Million Migrants study of healthcare and mortality outcomes in non-EU migrants and refugees to England: Analysis protocol for a linked population-based cohort study of 1.5 million migrants

Wellcome Open Research

article

Rachel Burns¹  Neha Pathak¹  Ines Campos-Matos³  Dominik Zenner⁴  Srinivasa Vittal Katikireddi⁶  Morris C. Muzyamba³  J. Jaime Miranda⁷  Ruth Gilbert²  Harry Rutter^1,10  Lucy Jones^1,11  Elizabeth Williamson^1,12  Andrew C. Hayward²  Liam Smeeth^1,13  Ibrahim Abubakar⁵  Harry Hemingway^1,14  Robert W. Aldridge¹ 

[1] Centre for Public Health Data Science, University College London;Institute of Epidemiology and Healthcare, University College London;Public Health England;Migration Health Division, International Organization for Migration;Institute for Global Health, University College London;MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow;CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia;School of Medicine, Universidad Peruana Cayetano Heredia;Administrative Data Research Centre for England, University College London;Faculty of Humanities and Social Sciences, University of Bath;UK programme manager;Faculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine;Department of Non-Communicable Diseases Epidemiology, London School of Hygiene and Tropical Medicine;Institute of Health Informatics Research, Faculty of Population Health Sciences, University College London

关键词: migration;    migrant;    refugee;    health;    healthcare;    mortality;   

DOI  :  10.12688/wellcomeopenres.15007.1

学科分类：内科医学

来源: Wellcome

【 摘 要 】

Background: In 2017, 15.6% of the people living in England were born abroad, yet we have a limited understanding of their use of health services and subsequent health conditions. This linked population-based cohort study aims to describe the hospital-based healthcare and mortality outcomes of 1.5 million non-European Union (EU) migrants and refugees in England.Methods and analysis: We will link four data sources: first, non-EU migrant tuberculosis pre-entry screening data; second, refugee pre-entry health assessment data; third, national hospital episode statistics; and fourth, Office of National Statistics death records. Using this linked dataset, we will then generate a population-based cohort to examine hospital-based events and mortality outcomes in England between Jan 1, 2006, and Dec 31, 2017. We will compare outcomes across three groups in our analyses: 1) non-EU international migrants, 2) refugees, and 3) general population of England.Ethics and dissemination: We will obtain approval to use unconsented patient identifiable data from the Secretary of State for Health through the Confidentiality Advisory Group and the National Health Service Research Ethics Committee. After data linkage, we will destroy identifying data and undertake all analyses using the pseudonymised dataset. The results will provide policy makers and civil society with detailed information about the health needs of non-EU international migrants and refugees in England.

【 授权许可】

CC BY