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Dr Snorri B. Rafnsson Professor Raj S. Bhopal Public Health Sciences Section

Monitoring the Health Status of Migrants within Europe: Development of Cardiovascular and Diabetes Indicators (WP6). Dr Snorri B. Rafnsson Professor Raj S. Bhopal Public Health Sciences Section University of Edinburgh Medical School Edinburgh, Scotland

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Dr Snorri B. Rafnsson Professor Raj S. Bhopal Public Health Sciences Section

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  1. Monitoring the Health Status of Migrants within Europe: Development of Cardiovascular and Diabetes Indicators (WP6) Dr Snorri B. Rafnsson Professor Raj S. Bhopal Public Health Sciences Section University of Edinburgh Medical School Edinburgh, Scotland With acknowledgements & thanks to the MEHO-CVD network "This project is funded under the framework of Public Health Programme 2003-2008 of the European Commission (contract number 2005122)"

  2. Monitoring the Health Status of Migrants within Europe Background • Striking ethnic differences in the risk of CVD & DM exist (Abate & Chandalia, 2005; Carballo, 2008; Chaturvedi, 2003). • At both national and EU levels, information on health of migrant and ethnic minority populations is scattered and has not been systematically collected (Padilla & Miguel, 2007). • Routine data in Scotland generally provide very patchy and severely incomplete information about ethnicity (Bhopal et al, 2005). • Information on CHD in the UK is fragmented, patchy, and mixed in quality; relevant data for ethnic minorities were particularly scarce, exacerbating inequalities (Unal et al, 2003) • In Europe, there is shortage of information from CVD cohort studies on ethnic minority populations (Ranganathan & Bhopal, 2006) • There is an urgent need to systematically document and fill the gap in available data on the burden of CVD & DM in migrant and ethnic minority populations in Europe Project website: www.meho.eu.com

  3. Work Package 6: objectives To identify and describe data with the aim of shedding light on ethnic variation in CVD & DM in Europe To re-analyse existing data for comparison within and between European countries To contribute disease-specific information to the larger project To improve public health through linking data to policy Work Package 6: deliverables A network of European public health professionals/ researchers interested in CVD & DM in minority ethnic groups An inventory of European ethnic-related CVD & DM data A coherent and comparable analysis in a report format Publications in academic journals Input into public health plans and policy A forward plan for the second phase of the projects including the improvements of databases and their use Monitoring the Health Status of Migrants within Europe Project website: www.meho.eu.com

  4. Current objectives To identify data on the burden (health status) of CVD & DM in migrant and ethnic minority populations in the EU member states For each data source, to report on the type of information collected of particular relevance to the MEHO-CVD project Monitoring the Health Status of Migrants within Europe Project website: www.meho.eu.com

  5. Monitoring the Health Status of Migrants within Europe Methods 1) Search strategy • MEHO-CVD network • MEHO-CVD data inventory • Bibliographic databases • Web-based sources 2) Types of data sources • Routinely collected data • Ad hoc studies 3) Data selection and extraction • MEHO glossary of terms • Data extraction • Results reporting Project website: www.meho.eu.com

  6. Results Of the 27 EU member states, 22 had relevant data: Nordic countries Denmark, Finland, Sweden Western Europe Austria, France, Germany, Luxembourg, Netherlands, UK, Scotland Central & Eastern Europe Czech Republic, Estonia, Hungary, Latvia, Romania, Slovakia, Slovenia Southern Europe Cyprus, Greece, Italy, Portugal, Spain Project website: www.meho.eu.com

  7. -Mortality Data Nordic countries Denmark, Finland, Sweden Western Europe Austria, France, Germany, Luxembourg, Netherlands, UK, Scotland Central & Eastern Europe Czech Republic, Estonia, Hungary, Latvia, Romania, Slovenia Southern Europe Cyprus, Greece, Italy, Portugal, Spain Project website: www.meho.eu.com

  8. -Mortality Data Characteristics of death registers 1) Area coverage 2) Record collection periods 3) Information on ethnicity 4) ICD-coded causes of death 5) Information on sociodemographic characteristics Project website: www.meho.eu.com

  9. -Morbidity Data • Nordic countries • Denmark, Sweden • Western Europe • France, Germany, Netherlands, UK, Scotland • Southern Europe • Italy, Portugal Project website: www.meho.eu.com

  10. -Morbidity Data • Characteristics of • disease • registers/secondary • care data • 1) Types of registers • 2) Information on • ethnicity • 3) Information on CVD • & DM • 4) Information on • sociodemographic • characteristics Project website: www.meho.eu.com

  11. -Morbidity Data • Characteristics of • health surveys/ • Epidemiological • Studies • 1) Types of surveys • 2) Information on • ethnicity • 3) Information on CVD • & DM • 4) Information on • sociodemographic • characteristics Project website: www.meho.eu.com

  12. Monitoring the Health Status of Migrants within Europe Summary • Availability of data on mortality and morbidity from CVD & DM in migrant and ethnic minority groups in EU member states • Types of currently available ethnic group-coded data sources • Currently available measures of ethnicity in identified data sets • Disease types available in identified data sets Conclusions • The base for assessing needs and planning health care interventions for migrant and ethnic minority populations is relatively weak in the EU countries • The significant lack of reliable and comparable data on CVD & DM in migrant and ethnic minority groups in EU countries needs to be addressed urgently Project website: www.meho.eu.com

  13. Monitoring the Health Status of Migrants within Europe Next steps • MEHO-CVD Working Group • Members • Agenda Project website: www.meho.eu.com

  14. Project website: www.meho.eu.com

  15. Monitoring the Health Status of Migrants within Europe Next steps • Challenges? • Collaboration with MEHO Work Package 5 • Data analysis and production of epidemiological estimates Project website: www.meho.eu.com

  16. Thank you!Acknowledgements: MEHO-CVD network "Disclaimer: The study has received funding from the European Commission under the Public Health Programme 2003-2008. However, the sole responsibility for the study lies with the author and the European Commission is not responsible for any use that may be made of the information contained therein."

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