A population-based study on mortality among Belgian immigrants during the first COVID-19 wave in Belgium. Can demographic and socioeconomic indicators explain differential mortality?
Introduction: Belgium has noted a significant excess mortality during the first COVID-19 wave. Research in other countries has shown that people with migrant origin are disproportionally affected. Belgium has an ethnically diverse and increasingly ageing population and is therefore particularly apt...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | SSM: Population Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827321000720 |
| _version_ | 1818587535506407424 |
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| author | Katrien Vanthomme Sylvie Gadeyne Patrick Lusyne Hadewijch Vandenheede |
| author_facet | Katrien Vanthomme Sylvie Gadeyne Patrick Lusyne Hadewijch Vandenheede |
| author_sort | Katrien Vanthomme |
| collection | DOAJ |
| description | Introduction: Belgium has noted a significant excess mortality during the first COVID-19 wave. Research in other countries has shown that people with migrant origin are disproportionally affected. Belgium has an ethnically diverse and increasingly ageing population and is therefore particularly apt to study differential mortality by migrant group during this first wave of COVID-19. Data and methods: We used nationwide individually-linked data from the Belgian National Register providing sociodemographic indicators and mortality; and the administrative census of 2011 providing indicators of socioeconomic position. Age-standardized all-cause mortality rates (ASMRs) were calculated during the first COVID-19 wave (weeks 11–20 in 2020) and compared with ASMRs during weeks 11–20 in 2019 to calculate excess mortality by migrant origin, age and gender. For both years, relative inequalities were calculated by migrant group using Poisson regression, with and without adjustment for sociodemographic and socioeconomic indicators. Results: Among the middle-aged, ASMRs revealed increased mortality in all origin groups, with significant excess mortality for Belgians and Sub-Saharan African men. At old age, excess mortality up to 60% was observed for all groups. In relative terms, most male elderly migrant groups showed higher mortality than natives, as opposed to 2019 and to women. Adding the control variables decreased this excess mortality. Discussion: This study underlined important inequalities in overall and excess mortality in specific migrant communities, especially in men. Tailor-made policy measures and communication strategies should be set-up taking into account the particular risks to which groups are exposed. |
| first_indexed | 2024-12-16T09:10:24Z |
| format | Article |
| id | doaj.art-61df6ee0cf724f12a6e7cd645738947c |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-12-16T09:10:24Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-61df6ee0cf724f12a6e7cd645738947c2022-12-21T22:37:00ZengElsevierSSM: Population Health2352-82732021-06-0114100797A population-based study on mortality among Belgian immigrants during the first COVID-19 wave in Belgium. Can demographic and socioeconomic indicators explain differential mortality?Katrien Vanthomme0Sylvie Gadeyne1Patrick Lusyne2Hadewijch Vandenheede3Sociology Department, Interface Demography, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium; Corresponding author.Sociology Department, Interface Demography, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, BelgiumStatbel, Directorate General Statistics - Statistics Belgium, North Gate - Boulevard du Roi Albert II, 16 - 1000, Brussels, BelgiumSociology Department, Interface Demography, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, BelgiumIntroduction: Belgium has noted a significant excess mortality during the first COVID-19 wave. Research in other countries has shown that people with migrant origin are disproportionally affected. Belgium has an ethnically diverse and increasingly ageing population and is therefore particularly apt to study differential mortality by migrant group during this first wave of COVID-19. Data and methods: We used nationwide individually-linked data from the Belgian National Register providing sociodemographic indicators and mortality; and the administrative census of 2011 providing indicators of socioeconomic position. Age-standardized all-cause mortality rates (ASMRs) were calculated during the first COVID-19 wave (weeks 11–20 in 2020) and compared with ASMRs during weeks 11–20 in 2019 to calculate excess mortality by migrant origin, age and gender. For both years, relative inequalities were calculated by migrant group using Poisson regression, with and without adjustment for sociodemographic and socioeconomic indicators. Results: Among the middle-aged, ASMRs revealed increased mortality in all origin groups, with significant excess mortality for Belgians and Sub-Saharan African men. At old age, excess mortality up to 60% was observed for all groups. In relative terms, most male elderly migrant groups showed higher mortality than natives, as opposed to 2019 and to women. Adding the control variables decreased this excess mortality. Discussion: This study underlined important inequalities in overall and excess mortality in specific migrant communities, especially in men. Tailor-made policy measures and communication strategies should be set-up taking into account the particular risks to which groups are exposed.http://www.sciencedirect.com/science/article/pii/S2352827321000720BelgiumImmigrantsCOVID-19MortalityInequalities |
| spellingShingle | Katrien Vanthomme Sylvie Gadeyne Patrick Lusyne Hadewijch Vandenheede A population-based study on mortality among Belgian immigrants during the first COVID-19 wave in Belgium. Can demographic and socioeconomic indicators explain differential mortality? SSM: Population Health Belgium Immigrants COVID-19 Mortality Inequalities |
| title | A population-based study on mortality among Belgian immigrants during the first COVID-19 wave in Belgium. Can demographic and socioeconomic indicators explain differential mortality? |
| title_full | A population-based study on mortality among Belgian immigrants during the first COVID-19 wave in Belgium. Can demographic and socioeconomic indicators explain differential mortality? |
| title_fullStr | A population-based study on mortality among Belgian immigrants during the first COVID-19 wave in Belgium. Can demographic and socioeconomic indicators explain differential mortality? |
| title_full_unstemmed | A population-based study on mortality among Belgian immigrants during the first COVID-19 wave in Belgium. Can demographic and socioeconomic indicators explain differential mortality? |
| title_short | A population-based study on mortality among Belgian immigrants during the first COVID-19 wave in Belgium. Can demographic and socioeconomic indicators explain differential mortality? |
| title_sort | population based study on mortality among belgian immigrants during the first covid 19 wave in belgium can demographic and socioeconomic indicators explain differential mortality |
| topic | Belgium Immigrants COVID-19 Mortality Inequalities |
| url | http://www.sciencedirect.com/science/article/pii/S2352827321000720 |
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