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All cause and cause specific mortality in obsessive-compulsive disorder: nationwide matched cohort and sibling cohort study

Objective To estimate the risk of all cause and cause specific mortality in people with obsessive-compulsive disorder (OCD) compared with matched unaffected people from the general population and with their unaffected siblings.

Design Population based matched cohort and sibling cohort study.

Setting Register linkage in Sweden.

Participants Population based cohort including 61 378 people with OCD and 613 780 unaffected people matched (1:10) on sex, birth year, and county of residence; sibling cohort consisting of 34 085 people with OCD and 47 874 unaffected full siblings. Cohorts were followed up for a median time of 8.1 years during the period from 1 January 1973 to 31 December 2020.

Main outcome measures All cause and cause specific mortality.

Results 4787 people with OCD and 30 619 unaffected people died during the study period (crude mortality rate 8.1 and 5.1 per 1000 person years, respectively). In stratified Cox proportional hazards mo ....

United States , Karolinska Institutet , Albert Bonniers , Wolters Kluwer Health , National Patient Register , Swedish Society Of Medicine Svenska , Swedish Research Council For Health , Longitudinal Integration Database For Health Insurance , National Board Of Health , Swedish Ethical Review Authority , Epidemiologic Catchment Area Program , Swedish Society Of Medicine , Death Register , Census Register , Swedish Total Population Register , Longitudinal Integration Database , Health Insurance , Labour Studies Register , Migration Register , Multi Generation Register , Swedish Total Population , National Patient , Swedish Cause , Public Access , Secrecy Act , Statistics Sweden ,

Income mortality paradox by immigrants' duration of residence in Sweden: a population register-based study

Background Studies have shown that, compared with the general native population, immigrants display weaker or absent income gradients in mortality. The aim of this study is to examine the extent to which the income gradient is modified by immigrants’ duration of residence in Sweden.

Methods Swedish register data from 2004 to 2016 were used to study the association between individual income and all-cause mortality among foreign-born and Swedish-born individuals at ages 25–64 years. Based on relative indices of inequality (RIIs) and slope indices of inequality (SIIs) derived from Poisson regressions, we measured relative and absolute mortality differentials between the least and most advantaged income ranks. The analyses were stratified by sex, immigrants’ European or non-European origin, and immigrants’ duration of residence in Sweden.

Results The relative income inequality in mortality among immigrant men was less than half (RII: 2.32; 95% CI: 2.15 to 2.50) than ....

Swedish Ethical Review Authority , Swedish National Board Of Health , Longitudinal Integration Database , Statistics Sweden , Swedish National Board ,