Migration, Health and Survival
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Migration, Health and Survival

International Perspectives

Edited by Frank Trovato

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Chapter 12: Mortality and morbidity patterns among immigrants residing in Germany

Patrick Brzoska and Oliver Razum


The authors review the health situation of immigrants in Germany. They also describe the limitations of the existing evidence. Aside from a lower socioeconomic status, immigrants encounter barriers in health care that limit their access to health services and that may also affect health-care quality and outcomes. Based on the evidence assembled, it is not say definitively whether immigrants have a higher or lower mortality than non-immigrants because the evidence is often contradictory and limited. Nonetheless, computed standardized death rates do for the most part suggest an immigrant mortality advantage. Concerning morbidity, immigrants appear to have a higher incidence of certain infectious diseases and a higher prevalence of some chronic conditions. This situation is attributed to unfavorable social determinants in the immigrant population as well as access barriers to, and a limited effectiveness of, health services to migrants.





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