Neighbourhood migrant composition and tobacco-related cancer mortality: A census-linked study among five origin groups in urban Belgium. (March 2021)

• Record Type: Journal Article
• Authors: Van Hemelrijck, Wanda M.J.; Vandenheede, Hadewijch; de Valk, Helga A.G.
• Is Part Of: Health & place. Volume 68(2021)
• Publication Date: 2021-03
• Subjects: Belgium -- Cancer -- Mortality -- Ethnic density -- Migrant origin; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2021.102514
• Languages: English
• ISSNs: 1353-8292

Abstract

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. Highlights: Higher same group presence decreases tobacco-related cancer mortality. Turkish men have higher tobacco-related cancer mortality with higher Turkish presence. Men are more susceptible to same-origin effects then women. Different indicators for same group presence capture other aspects. Same group effects on cancer mortality are not always linear.