Low immigrant mortality in England and Wales: a data artefact?

Matthew Wallace*, Hill Kulu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

54 Citations (Scopus)

Abstract

Previous research shows low mortality for most immigrants compared to natives in host countries. This advantage is often attributed to health selection processes in migration and to protective health behaviours. Little research has examined the role of data quality, especially the registration of moves. Registration errors relating to moves between origin and host countries can mismatch deaths and risk populations, leading to denominator bias and an under-estimation of migrant mortality (data artefact). The paper investigates the mortality of immigrants in England and Wales from 1971 to 2001 using the Office for National Statistics Longitudinal Study CONS LS), a 1% sample of the population of England and Wales. We apply parametric survival models to study the mortality of 450,000 individuals. We conduct sensitivity analysis to assess the impact of entry and exit uncertainty on immigrant mortality rates. The analysis shows that most international migrants have lower mortality than natives in England and Wales. Differences largely persist when we adjust models to entry and exit uncertainty and they become pronounced once we control for individual socioeconomic characteristics. This study supports low mortality among immigrants and shows that results are not a data artefact.

Original languageEnglish
Pages (from-to)100-109
Number of pages10
JournalSocial Science and Medicine
Volume120
Early online date4 Sept 2014
DOIs
Publication statusPublished - Nov 2014

Keywords

  • Mortality
  • Immigrants
  • Survival analysis
  • Data artefact
  • England and Wales

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