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法国老年移民自报健康的原籍差异。

Origin differences in self-reported health among older migrants living in France.

机构信息

Lille Economie et Management (UMR 8179 CNRS) and Université Catholique de Lille (Faculté Libre des Sciences Economiques et de Gestion), Lille, France.

出版信息

Public Health. 2010 Feb;124(2):90-8. doi: 10.1016/j.puhe.2010.01.005. Epub 2010 Feb 23.

DOI:10.1016/j.puhe.2010.01.005
PMID:20181371
Abstract

OBJECTIVES

Little is known about the health status of older migrants living in Europe. Using detailed data collected in 2003, this study investigated differences in health status by country of origin within the older immigrant population living in France using a self-rated health measure.

STUDY DESIGN

The database used in this research was the Passage à la Retraite des Immigrés survey, conducted from November 2002 to February 2003 on a sample of 6211 migrants aged 45-70 years and living in France at the time of the survey.

METHODS

A difficulty with a self-rated outcome is that it may not be comparable between different origin groups, particularly because of cultural and linguistic differences. Therefore, generalized ordered Probit models were estimated, and an indicator of health, net of cross-cultural effects was constructed for each respondent.

RESULTS

This study found that male immigrants from southern Africa and Asia, and female immigrants from northern Europe, southern Africa and Asia are more likely to be in good health, while the health status is lower among immigrants from Eastern Europe living in France.

CONCLUSION

The diversity in health status within the immigrant population is large in France. These results are helpful in order to target the more disadvantaged origin groups and to adjust the provision of health care.

摘要

目的

对于生活在欧洲的老年移民的健康状况,我们知之甚少。本研究利用 2003 年收集的详细数据,使用自评健康测量方法,调查了生活在法国的老年移民群体中按原籍国划分的健康状况差异。

研究设计

本研究使用的数据库是移民退休研究(Passage à la Retraite des Immigrés)调查,该调查于 2002 年 11 月至 2003 年 2 月期间对居住在法国的 6211 名 45-70 岁的移民进行了抽样调查。

方法

自评结果可能因文化和语言差异而在不同原籍群体之间不可比,因此存在一定困难。因此,本研究估计了广义有序 Probit 模型,并为每个受访者构建了一个不受跨文化影响的健康指标。

结果

本研究发现,来自南部非洲和亚洲的男性移民以及来自北欧、南部非洲和亚洲的女性移民更有可能身体健康,而来自东欧的移民在法国的健康状况较低。

结论

法国移民群体的健康状况差异很大。这些结果有助于针对处境不利的原籍群体,并调整医疗保健的提供。

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