koch-Institut, Bundesministerium für Gesundheit und soziale Sicherung. Gesundheitsberichterstattung des Bundes. Informationssystem der Gesundheitsberichterstattung
AUTHOR UNKNOWN, 0
Regionale Unterschiede der Herz-Kreislauf-Mortalität in Deutschland
Willich SN, Löwel H, Mey W, Trautner C., 1999

Breslow NE, Day NE., 1987

Waterhouse J, Muir C, Correa P, Powell J., 1976

AUTHOR UNKNOWN, 2001
Ethnic inequalities in age- and cause-specific mortality in The Netherlands.
Bos V, Kunst AE, Keij-Deerenberg IM, Garssen J, Mackenbach JP., Int J Epidemiol 33(5), 2004
PMID: 15166193
Recent trends in life expectancy and causes of death in Russia 1970–1993
Shkolnikov V, Mesle F, Vallin J., 1997
Mortality patterns in the Russian Federation: indirect technique using widowhood data.
Bobak M, Murphy M, Pikhart H, Martikainen P, Rose R, Marmot M., Bull. World Health Organ. 80(11), 2002
PMID: 12481209

Rotem N., 1998

Mammey U, Schiener R., 1998
Zuwanderer in Deutschland optimistisch. Untersuchung zu Lebensbedingungen, Integration und Zufriedenheit bei Migranten
Weick S., 1996
Cardiovascular mortality of Turkish nationals residing in West Germany.
Razum O, Zeeb H, Gerhardus A., Ann Epidemiol 8(5), 1998
PMID: 9669616
Russian mortality trends for 1991-2001: analysis by cause and region.
Men T, Brennan P, Boffetta P, Zaridze D., BMJ 327(7421), 2003
PMID: 14576248
Do health control beliefs predict behaviour in Russians?
Perlman F, Bobak M, Steptoe A, Rose R, Marmot M., Prev Med 37(2), 2003
PMID: 12855206
Social relationships and health.
House JS, Landis KR, Umberson D., Science 241(4865), 1988
PMID: 3399889
Zensustest 2001
Braun R., 2004

Modelmog D., 1993
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