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AIDS mortality in African migrants living in Portugal: evidence of large social inequalities

OBJECTIVE: To examine infectious disease and AIDS mortality among African migrants in Portugal, gender and socio-economic differences in AIDS mortality risk, and differences between African migrants to Portugal and to England and Wales. METHODS: Data from death registrations, 1998–2002, and the 2001...

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Autores principales: Williamson, L M, Rosato, M, Teyhan, A, Santana, P, Harding, S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Group 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786509/
https://www.ncbi.nlm.nih.gov/pubmed/19525262
http://dx.doi.org/10.1136/sti.2008.034066
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author Williamson, L M
Rosato, M
Teyhan, A
Santana, P
Harding, S
author_facet Williamson, L M
Rosato, M
Teyhan, A
Santana, P
Harding, S
author_sort Williamson, L M
collection PubMed
description OBJECTIVE: To examine infectious disease and AIDS mortality among African migrants in Portugal, gender and socio-economic differences in AIDS mortality risk, and differences between African migrants to Portugal and to England and Wales. METHODS: Data from death registrations, 1998–2002, and the 2001 Census were used to derive standardised death rates by country of birth, occupational class (men only), and marital status. RESULTS: Compared with people born in Portugal, African migrants had higher mortality for infectious diseases including AIDS. There was considerable heterogeneity among Africans, with those from Cape Verde having the highest mortality. Death rates were more than five times higher among those who were unmarried than those who were. A larger proportion of Africans were unmarried accounting for some excess mortality. Death rates were also higher among men from manual occupational classes than among men from non-manual. A comparison with England and Wales shows that death rates for infectious disease and AIDS in Portugal are much higher and Africans in Portugal also fare worse than Africans in England and Wales. CONCLUSION: AIDS mortality rates were higher among Africans than those born in Portugal and were associated with socio-environmental factors. Further research is required to interpret the excess mortality among Africans and there is a need to ensure the inclusion of relevant data items on ethnicity in national monitoring and surveillance systems.
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spelling pubmed-37865092013-09-30 AIDS mortality in African migrants living in Portugal: evidence of large social inequalities Williamson, L M Rosato, M Teyhan, A Santana, P Harding, S Sex Transm Infect Epidemiology OBJECTIVE: To examine infectious disease and AIDS mortality among African migrants in Portugal, gender and socio-economic differences in AIDS mortality risk, and differences between African migrants to Portugal and to England and Wales. METHODS: Data from death registrations, 1998–2002, and the 2001 Census were used to derive standardised death rates by country of birth, occupational class (men only), and marital status. RESULTS: Compared with people born in Portugal, African migrants had higher mortality for infectious diseases including AIDS. There was considerable heterogeneity among Africans, with those from Cape Verde having the highest mortality. Death rates were more than five times higher among those who were unmarried than those who were. A larger proportion of Africans were unmarried accounting for some excess mortality. Death rates were also higher among men from manual occupational classes than among men from non-manual. A comparison with England and Wales shows that death rates for infectious disease and AIDS in Portugal are much higher and Africans in Portugal also fare worse than Africans in England and Wales. CONCLUSION: AIDS mortality rates were higher among Africans than those born in Portugal and were associated with socio-environmental factors. Further research is required to interpret the excess mortality among Africans and there is a need to ensure the inclusion of relevant data items on ethnicity in national monitoring and surveillance systems. BMJ Group 2009-10 2009-06-11 /pmc/articles/PMC3786509/ /pubmed/19525262 http://dx.doi.org/10.1136/sti.2008.034066 Text en © Williamson et al 2009 http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Epidemiology
Williamson, L M
Rosato, M
Teyhan, A
Santana, P
Harding, S
AIDS mortality in African migrants living in Portugal: evidence of large social inequalities
title AIDS mortality in African migrants living in Portugal: evidence of large social inequalities
title_full AIDS mortality in African migrants living in Portugal: evidence of large social inequalities
title_fullStr AIDS mortality in African migrants living in Portugal: evidence of large social inequalities
title_full_unstemmed AIDS mortality in African migrants living in Portugal: evidence of large social inequalities
title_short AIDS mortality in African migrants living in Portugal: evidence of large social inequalities
title_sort aids mortality in african migrants living in portugal: evidence of large social inequalities
topic Epidemiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786509/
https://www.ncbi.nlm.nih.gov/pubmed/19525262
http://dx.doi.org/10.1136/sti.2008.034066
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