国际移民的全球死亡模式:系统审查和元分析
Robert W Aldridge1, Laura B Nellums2, Sean Bartlett3
1Centre for Public Health Data Science, Institute of Health Informatics, University College London, London, UK.
Lancet (London, England)
|December 12, 2018
概括
与一般人口相比,国际移民的死亡率较高,大多数疾病类别的死亡率较低. 这一发现主要来自高收入国家, 凸显了边缘化群体的数据差距.
科学领域:
- 全球健康
- 流行病学
- 人口统计
背景情况:
- 全球有2.58亿人生活在出生国外.
- 之前没有对国际移民死亡数据进行全球系统审查或元分析.
- 这项研究旨在综合国际移民的死亡数据.
研究的目的:
- 对国际移民的全球死亡率数据进行系统审查和元分析.
- 确定不同移民群体死亡率的模式和差异.
- 将移民死亡率与目的地国家的普通人口进行比较.
主要方法:
- 在MEDLINE,Embase,Cochrane图书馆和谷歌学者中进行了搜索 (2001-2017).
- 包括观察性研究,系统审查和报告国际移民死亡结果的RCT.
- 排除的研究专注于重症监护,先前存在的疾病或孕产妇/产周结局.
主要成果:
- 包括96项研究,涵盖92个国家和超过1520万的移民.
- 国际移民的整体标准化死亡率为0. 70 (95% CI为0. 65- 0. 76).
- 难民的死亡率优势 (SMR 0.50),但不是寻求庇护者 (SMR 1.05);难民和寻求庇护者的数据有限.
结论:
- 与一般人口相比,国际移民的死亡率较高,特别是在高收入国家.
- 这种优势涵盖了大多数疾病类别,除了传染病和外部原因.
- 对于低收入和中等收入国家的移民以及难民和寻求庇护者等特定群体存在重大数据缺口.
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