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Related Experiment Videos

'Avoidable' mortality among immigrants in Sweden.

Ragnar Westerling1, Måns Rosén

  • 1Department of Public Health and Caring Sciences, Uppsala University, Sweden.

European Journal of Public Health
|January 1, 2003
PubMed
Summary

Avoidable mortality rates were higher for immigrants in Sweden for certain health policy indicators, but not for conditions amenable to medical care, suggesting lifestyle differences.

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • Avoidable mortality is a key indicator for assessing healthcare outcomes.
  • Previous studies focused on time-trends and variations across geography and socioeconomic status.

Purpose of the Study:

  • To investigate 'avoidable' mortality rates among immigrants in Sweden.
  • To compare death rates between immigrants and the native-born Swedish population.

Main Methods:

  • Utilized nationwide data sources: Population Census and Cause of Death Register.
  • Linked these datasets to compare mortality indicators for immigrant groups and Swedish-born individuals.

Main Results:

  • Higher death rates (40-100%) observed for immigrants from Nordic countries, Yugoslavia, and Eastern Europe concerning health policy indicators like liver cirrhosis and lung cancer.
  • Minimal differences in death rates for conditions amenable to medical care intervention.
  • Elevated death rates for cerebrovascular disease and certain cancers were noted among immigrants from other Nordic countries, but not for other immigrant groups based on medical care indicators.

Conclusions:

  • Limited evidence of inequity in healthcare outcomes based on mortality data.
  • Observed variations in death rates from health policy indicators likely stem from lifestyle factors such as smoking and alcohol consumption.

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