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Differences in avoidable mortality between migrants and the native Dutch in The Netherlands.

I Stirbu1, A E Kunst, V Bos

  • 1Department of Public Health, Erasmus MC, University Medical Center Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands. i.stirbu@erasmusmc.nl

BMC Public Health
|March 29, 2006
PubMed
Summary

Migrant populations in the Netherlands face slightly higher avoidable mortality, particularly from infectious and chronic diseases. Socioeconomic factors significantly contribute to these ethnic disparities in health outcomes.

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • Healthcare system quality impacts migrant mortality rates.
  • Examining ethnic variations in 'avoidable' mortality is key to understanding these influences.
  • Social factors contribute to ethnic differences in mortality.

Purpose of the Study:

  • Investigate the association between 'avoidable' mortality and ethnic origin in the Netherlands.
  • Identify social factors contributing to these ethnic mortality differences.
  • Assess healthcare quality for migrant populations.

Main Methods:

  • Utilized cause of death and population registries (1995-2000).
  • Compared mortality rates for 'avoidable' conditions among Turkish, Moroccan, Surinamese, and Antillean/Aruban groups versus native Dutch.

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  • Controlled for demographic and socioeconomic factors.
  • Main Results:

    • Overall 'avoidable' mortality was slightly elevated for migrants (RR = 1.13).
    • Higher risks observed for infectious diseases (RR > 3.00) and chronic conditions (RR > 1.70).
    • Migrant women had higher risks for maternity-related conditions (RR = 3.37); socioeconomic factors explained significant differences.

    Conclusions:

    • Total 'avoidable' mortality is slightly higher for combined migrant groups compared to native Dutch.
    • Mortality risks differ significantly by cause of death and ethnic origin.
    • Targeted healthcare quality improvements for disadvantaged groups are suggested.