TORNA ALL’ELENCO

The Italian network of metropolitan longitudinal studies for health monitoring of immigrants and vulnerable groups: Study introduction and cohorts description in European Journal of Epidemiology

2015
ASL Torino 3

Tipo pubblicazione

Conference Abstract

Autori/Collaboratori (15)Vedi tutti...

Caranci N

Pacelli B

Zengarini N


et alii...

Abstract

Background: Italy has recently faced a rise in immigration flows. The evaluation of immigrant health status is complex, because of issues related to their identification in the health and population data, dynamics of migration patterns, and heterogeneity of immigrant populations. Due to the lack of longitudinal data on immigrants, previous studies conducted in Italy, mainly cross-sectional, saw only part of the phenomenon. In order to overcome these limitations, a study on immigrants health based on Census cohorts of residents has been set up by the Italian network of metropolitan longitudinal studies (MLSs). The objectives of this presentation are to describe the participating studies, with a first step of closed cohort design, and to estimate the mortality risks associated with immigrant status, which is the first condition among socio-demographic vulnerabilities having been analysed. Methods: The MLSs network to date includes the cohorts from the cities of Rome, Turin, Venice, Reggio Emilia and Florence. Archives from the registry office, population census, cause of death registry and hospital discharge have been integrated. The closed cohort were defined by residents on 21/10/2001 followed up until 31/12/2012 (2010 Florence). Immigrants are defined as residents with citizenship of a High Migration Pressure Country. Incidence Rate Ratios (IRR) and 95 % confidence intervals were estimated by means of Poisson model. Analysis were restricted to people aged 1-64 years and adjusted for age, gender and calendar year. Results: The study population includes 3,646,774 members; the percentage of immigrants was 2.5 % (ranging from 1.9 % in Venice to 4.2 % in Reggio Emilia). The number of deaths was 49,253 overall and 11,226, 1917, 1649, 27,797, 6227 respectively in Turin, Florence, Reggio Emilia, Rome, and Venice. Compared to Italians, immigrants had lower mortality in all cities, with the following IRRs (95 % CI): Turin 0.73 (0.64-0.84), Florence 0.53 (0.28-0.98), R

DOI : 10.1007/s10654-015-0072-z

Keywords

human; Italian (citizen); health; monitoring; European; immigrant; epidemiology; longitudinal study; Italy; population; city; mortality; risk; male; gender; register; incidence; citizenship; hospital discharge; cause of death; health status; prevalence; information center; confidence interval; salmonine; immigration; migrant; female; population research; death; model; dynamics;