Albin Björn, Hjelm Katarina, Ekberg Jan, Elmståhl Sölve
School of Health and Caring Sciences, Linnaeus University, 35 195 Växjö, Sweden ; Division of Geriatric Medicine, Department of Health Sciences, Lund University, 22 100 Lund, Sweden.
Nurs Res Pract. 2012;2012:713249. doi: 10.1155/2012/713249. Epub 2012 Oct 31.
In previous longitudinal studies of mortality and morbidity among foreign-born and native-born Swedes, increased mortality and dissimilarities in mortality pattern were found. The aim of this study is to describe, compare, and analyse the utilization of in-hospital care among deceased foreign- and Swedish-born persons during the years 1987-1999 with focus on four diagnostic categories. The study population consisted of 361,974 foreign-born persons aged 16 years and upward who were registered as living in Sweden in 1970, together with 361,974 matched Swedish controls for each person. Data from Statistics Sweden (SCB) and the National Board of Health and Welfare Centre for Epidemiology, covering the period 1970-1999, was used. Persons were selected if they were admitted to hospital during 1987-1999 and the cause of death was in one of four ICD groups. The results indicate a tendency towards less health care utilization among migrants, especially men, as regards Symptoms, signs, and ill-defined conditions and Injury and poisoning. Further studies are needed to explore the possible explanations and the pattern of other diseases to see whether migrants, and especially migrant men, are a risk group with less utilization of health care.
在之前针对出生在国外和出生在瑞典本土的人群进行的死亡率和发病率纵向研究中，发现死亡率有所上升且死亡模式存在差异。本研究的目的是描述、比较和分析1987年至1999年间已故外国出生和瑞典出生人群的住院治疗利用情况，重点关注四个诊断类别。研究人群包括1970年登记居住在瑞典的361,974名16岁及以上的外国出生者，以及为每个人匹配的361,974名瑞典对照者。使用了瑞典统计局（SCB）以及国家卫生和福利委员会流行病学中心提供的涵盖1970年至1999年期间的数据。如果他们在1987年至1999年期间住院且死亡原因属于四个国际疾病分类（ICD）组之一，则被选为研究对象。结果表明，在症状、体征和未明确诊断的病症以及损伤和中毒方面，移民，尤其是男性，存在医疗保健利用较少的趋势。需要进一步研究以探索可能的解释以及其他疾病的模式，看看移民，尤其是移民男性，是否是医疗保健利用较少的风险群体。
