Harding Seeromanie, Teyhan Alison, Rosato Michael, Santana Paula
Medical Research Council, Social and Public Health Sciences Unit, Glasgow, Scotland, UK.
Eur J Cardiovasc Prev Rehabil. 2008 Dec;15(6):670-6. doi: 10.1097/HJR.0b013e32830fe6ce.
To examine cardiovascular mortality of African migrants in Portugal in relation to socio-economic status.
Data from death registrations, 1998-2002, and the 2001 Census were used to derive standardized death rates by country of birth and occupational class/marital status.
Compared with native Portuguese, African migrants had higher mortality for all causes, circulatory disease, coronary heart disease and stroke. There was considerable heterogeneity among Africans with Cape Verdeans having higher mortality than Angolans or Mozambiquans. Class differences in mortality were generally greater for African than for Portuguese men. Although the coronary heart disease mortality rate among Africans in a manual class was twice that of those in a nonmanual class, there was no class difference for Portuguese men. Marital status was associated with 2-3-fold differences in mortality rates in both Africans and Portuguese. A larger proportion of Africans were not married which accounted for some of the excess mortality.
Adverse cardiovascular mortality experience of African migrants is associated with socio-environmental factors. Investigating how best to achieve risk reduction in Africans should be a public health priority in Portugal.
研究葡萄牙境内非洲移民的心血管疾病死亡率与社会经济地位之间的关系。
利用1998 - 2002年死亡登记数据以及2001年人口普查数据，按出生国家和职业阶层/婚姻状况得出标准化死亡率。
与葡萄牙本土居民相比，非洲移民各类原因、循环系统疾病、冠心病和中风的死亡率更高。非洲移民群体内部存在显著差异，佛得角移民的死亡率高于安哥拉或莫桑比克移民。非洲男性死亡率的阶层差异总体上大于葡萄牙男性。尽管从事体力劳动阶层的非洲人冠心病死亡率是非体力劳动阶层的两倍，但葡萄牙男性不存在阶层差异。婚姻状况在非洲移民和葡萄牙人中均与死亡率存在2至3倍的差异。未结婚的非洲移民比例更高，这在一定程度上导致了额外的死亡率。
非洲移民不良的心血管疾病死亡率与社会环境因素有关。研究如何最有效地降低非洲移民的风险应成为葡萄牙公共卫生的优先事项。
