RT Journal Article
T1 Differences in the risk of premature cancer mortality between natives and immigrants in Spain
A1 Grande-Martín, Rafael
A1 García-González, Juan Manuel
A1 Stanek, Mikolaj
K1 Inmigrantes - Salud e higiene - España
K1 Cáncer - Mortalidad - España
AB BackgroundThe healthy immigrant paradox has found wide support in the literature. To evaluate this hypothesis that immigrants have better health outcomes than the native population, this study aimed to compare the premature cancer mortality between the native and immigrant populations in Spain.MethodsWe obtained the 2012–15 cause-specific mortality estimates from administrative records and participant characteristics data from the 2011 Spanish census. Using Cox proportional hazards regression models, we calculated the risks of mortality of the native and immigrant populations, and the latter populations’ risk based on their regions of origin, and determined the effects of covariates of interest on the calculated risk.ResultsOur results show that the risk of premature cancer mortality is lower among immigrants than among natives, and this gap is higher among men than among women. There is a lower mortality rate among Latin American immigrants (Latino men are 81% less likely to die prematurely from cancer than native-born men, and Latino women are 54% less). Moreover, despite social class disparities, immigrants’ advantage in cancer mortality remained constant and decreased with increasing length of residence in the host country.ConclusionsThis study provided novel evidence on the ‘healthy immigrant paradox’, associated with the fact that migrants are favorably selected at origin, cultural patterns of the societies of origin and, in the case of men, there is some convergence or an ‘unhealthy’ integration that explains the fact that this advantage over natives is lost with more years of residence in Spain.
PB Oxford University Press
YR 2023
FD 2023
LK https://hdl.handle.net/10630/29852
UL https://hdl.handle.net/10630/29852
LA eng
NO Grande, R.; García-González, J.M. y Stanek, M. (2023). Differences in the risk of premature cancer mortality between natives and immigrants in Spain. European Journal of Public Health, 33(5): 803-808.
NO The study was supported by the following grants: RTI2018-098455-A-C22 by the national RþDþi program of the Spanish Ministry of Science and Innovation.
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 22 ene 2026