Neighbourhood migrant composition and tobacco-related cancer mortality: A census-linked study among five origin groups in urban Belgium |
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| Institution: | 1. Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA;2. Department of Epidemiology and Health Services Research, Geisinger Health System, 100 North Academy Avenue, MC 44-00, Danville, PA 17822, USA;3. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA;4. Department of Medicine, Johns Hopkins School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA;1. Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, California;2. Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California;3. California Department of Public Health, Maternal, Child and Adolescent Health, Sacramento, California;4. Institute for Health & Aging, University of California, San Francisco, Sacramento, California;1. Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27514 USA;2. RAND Corporation, Santa Monica, CA 90401 USA;3. Carolina Population Center, University of North Carolina, Chapel Hill, NC 27514 USA;4. Carolina Center for Genome Sciences, University of North Carolina, Chapel Hill, NC 27514 USA;5. Department of Genetics, University of North Carolina, Chapel Hill, NC 27514 USA;6. Department of Sociology, Univlersity of North Carolina, Chapel Hill, NC 27514 USA;7. Department of Nutrition Gillings School of Global Public Health & School of Medicine, University of North Carolina, Chapel Hill, NC 27514 USA;1. Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium;2. Netherlands Interdisciplinary Demographic Institute/ Population Research Centre, University of Groningen, PO Box 11650, NL-2502 AR The Hague, The Netherlands;1. Lund University, Social Medicine and Global Health, Malmö, Sweden;2. CAPES Foundation, Ministry of Education of Brazil, Brasilia, DF, Brazil |
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| Abstract: | We studied the role of ‘ethnic density’ in the neighbourhood for tobacco-related cancer mortality among five migrant origin groups in urban Belgium. Using full population linked census data, multilevel Poisson models were applied to model effects of three linear and categorical indicators of same-origin presence for each origin group, and to test effect mediation by migrant generation and educational level. We first of all found that increased same migrant-origin presence in the neighbourhood had protective effects on tobacco-related cancer mortality for men in most groups. Second, only Turkish men had a mortality disadvantage when Turkish concentration was higher. Third, effects were not detected across all indicators of same-origin presence, nor among most groups of women. Finally, for several groups, neighbourhood effects were mediated by generational status and educational level. |
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| Keywords: | Belgium Cancer Mortality Ethnic density Migrant origin |
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