ArticleJournal of epidemiology and community health2017
Socioeconomic gradients in all-cause, premature and avoidable mortality among immigrants and long-term residents using linked death records in Ontario, Canada.
Article in Journal of epidemiology and community health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global patterns of mortality in international migrants: a systematic review and meta-analysis.Lancet (London, England) · 2018Pooled it
- Building on existing tools to improve chronic disease prevention and screening in public health: a cluster randomized trial.BMC public health · 2021Trial
- Primary Care Attachment and Long-Term Mortality in Burn Survivors: A Population-Based Cohort Study.Journal of burn care & research : official publication of the American Burn Association · 2026Article
- Socioeconomic inequalities in mortality among Italian and immigrant residents: A longitudinal population-based study.Journal of migration and health · 2025Article
- Development and validation of a population-based risk algorithm for premature mortality in Canada: the Premature Mortality Population Risk Tool (PreMPoRT).BMJ public health · 2024Article
- Breast cancer learning health system: Patient information from a data and analytics platform characterizes care provided.Learning health systems · 2024Article
- Birth and postnatal outcomes among infants of immigrant parents of different admission categories and parents born in Canada: a population-based retrospective study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Article
- Income mortality paradox by immigrants' duration of residence in Sweden: a population register-based study.Journal of epidemiology and community health · 2023Article
- Multimorbidity at time of death among persons with type 2 diabetes: a population-based study in Ontario, Canada.BMC endocrine disorders · 2023Article
- Variations in all-cause mortality, premature mortality and cause-specific mortality among persons with diabetes in Ontario, Canada.BMJ open diabetes research & care · 2023Article
- Neighbourhood socioeconomic improvement, residential mobility and premature death: a population-based cohort study and inverse probability of treatment weighting analysis.International journal of epidemiology · 2023Article
- Differences in ill health and in socioeconomic inequalities in health by ethnic groups: a cross-sectional study using 2011 Scottish census.Ethnicity & health · 2022Article
- Article
- A study protocol for a predictive algorithm to assess population-based premature mortality risk: Premature Mortality Population Risk Tool (PreMPoRT).Diagnostic and prognostic research · 2020Article
- Socioeconomic Inequalities in Mortality among Foreign-Born and Spanish-Born in Small Areas in Cities of the Mediterranean Coast in Spain, 2009-2015.International journal of environmental research and public health · 2020Article
- Association between the regional variation in premature mortality and immigration in Ontario, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Agreement between area- and individual-level income measures in a population-based cohort: Implications for population health research.SSM - population health · 2020Article
- Neighbourhood-level marginalization and avoidable mortality in Ontario, Canada: a population-based study.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Association between household food insecurity and mortality in Canada: a population-based retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundImmigrants have been shown to possess a health advantage, yet are also more likely to reside in arduous economic conditions. Little is known about if and how the socioeconomic gradient for all-cause, premature and avoidable mortality differs according to immigration status.
methodsUsing several linked population-based vital and demographic databases from Ontario, we examined a cohort of all deaths in the province between 2002 and 2012. We constructed count models, adjusted for relevant covariates, to attain age-adjusted mortality rates and rate ratios for all-cause, premature and avoidable mortality across income quintile in immigrants and long-term residents, stratified by sex.
resultsA downward gradient in age-adjusted all-cause mortality was observed with increasing income quintile, in immigrants (males: Q5: 13.32, Q1: 20.18; females: Q5: 9.88, Q1: 12.51) and long-term residents (males: Q5: 33.25, Q1: 57.67; females: Q5: 22.31, Q1: 36.76). Comparing the lowest and highest income quintiles, male and female immigrants had a 56% and 28% lower all-cause mortality rate, respectively. Similar trends were observed for premature and avoidable mortality. Although immigrants had consistently lower mortality rates compared with long-term residents, trends only differed statistically across immigration status for females (p<0.05).
conclusionsThis study illustrated the presence of income disparities as it pertains to all-cause, premature, and avoidable mortality, irrespective of immigration status. Additionally, the immigrant health advantage was observed and income disparities were less pronounced in immigrants compared with long-term residents. These findings support the need to examine the factors that drive inequalities in mortality within and across immigration status.
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