Skip to main content

Low overall mortality of Turkish residents in Germany persists and extends into a second generation: merely a healthy migrant effect?*

Buy Article:

$43.00 plus tax (Refund Policy)

Summaryobjective To test the hypothesis that as a minority with lower socio-economic status, Turkish residents in Germany might experience a higher mortality than Germans.

methods All-cause mortality rates by age group and sex of Turkish and German adults for the time period 1980–94 were calculated from death registry data and mid-year population estimates.

results The age-adjusted mortality rate (per 100000) of Turkish males aged 25–65 years resident in Germany was 299 in 1980 and 247 in 1990, consistently half that of German males. The mortality of Turkish females in Germany was 140 in 1990, half that of German females. Mortality of Turkish males/females in Ankara was 835 and 426 in 1990.

conclusion In view of the socio-economic status of Turkish residents in Germany the large mortality difference compared to Germans is unexpected. It cannot be fully explained by a selection at the time of hiring (healthy migrant effect) because it lasts over decades and extends into the second generation. A healthy worker effect is unlikely because Turkish residents have a lower employment rate than Germans. There is little evidence for movement of gravely ill persons back to Turkey. An ‘unhealthy re-migration effect’ in which socially successful migrants with a lower mortality risk stay in the host country while less successful ones return home even before becoming manifestly ill would partly explain our findings.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: Germany; Turkey; minority groups; mortality; transients and migrants

Document Type: Research Article

Affiliations: 1: Department of Tropical Hygiene and Public Health, Heidelberg University, Heidelberg, Germany, 2: German Cancer Research Centre, Heidelberg, Germany, 3: Department of Public Health, Baskent University, Ankara, Turkey

Publication date: 1998-04-01

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more