ArticleBMC public health2006
All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study.
Article in BMC public health, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Global patterns of mortality in international migrants: a systematic review and meta-analysis.Lancet (London, England) · 2018Pooled it
- Article
- The Effects of Ethno-cultural Origin-Destination Interactions on Immigrants' Longevity.Journal of immigrant and minority health · 2022Review
- 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.BMC public health · 2021Article
- Mortality advantage among migrants according to duration of stay in France, 2004-2014.BMC public health · 2019Article
- Self-rated health among migrants from the former Soviet Union in Germany: a cross-sectional study.BMJ open · 2018Article
- An observational study of immigrant mortality differences in Norway by reason for migration, length of stay and characteristics of sending countries.BMC public health · 2018Observational
- Understanding age variations in the migrant mortality advantage: An international comparative perspective.PloS one · 2018Article
- Time trends of cause-specific mortality among resettlers in Germany, 1990 through 2009.European journal of epidemiology · 2017Article
- Register study of migrants' hospitalization in Norway: world region origin, reason for migration, and length of stay.BMC health services research · 2016Article
- The prevalence of diabetes, hypertension and obesity among immigrants from East Africa and the former Soviet Union: a retrospective comparative 30-year cohort study.Cardiovascular diabetology · 2016Article
- Exploring the 'Healthy Migrant Paradox' in Sweden. A Cross Sectional Study Focused on Perinatal Outcomes.Journal of immigrant and minority health · 2016Article
- The existence of standard-biased mortality ratios due to death certificate misclassification - a simulation study based on a true story.BMC medical research methodology · 2016Article
- Risk factors for cardiovascular and cerebrovascular diseases among ethnic Germans from the former Soviet Union: results of a nested case-control study.BMC public health · 2012Article
- Prostate cancer in Germany among migrants from the Former Soviet Union.Global health action · 2012Article
- What do we have to know from migrants' past exposures to understand their health status? a life course approach.Emerging themes in epidemiology · 2011Article
- 'Imported risk' or 'health transition'? Smoking prevalence among ethnic German immigrants from the Former Soviet Union by duration of stay in Germany - analysis of microcensus data.International journal for equity in health · 2010Article
- Prevention among immigrants: the example of Germany.BMC public health · 2010Article
- Prevalence of Cardiovascular Disease Risk Factors in Migrants Participating in the PEP Family Heart Study, Nuremberg.International journal of preventive medicine · 2010Article
- Noncommunicable disease mortality and life expectancy in immigrants to Israel from the former Soviet Union: country of origin compared with host country.Bulletin of the World Health Organization · 2009Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMigration 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.
methodsWe 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.
results1657 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.
conclusionIn 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.
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