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Nursing Research and Practice
Volume 2012, Article ID 136581, 9 pages
http://dx.doi.org/10.1155/2012/136581
Research Article

County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970–1999

1School of Health and Caring Sciences, Linnaeus University, 351 95 Växjö, Sweden
2Centre of Labour Market Policy Research (CAFO), School of Business and Economics, Linnaeus University, 351 95 Växjö, Sweden
3Department of Health Sciences, Division of Geriatric Medicine, Lund University, 221 00 Lund, Sweden

Received 9 February 2012; Accepted 16 July 2012

Academic Editor: Rosa Benato

Copyright © 2012 Björn Albin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Regional variations in mortality and morbidity have been shown in Europe and USA. Longitudinal studies have found increased mortality, dissimilarities in mortality pattern, and differences in utilization of healthcare between foreign- and native-born Swedes. No study has been found comparing mortality among foreign-born and native-born Swedes in relation to catchment areas/counties. Methods. The aim was to describe and compare mortality among foreign-born persons and native Swedes during 1970–1999 in 24 counties in Sweden. Data from the Statistics Sweden and the National Board of Health and Welfare was used, and the database consisted of 723,948 persons, 361,974 foreign-born living in Sweden in 1970 and aged 16 years and above and 361,974 matched Swedish controls. Results. Latest county of residence independently explained higher mortality among foreign-born persons in all but four counties; OR varied from 1.01 to 1.29. Counties with a more rural structure showed the highest differences between foreign-born persons and native controls. Foreign-born persons had a lower mean age (1.0–4.3 years) at time of death. Conclusion. County of residence influences mortality; higher mortality is indicated among migrants than native Swedes in counties with a more rural structure. Further studies are needed to explore possible explanations.