Do migrants lives matter? A comparison of
causes of death between African migrants
from SADC countries and South Africans
in the post-Apartheid era (2002-2015)
Lorena N
uñez Carrasco, Abha Jaiswal, Jairo Arrow, Michel Kasongo Muteba and
Bidhan Aryal
Abstract
Purpose – Migrants historically and currently form an integral part of South Africa. Their importance and
contribution to the country’s economy and development are undeniable. Yet, life for African migrants in
South Africa is becoming increasingly difficult. An analysis of migrants mortality until now has not been
conducted. The purpose of this paper is to compare the trends of the cause of death among South
African Citizens (RSA) and African migrants from countries that form part of the South African
Development Community (SADC), that make up nearly 70% of the migrants in the country.
Design/methodology/approach – Using Stats SA data of all registered deaths in South Africa
(2002-2015), this paper compares all causes of death (COD) between RSA and SADC migrants.
This paper studies the patterns in COD among these population groups for the years 2002 to 2015
in deaths due to infectious diseases and unnatural causes. Logistic regression was used to
quantify the odds of dying due to infectious disease and unnatural causes for each population
group. This paper included a calculation of the odds of dying due to assault, as a sub-group within
unnatural deaths.
Findings – A total of 7,611,129 deaths were recorded for the local South African population and 88,114
for SADC migrants for the period under study (2002–2015). The burden of mortality for both infectious
diseases and unnatural causes was higher for SADC migrants as compared to RSA. SADC migrants
were 1.22 times more likely to die from infectious diseases than RSA (P < 0.001, 95% confidence interval
(CI) (1.12, 1.23). Similarly, SADC migrants were 2.7 times more likely to die from unnatural causes than
South Africans (P < 0.001, 95% CI (2.17, 2.23). The odds of dying from assault was the same as that of
unnatural causes. Also, it was found that women were more likely to die from infectious diseases
(OR = 1.11, P < 0.001, 95% CI (1.11, 1.11) compared to men, regardless of nationality.
Research limitations/implications – The bias resulting from migrants who return home to die due to
illness, described in the literature as the salmon bias, is present in this paper. This paper, therefore,
concludes death due to infectious diseases could be higher among migrants.
Practical implications – The heightened mortality among SADC migrants can be related to the impact
of social determinants of health such as living and working conditions and barriers to access to health
care. Moreover, the higher probability of death due to unnatural causes such as assaults constitute a
proxy to estimate the impact of xenophobic violence observed in the country over the past decade. Policy
interventions should focus on migrant health-care systems. Also, programmes to mitigate and curb
xenophobic sentiments should be carried out to address the growing disparity of preventable unnatural
causes of death.
Originality/value – This study offers the first quantification of mortality due to infectious diseases and
unnatural causes among RSA and SADC migrants.
Keywords Migrants, Mortality, natural causes of death, South Africans, Unnatural causes of death
Paper type Research paper
Lorena N un ˜ ez Carrasco is
based at the Department of
Sociology, University of the
Witwatersrand,
Johannesburg, South Africa.
Abha Jaiswal is based at
Research and Information
System for Developing
Countries (RIS), New Delhi,
India. Jairo Arrow is an
Independent Statistical
Consultant. Michel Kasongo
Muteba is based at the
School of Public Health,
University of the
Witwatersrand,
Johannesburg, South Africa.
Bidhan Aryal is based at
the Faculty of Economics,
South Asian University,
New Delhi, India.
Received 8 August 2020
Revised 13 September 2020
Accepted 13 September 2020
The authors would like to
acknowledge the
Johannesburg Institute for
Advanced Study (JIAS) for the
support provided to the writing
authors and the funding
provided by Governing
Intimacies, a Mellon Foundation
project hosted at the School of
Social Sciences, University of
the Witwatersrand.
DOI 10.1108/IJMHSC-08-2020-0078 © Emerald Publishing Limited, ISSN 1747-9894
j
INTERNATIONAL JOURNAL OF MIGRATION, HEALTH AND SOCIAL CARE
j