Elevated mortality among the second-generation (children of migrants) in Europe: what is going wrong? A review.

IF 6.7 2区 医学 Q1 Medicine
Matthew Wallace, Lucinda Hiam, Robert Aldridge
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引用次数: 0

Abstract

Introduction: The 'second-generation' (i.e. the children of migrants) represent one of the fastest growing subpopulations of the child and young adult populations in Europe today. The research so far appears to indicate that their mortality risk is elevated relative to people with non-migrant backgrounds.

Sources of data: Peer-reviewed publications.

Areas of agreement: Second-generation status is a clear marker of elevated mortality risk in Europe in early life (including stillbirth, perinatal, neonatal and infant mortality) and adulthood, particularly if the parent(s) were born outside of Europe. Socioeconomic inequality plays an important, albeit rarely defining, role in these elevated risks.

Areas of controversy: It remains unclear what causes-of-death are driving these elevated mortality risks. The exact influence of (non-socioeconomic) explanatory factors (e.g. health care, racism & discrimination, and factors related to integration) on the elevated mortality risks of the second-generation also remains unclear.

Growing points: The second-generation will continue to grow and diversify in Europe; we must intervene to address these inequalities now.

Areas timely for developing research: Place more emphasis on the complexity of migration background, specific causes-of-death, and understanding the roles of explanatory factors beyond socioeconomic background.

欧洲第二代(移民子女)死亡率上升:出了什么问题?评论。
引言:“第二代”(即移民的子女)是当今欧洲增长最快的儿童和青年人口亚群之一。迄今为止的研究似乎表明,与非移民背景的人相比,他们的死亡风险更高。数据来源:同行评审出版物。一致的领域:第二代身份是欧洲早期(包括死产、围产期、新生儿和婴儿死亡率)和成年期死亡率上升的明确标志,尤其是如果父母出生在欧洲以外。社会经济不平等在这些高风险中发挥着重要作用,尽管很少具有决定性作用。争议领域:目前尚不清楚是什么原因导致了这些死亡风险的上升。(非社会经济)解释因素(如医疗保健、种族主义和歧视以及与融合有关的因素)对第二代死亡率上升的确切影响也尚不清楚。增长点:第二代将在欧洲继续增长和多样化;我们现在必须进行干预以解决这些不平等问题。及时开展研究的领域:更加重视移民背景的复杂性、死亡的具体原因,以及理解社会经济背景之外的解释因素的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
British medical bulletin
British medical bulletin 医学-医学:内科
CiteScore
13.10
自引率
1.50%
发文量
24
审稿时长
>12 weeks
期刊介绍: British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries. Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.
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