title: [Mortality for accident in Tuscany Region (Central Italy) in immigrants from countries at high migration rates].
abstract: OBJECTIVE
  to examine the characteristics and mortality trends for specific type of accident in immigrants resident in Tuscany and to compare them to those observed in Italians resident in the same region.
  
  
  METHODS
  descriptive study using the data of the Regional Mortality Registry of Tuscany.
  
  
  METHODS
  1997-2008 deaths for accidents by citizenship ("Italians" and "Immigrants" from Countries with strong migratory pressure or PFPM) in residents in Tuscany.
  
  
  METHODS
  number of deaths, proportional mortality and standardized (standard: European population) mortality 15-64 truncated rates per 100,000 for each specific accidental cause of death, by gender and population (PFPM and Italians), in 1997-2008, and confidence intervals at 95% (95%CI); trends in mortality standardized truncated rates for specific accidental cause in immigrants and Italians in 2002-2008.
  
  
  RESULTS
  in the period 1997-2008, 315 deaths for accidents have been registered in immigrants. The comparison between immigrants and Italians did not reveal any significant difference in mortality for road and at work accidents. Suicides are significantly higher in Italian males (rate in Italians 9.3; 95%CI 8.7-10.0 vs. rate in PFPM 4.3; 95%CI 2.4-6.2), while homicides are higher in male immigrants (rate in Italians 0.6; IC95% 0.4-0.8 vs. rate in PFPM 3.2 95%CI 1.7-4.7). Deaths from other injuries are more frequent in Italians in both genders. Trends in mortality rates indicate a reducing gap between immigrants and Italians.
  
  
  CONCLUSIONS
  in Tuscany, mortality rates for some specific accidental causes are significantly different between immigrants and Italians, nevertheless trends of the last evaluated period seem to reveal a reducing gap suggesting a progressive integration of immigrants.
authors.affiliation: Scuola di specializzazione in igiene e medicina preventiva, Università di Firenze. l.indiani@ispo.toscana.it.
authors.forename: Laura
authors.initials: L
authors.lastname: Indiani
authors.forename: Andrea
authors.initials: A
authors.lastname: Martini
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Chellini
mesh_terms: D000059:Accidents / Q000401:mortality*; D000062:Accidents, Occupational / Q000401:mortality; D000063:Accidents, Traffic / Q000401:mortality; D000293:Adolescent; D000328:Adult; D000368:Aged; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006708:Homicide / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends; D013405:Suicide / Q000706:statistics & numerical data; D014754:Violence / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000401:mortality; D055815:Young Adult