PUBLI : Michel Guillot, Myriam Khlat, Matthew Wallace, « Adult mortality among second-​generation immigrants in France : Results from a nationally representative record linkage study », Demographic Research, juin 2019


Background : France has a large popu­la­tion of second-​generation immi­grants (i.e., native-​born chil­dren of immi­grants) who are known to expe­ri­ence impor­tant socioe­co­nomic dispar­i­ties by country of origin. The extent to which they also expe­ri­ence dispar­i­ties in mortality, however, has not been previ­ously examined.

Methods : We used a nation­ally repre­sen­ta­tive sample of indi­vid­uals 18 to 64 years old in 1999 with mortality follow-​up via linked death records until 2010. We compared mortality levels for second-​generation immi­grants with their first-​generation coun­ter­parts and with the refer­ence (neither first- nor second-​generation) popu­la­tion using mortality hazard ratios as well as prob­a­bil­i­ties of dying between age 18 and 65. We also adjusted hazard ratios using educa­tional attain­ment reported at baseline.

Results : We found a large amount of excess mortality among second-​generation males of North African origin compared to the refer­ence popu­la­tion with no migrant back­ground. This excess mortality was not present among second-​generation males of southern European origin, for whom we instead found a mortality advan­tage, nor among North African – origin males of the first-​generation. This excess mortality remained large and signif­i­cant after adjusting for educa­tional attainment.

Contribution : In these first esti­mates of mortality among second-​generation immi­grants in France, males of North African origin stood out as a subgroup expe­ri­encing a large amount of excess mortality. This finding adds a public health dimen­sion to the various disad­van­tages already docu­mented for this subgroup. Overall, our results high­light the impor­tance of second-​generation status as a signif­i­cant and previ­ously unknown source of health disparity in France.

Author’s Affiliation

Michel Guillot – University of Pennsylvania, United States of America [Email]
Myriam Khlat – Institut National d’Études Démographiques (INED), France [Email]
Matthew Wallace – Stockholms Universitet, Sweden [Email]


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