McDonald James Ted, Kennedy Steven
Department of Economics, University of New Brunswick, PO Box 4400, Fredericton, NB, Canada E3B 5A3.
Soc Sci Med. 2005 Dec;61(12):2469-81. doi: 10.1016/j.socscimed.2005.05.004. Epub 2005 Jun 21.
This paper aims to address a gap in our understanding of immigrant health issues by examining the determinants of excess weight--an important indicator of current and future health. The paper combines data drawn from recent large health surveys to identify how the weight of recent immigrants compares with that of native-born people, and how the likelihood of becoming overweight or obese changes with additional years in Canada. We find evidence that on average, immigrants are substantially less likely to be obese or overweight upon arrival in Canada. These measures converge slowly to native-born levels, but there is marked variation by the ethnicity of the immigrant. Since changes in weight will reflect choices with respect to diet and activity, the extent to which overweight and obesity rates change with years in Canada may reflect the extent to which immigrants interact with or are influenced by members of their ethnic group who reside in the same area. We find evidence that ethnic group social network effects exert a quantitatively important influence on the incidence of being overweight and obese for members of most ethnic minorities, tempering the process of adjustment to Canadian lifestyle norms that may be driving excess weight gain with additional years in Canada.
本文旨在通过研究超重的决定因素——当前和未来健康的一个重要指标,来填补我们在移民健康问题理解上的空白。本文结合了近期大型健康调查的数据,以确定新移民的体重与本土出生者的体重相比情况如何,以及在加拿大居住时间增加后超重或肥胖的可能性如何变化。我们发现,有证据表明,平均而言,移民抵达加拿大时肥胖或超重的可能性要小得多。这些指标慢慢趋近于本土出生者的水平,但不同移民种族之间存在显著差异。由于体重变化会反映在饮食和活动方面的选择,超重和肥胖率随在加拿大居住年限的变化程度,可能反映了移民与居住在同一地区的同种族成员互动或受其影响的程度。我们发现,有证据表明,族群社会网络效应对于大多数少数族裔成员超重和肥胖的发生率具有重要的量化影响,缓和了随着在加拿大居住时间增加,可能导致体重过度增加的适应加拿大生活方式规范的过程。