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移民与自评健康状况:瑞典芬兰移民与芬兰本土芬兰人的比较

Migration and self-rated health: a comparison between Finns living in Sweden and Finns living in Finland.

作者信息

Westman Jeanette, Martelin Tuija, Härkänen Tommi, Koskinen Seppo, Sundquist Kristina

机构信息

Center for Family and Community Medicine, Karolinska Institute, Stockholm, Sweden.

出版信息

Scand J Public Health. 2008 Sep;36(7):698-705. doi: 10.1177/1403494808089649. Epub 2008 Jul 22.

Abstract

AIMS

There is a lack of studies comparing health among immigrant groups with health among the population in their country of origin. This study compared the prevalence of self-rated poor health between Finns living in Sweden and Finns living in Finland.

METHODS

Data were obtained from the Swedish Annual Level of Living Survey between 1996 and 2003 and the Finnish national survey "Health 2000''. Odds ratios (OR) of self-rated poor health were estimated adjusting for age, marital status, education, employment and smoking. The participants were 21,991 Swedes and 836 Finns living in Sweden, and 5,096 Finns living in Finland.

RESULTS

For Finnish women living in Sweden the odds of self-rated poor health was significantly higher (OR=1.25, 95% CI=1.02-1.54) than for Finnish women living in Finland. An opposite pattern appeared among men; Finnish men living in Finland tended to have higher odds of self-rated poor health than Finnish men living in Sweden, although not to a statistically significant extent. In addition, Finns in Finland and in Sweden rated their health poorer than Swedes.

CONCLUSIONS

Migration may have a different effect on Finnish men's and women's self-rated health. Further studies are needed to investigate the complex pathways between country of residence and self-rated health among immigrants.

摘要

目的

缺乏对移民群体健康状况与他们原籍国人口健康状况进行比较的研究。本研究比较了居住在瑞典的芬兰人与居住在芬兰的芬兰人自评健康状况不佳的患病率。

方法

数据来自1996年至2003年的瑞典年度生活水平调查以及芬兰全国性调查“健康2000”。对自评健康状况不佳的优势比(OR)进行估计,并根据年龄、婚姻状况、教育程度、就业情况和吸烟情况进行调整。参与者包括21,991名瑞典人、836名居住在瑞典的芬兰人以及5,096名居住在芬兰的芬兰人。

结果

居住在瑞典的芬兰女性自评健康状况不佳的几率显著高于居住在芬兰的芬兰女性(OR = 1.25,95%置信区间 = 1.02 - 1.54)。男性呈现相反的模式;居住在芬兰的芬兰男性自评健康状况不佳的几率往往高于居住在瑞典的芬兰男性,尽管未达到统计学显著程度。此外,芬兰境内和瑞典境内的芬兰人对自身健康的评价比瑞典人更低。

结论

移民对芬兰男性和女性的自评健康可能有不同影响。需要进一步研究来调查移民居住国与自评健康之间的复杂路径。

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