eprintid: 18660
rev_number: 17
eprint_status: archive
userid: 1589
dir: disk0/00/01/86/60
datestamp: 2015-05-26 14:01:26
lastmod: 2022-07-18 01:24:51
status_changed: 2015-05-26 14:01:26
type: article
metadata_visibility: show
creators_name: Deckert, Andreas
creators_name: Winkler, Volker
creators_name: Paltiel, Ari
creators_name: Razum, Oliver
creators_name: Becher, Heiko
title: Time trends in cardiovascular disease mortality in Russia and Germany from 1980 to 2007 - are there migration effects?
subjects: 300
subjects: 610
divisions: 912800
abstract: Background: Cardiovascular disease (CVD) is the leading cause of death in the industrialized world. Large variations in CVD mortality between countries and also between population subgroups within countries have been observed. Previous studies showed significantly lower risks in German repatriates and Jews emigrating from Russia than in the general Russian population. We examined to what degree the migration of large subgroups influenced national CVD mortality rates. Methods: We used WHO data to map the CVD mortality distribution in Europe in 2005. Supplemented by data of the Statistisches Bundesamt, the mortality trends in three major CVD groups between 1980 and 2007 in Russia and Germany are displayed, as well as demographic information. The effects of migration on demography were estimated and percentage changes in CVD mortality trends were calculated under the assumption that migration had not occurred. Results: Cardiovascular disease mortality patterns within Europe showed a strong west-east gradient with ratios up to sixfold. In Germany, the CVD mortality levels were low and steadily decreasing, whereas in Russia they fluctuated at high levels with substantial differences between the sexes and strong correlations with political changes and health campaigns. The trends in both Russia and Germany were affected by the migration that occurred in both countries over recent decades. However, our restricted focus in only adjusting for the migration of German repatriates and Jews had moderate effects on the national CVD mortality statistics in Germany (+1.0%) and Russia (-0.6%). Conclusions: The effects on CVD mortality rates due to migration in Germany and Russia were smaller than those due to secular economical changes. However, migration should still be considered as a factor influencing national mortality trends.  
date: 2010
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1657049167
own_urn: urn:nbn:de:bsz:16-heidok-186609
language: eng
bibsort: DECKERTANDTIMETRENDS2010
full_text_status: public
publication: BMC public health
volume: 10
number: 488
place_of_pub: London
pagerange: 1-9
issn: 1471-2458
citation:   Deckert, Andreas ; Winkler, Volker ; Paltiel, Ari ; Razum, Oliver ; Becher, Heiko  (2010) Time trends in cardiovascular disease mortality in Russia and Germany from 1980 to 2007 - are there migration effects?  BMC public health, 10 (488).  pp. 1-9.  ISSN 1471-2458     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/18660/1/12889_2010_Article_2399.pdf