Universidad Peruana Cayetano Heredia

Migration, urbanisation and mortality: 5-year longitudinal analysis of the PERU MIGRANT study

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dc.contributor.author Burroughs Pena, Melissa S.
dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Carrillo Larco, Rodrigo Martín
dc.contributor.author Sanchez, Juan F.
dc.contributor.author Quispe, Renato
dc.contributor.author Pillay, Timesh D.
dc.contributor.author Málaga Rodríguez, Germán Javier
dc.contributor.author Gilman, Robert Hugh
dc.contributor.author Smeeth, Liam
dc.contributor.author Miranda, J. Jaime
dc.date.accessioned 2019-02-06T14:52:39Z
dc.date.available 2019-02-06T14:52:39Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5348
dc.description.abstract OBJECTIVE: To compare all-cause and cause-specific mortality among 3 distinct groups: within-country, rural-to-urban migrants, and rural and urban dwellers in a longitudinal cohort in Peru. METHODS: The PERU MIGRANT Study, a longitudinal cohort study, used an age-stratified and sex-stratified random sample of urban dwellers in a shanty town community in the capital city of Peru, rural dwellers in the Andes, and migrants from the Andes to the shanty town community. Participants underwent a questionnaire and anthropomorphic measurements at a baseline evaluation in 2007-2008 and at a follow-up visit in 2012-2013. Mortality was determined by death certificate or family interview. RESULTS: Of the 989 participants evaluated at baseline, 928 (94%) were evaluated at follow-up (mean age 48 years; 53% female). The mean follow-up time was 5.1 years, totalling 4732.8 person-years. In a multivariable survival model, and relative to urban dwellers, migrant participants had lower all cause mortality (HR=0.30; 95% CI 0.12-0.78), and both the migrant (HR=0.07; 95% CI 0.01-0.41) and rural (HR=0.06; 95% CI 0.01-0.62) groups had lower cardiovascular mortality. CONCLUSIONS: Cardiovascular mortality of migrants remains similar to that of the rural group, suggesting that rural-to-urban migrants do not appear to catch up with urban mortality in spite of having a more urban cardiovascular risk factor profile. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartofseries Journal of Epidemiology and Community Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Middle Aged en_US
dc.subject Peru/epidemiology en_US
dc.subject Interviews as Topic en_US
dc.subject Risk Factors en_US
dc.subject Longitudinal Studies en_US
dc.subject Comorbidity en_US
dc.subject Diabetes Mellitus/epidemiology en_US
dc.subject Smoking/epidemiology en_US
dc.subject Obesity/epidemiology en_US
dc.subject Transients and Migrants/statistics & numerical data en_US
dc.subject Cardiovascular Diseases/etiology/mortality en_US
dc.subject Cause of Death/trends en_US
dc.subject Death Certificates en_US
dc.subject EPIDEMIOLOGY en_US
dc.subject MIGRATION en_US
dc.subject MORTALITY en_US
dc.subject Rural Health/statistics & numerical data en_US
dc.subject Urban Health/statistics & numerical data en_US
dc.title Migration, urbanisation and mortality: 5-year longitudinal analysis of the PERU MIGRANT study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1136/jech-2015-205657
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.09
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1470-2738


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