{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:38:41Z","timestamp":1777937921798,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009457","name":"Region Sj\u00e6lland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009457","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>In Denmark, rural-provincial Lolland-Falster currently has the highest mortality, caused mainly by the high mortality of in-migrating people. To identify possible preventive measures to combat this excess mortality insight into the underlying diseases is needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used data from Danish registers to calculate cause-specific mortality for 1970\u20131979, 1980\u20131989, 1990\u20131999, 2000\u20132009 and 2010\u20132018 divided into cancer, cardiovascular diseases, respiratory diseases, external causes and other causes (all remaining causes). We calculated age-standardised mortality rates for Lolland-Falster and the rest of Denmark: mortality rate ratios and excess number of deaths per 100,000 person-years for Lolland-Falster distinguishing between long-term residents (10+ years) and in-migrants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In 1970\u20131979, the age-standardised mortality rates for Lolland-Falster resembled those for rest of Denmark. Over time, age-standardised mortality rates for cardiovascular diseases decreased but more so for the rest of Denmark than for Lolland-Falster. Age-standardised mortality rates for other diseases increased but more so for Lolland-Falster than for the rest of Denmark. The excess mortality in Lolland-Falster derived in particular from in-migrants: in 2010\u20132018 the mortality rate ratios for this population reached 2.29 (95% confidence interval 1.96\u20132.69) for external causes and 2.12 (95% confidence interval 1.97\u20132.29) for other diseases. In-migrants had in total 411 excess deaths per 100,000 person-years. Of these 27% came from tobacco smoking-related causes of death. However, another 25% came from ill-defined, unspecified and a broad range of other, minor causes of deaths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The excess mortality of in-migrants to Lolland-Falster was attributable to all main causes of deaths, which stresses the complexity in combatting geographical disparities in mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14034948221075023","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T23:36:30Z","timestamp":1644449790000},"page":"853-861","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Temporal trends in cause-specific mortality in a rural-provincial area of Denmark, Lolland-Falster, 1970\u20132018"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7667-7080","authenticated-orcid":false,"given":"Therese Lucia Friis","family":"Holmager","sequence":"first","affiliation":[{"name":"Centre for Epidemiological Research, Nyk\u00f8bing Falster Hospital, Nyk\u00f8bing Falster, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f8ren","family":"Nymand Lophaven","sequence":"additional","affiliation":[{"name":"Omicron ApS, Roskilde, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laust Hvas","family":"Mortensen","sequence":"additional","affiliation":[{"name":"Statistics Denmark, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4785-5236","authenticated-orcid":false,"given":"Elsebeth","family":"Lynge","sequence":"additional","affiliation":[{"name":"Centre for Epidemiological Research, Nyk\u00f8bing Falster Hospital, Nyk\u00f8bing Falster, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"bibr1-14034948221075023","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.16932"},{"key":"bibr2-14034948221075023","doi-asserted-by":"publisher","DOI":"10.4054\/DemRes.2018.39.33"},{"key":"bibr3-14034948221075023","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyl013"},{"key":"bibr4-14034948221075023","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2017-209195"},{"key":"bibr5-14034948221075023","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.09.030"},{"key":"bibr6-14034948221075023","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.02.021"},{"key":"bibr7-14034948221075023","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.11.008"},{"key":"bibr8-14034948221075023","doi-asserted-by":"publisher","DOI":"10.1002\/psp.2032"},{"key":"bibr9-14034948221075023","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-10108-6"},{"key":"bibr10-14034948221075023","unstructured":"Statistics Denmark. Life expectancy for new born babies by region and time (2015:2019). StatBank Denmark, 2021. https:\/\/www.statistikbanken.dk\/statbank5a\/default.asp?w=1536 (accessed 1 March 2021)."},{"key":"bibr11-14034948221075023","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.113893"},{"key":"bibr12-14034948221075023","volume-title":"CPR \u2013 Danmarks Folkeregister","author":"Nielsen H","year":"1991"},{"key":"bibr13-14034948221075023","unstructured":"The Danish National Archive. Det centrale Personregister (1968-) [The Central Population Register (1968-)]. Daisy, 2021. https:\/\/www.sa.dk\/daisy\/arkivserie_detaljer?a=&b=&c=cpr&d=1&e=2021&f=&g=&h=&ngid=340879&ngnid=1712685&heid=3566593&henid=4047520&epid=&faid=&meid=&m2rid=&side=&sort=&dir=&gsc=&int=&ep=&es=&ed= (accessed 26 March 2021)."},{"key":"bibr14-14034948221075023","unstructured":"The Danish Health Data Authority. D\u00f8ds\u00e5rsagsregisteret [Cause of death register]. 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