{"id":3745,"date":"2017-03-13T00:00:00","date_gmt":"2017-03-13T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/socioeconomic-gradients-in-all-cause-premature-and-avoidable-mortality-among-immigrants-and-long-term-residents-using-linked-death-records-in-ontario-canada\/"},"modified":"2023-06-14T19:28:07","modified_gmt":"2023-06-14T23:28:07","slug":"socioeconomic-gradients-in-all-cause-premature-and-avoidable-mortality-among-immigrants-and-long-term-residents-using-linked-death-records-in-ontario-canada","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/socioeconomic-gradients-in-all-cause-premature-and-avoidable-mortality-among-immigrants-and-long-term-residents-using-linked-death-records-in-ontario-canada\/","title":{"rendered":"Socioeconomic gradients in all-cause, premature and avoidable mortality among immigrants and long-term residents using linked death records in Ontario, Canada"},"content":{"rendered":"<p><strong>Background <\/strong>&#x2014; Immigrants 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.<\/p>\n<p><strong>Methods<\/strong> &#x2014; Using 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.<\/p>\n<p><strong>Results<\/strong> &#x2014; A 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&lt;0.05).<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; This 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.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Immigrants 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. Methods &#x2014; Using several linked population-based vital and demographic databases from Ontario, [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[20,18],"migration-helper-qa-sample-set":[],"class_list":["post-3745","journal_article","type-journal_article","status-publish","hentry","topic-health-and-health-care-inequality","topic-racialized-communities"],"acf":{"citation":"Khan AM, Urquia M, Kornas K, Henry D, Cheng SY, Bornbaum C, Rosella LC. <em>J Epidemiol Community Health<\/em>. 2017; 71(7):625-32. Epub 2017 Mar 13.","source_url":"http:\/\/jech.bmj.com\/content\/71\/7\/625","ices_scientist":[1344,1266,1339],"site":[6733],"research_program":[6744],"news_release":[7585],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"5F0E9C7D-1A5F-4CB1-8413-2E4AFD60EF83","sitecore_item_name":"Socioeconomic-gradients-in-all-cause-premature-and-avoidable-mortality-among-immigrants","sitecore_field_values":"{\n  \"Title\": \"Socioeconomic gradients in all-cause, premature and avoidable mortality among immigrants and long-term residents using linked death records in Ontario, Canada\",\n  \"Short title\": \"Socioeconomic gradients in all-cause\",\n  \"Summary\": \"This study illustrates the presence of income disparities as it pertains to all-cause, premature, and avoidable mortality, irrespective of immigration status.\",\n  \"Citation\": \"<p>Khan AM, Urquia M, Kornas K, Henry D, Cheng SY, Bornbaum C, Rosella LC. <em>J Epidemiol Community Health<\/em>. 2017; 71(7):625-32. Epub 2017 Mar 13.<\/p>\",\n  \"Abstract\": \"<p><strong>Background <\/strong>&mdash; Immigrants 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.<\/p>n<p><strong>Methods<\/strong> &mdash; Using 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.<\/p>n<p><strong>Results<\/strong> &mdash; A 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&lt;0.05).<\/p>n<p><strong>Conclusions<\/strong> &mdash; This 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.<\/p>n<p><a href=\"http:\/\/jech.bmj.com\/content\/71\/7\/625\" title=\"Opens external link to full text HTML\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{404E8236-468F-4DA1-8BA1-F405AC36275E}|{EE2080A9-E23C-4C90-87BE-BBFCC62C167F}\",\n  \"Research Programs\": \"{DD981CF2-C2A6-457A-9917-A8DD64CCF7D6}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{6FC3891B-E28F-468E-A474-77566F7D7D23}|{242795DE-E521-4AAA-A4DF-93AF84CC17CA}|{430B2731-D3D6-4D57-9AF4-AA7626CF61B0}\",\n  \"Posted Date\": \"20170313T000000\",\n  \"Show on Publications Landing Page\": \"1\",\n  \"In The News\": \"{F3FBEBD7-DD0A-47AA-B105-46936EDA3E1A}\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2017\/March\/Socioeconomic-gradients-in-all-cause-premature-and-avoidable-mortality-among-immigrants"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Socioeconomic gradients in all-cause, premature and avoidable mortality among immigrants and long-term residents using linked death records in Ontario, Canada<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Immigrants have been shown to possess a health advantage, yet are also more likely to reside in arduous economic conditions. 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