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Differences in all-...
Differences in all-cause and cause-specific mortality due to external causes and suicide between young adult refugees, non-refugee immigrants and Swedish-born young adults : The role of education and migration-related factors
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- Stratmann, Marlene (författare)
- Karlstads universitet,Institutionen för hälsovetenskaper (from 2013),Karolinska Institutet,Karolinska Inst, Div Insurance Med, Dept Clin Neurosci, Stockholm, Sweden.;Karlstad Univ Sci & Technol, Fac Hlth, Dept Hlth Sci, Karlstad, Sweden
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- Björkenstam, Emma (författare)
- Karolinska Institutet,Uppsala universitet,Psykiatri,Karolinska Inst, Div Insurance Med, Dept Clin Neurosci, Stockholm, Sweden.;Univ Calif Los Angeles, Dept Community Hlth Sci, Fielding Sch Publ Hlth, Los Angeles, CA USA.;Univ Calif Los Angeles, Calif Ctr Populat Res, Los Angeles, CA USA
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- Dorner, Thomas E. (författare)
- Karolinska Institutet
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- Chen, Lingjing (författare)
- Karolinska Institutet,Karolinska Inst, Div Insurance Med, Dept Clin Neurosci, Stockholm, Sweden
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- Helgesson, Magnus (författare)
- Karolinska Institutet
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- Cullen, Alexis E. (författare)
- Karolinska Institutet
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- Mittendorfer-Rutz, Ellenor (författare)
- Karolinska Institutet
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(creator_code:org_t)
- 2022-12-20
- 2022
- Engelska.
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Ingår i: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 17:12 December
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background International migration has increased during the past years and little is known about the mortality of young adult immigrants and refugees that came to Sweden as children. This study aimed to investigate 1) the risk of all-cause and cause-specific mortality in young accompanied and unaccompanied refugees and non-refugee immigrants compared to Swedish born individuals; and 2) to determine the role of educational level and migrations-related factors in these associations. Methods This register linkage study is based on 682,358 individuals (633,167 Swedish-born, 2,163 unaccompanied and 25,658 accompanied refugees and 21,370 non-refugee immigrants) 19-25 years old, who resided in Sweden 31.12.2004. Outcomes were all-cause mortality and mortality due to suicide and external causes. Hazard ratios (HR) and 95% confidence intervals (CI) were calculated using Cox regression models with a maximum follow-up to 2016. Results After adjusting for covariates, all-cause mortality was significantly lower in non-refugee immigrants (aHR 0.70, 95% CI 0.59-0.84) and refugees (aHR 0.76, 95% CI 0.65-0.88) compared to Swedish-born individuals. The same direction of association was observed for mortality due to suicide and external causes. No differences between accompanied and unaccompanied refugees were found. Risk estimates for all migrant groups varied with educational level, duration of residency, age at arrival and country of birth. Further, the mortality risk of migrants arriving in Sweden before the age of 6 years did not significantly differ from the risk of their Swedish-born peers. Low education was a considerable risk factor. Conclusion In general, young adult refugees and non-refugee immigrants have a lower risk of all-cause and cause-specific mortality than Swedish-born individuals. The identified migrant groups with higher mortality risk need specific attention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- adult
- cause of death
- child
- educational status
- epidemiology
- human
- migrant
- refugee
- suicide
- Sweden
- young adult
- educational status
- Public Health Science
- Folkhälsovetenskap
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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