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Journal of Immigrant and Minority Health

, Volume 22, Issue 1, pp 102–109 | Cite as

Mortality Paradox of Older Italian-Born Men in Australia: The Concord Health and Ageing in Men Project

  • Fiona F. StanawayEmail author
  • Fiona M. Blyth
  • Vasi Naganathan
  • David G. Le Couteur
  • Rosilene Ribeiro
  • Vasant Hirani
  • Louise M. Waite
  • David J. Handelsman
  • Markus J. Seibel
  • Robert G. Cumming
Original Paper

Abstract

Italian migrants are one of the largest groups of older migrants in Australia. Past research has found lower mortality rates in Italian migrants but it is unclear if this persists into older age. Data came from 334 Italian-born and 849 Australian-born men aged 70 years and over participating in a longitudinal study of men’s ageing. Male Italian migrants were more likely to smoke, be overweight, and have lower socio-economic status (SES). They also had higher morbidity from diabetes, chronic pain, dementia and depressive symptoms but lower morbidity from heart disease and cancer. There was no age-adjusted mortality difference. However, adjusting for SES, lifestyle and morbidity differences revealed a 25% lower mortality rate (adjusted HR = 0.75; 95% CI 0.57, 0.98) in Italian-born men. Compared to their Australian-born counterparts, older Italian-born men have a lower mortality than expected considering their lower SES, higher smoking and higher morbidity.

Keywords

Migrant Older men Mortality Italian Cohort 

Notes

Funding

This work was supported by the Australian National Health and Medical Research Council (NHMRC Project Grant No. 301916) and the Ageing and Alzheimer’s Research Foundation.

Compliance with Ethical Standards

Conflict of interest

None of the authors have any conflicts of interest.

Supplementary material

10903_2019_874_MOESM1_ESM.docx (12 kb)
Supplementary material 1 (DOCX 12 KB)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Fiona F. Stanaway
    • 1
    Email author
  • Fiona M. Blyth
    • 2
  • Vasi Naganathan
    • 3
  • David G. Le Couteur
    • 3
  • Rosilene Ribeiro
    • 3
    • 4
  • Vasant Hirani
    • 4
  • Louise M. Waite
    • 3
  • David J. Handelsman
    • 5
  • Markus J. Seibel
    • 4
  • Robert G. Cumming
    • 1
    • 3
  1. 1.Sydney School of Public HealthSydney UniversityCamperdownAustralia
  2. 2.Concord Clinical SchoolConcord HospitalConcordAustralia
  3. 3.Centre for Education and Research on Ageing, The Ageing and Alzheimers InstituteConcord Hospital and Sydney UniversityConcordAustralia
  4. 4.School of Life and Environmental Science, Charles Perkins CentreSydney UniversityCamperdownAustralia
  5. 5.ANZAC Research Institute, Concord HospitalSydney UniversityConcordAustralia

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