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蒙特利尔移民生活方式习惯及健康相关因素的差异:移民是公共卫生领域一个重要的暴露变量吗?

Disparities in lifestyle habits and health related factors of Montreal immigrants: is immigration an important exposure variable in public health?

作者信息

Meshefedjian Garbis A, Leaune Viviane, Simoneau Marie-Ève, Drouin Mylène

机构信息

Agence de la santé et des services sociaux de Montréal, Direction de santé publique, 1301 Rue Sherbrooke Est, Montreal, QC, H2L 1M3, Canada,

出版信息

J Immigr Minor Health. 2014 Oct;16(5):790-7. doi: 10.1007/s10903-013-9839-z.

DOI:10.1007/s10903-013-9839-z
PMID:23666262
Abstract

Study disparities in lifestyle habits and health characteristics of Canadian born population and immigrants with different duration of residence. Data are extracted from 2009 to 2010 public use micro-data files of Canadian Community Health Survey representing about 1.5 million people. Sixty-one percent of the study sample was born in Canada; 49 % males and 59 % below age 50. Amongst lifestyle habits, recent immigrants were less likely to be regular smokers, RR (95 % CI) 0.56 (0.36-0.88) and frequent consumers of alcohol 0.49 (0.27-0.89), but more likely to consume less fruits and vegetables 1.26 (1.04-1.53) than those born in Canada. Amongst health related factors, recent immigrants were less likely to be overweight 0.79 (0.62-0.99) and suffer from chronic diseases 0.59 (0.44-0.80), but more likely to have limited access to family medicine 1.24 (1.04-1.47) than Canada-born population. Immigration status is an important population characteristic which influenced distribution of health indicators. Prevention and promotion strategies should consider immigration status as an exposure variable in the development and implementation of public health programs.

摘要

研究加拿大出生人口和不同居住时长移民的生活方式习惯及健康特征差异。数据取自2009年至2010年加拿大社区健康调查的公共使用微观数据文件,该文件涵盖约150万人。研究样本中61%出生在加拿大;49%为男性,59%年龄在50岁以下。在生活方式习惯方面,新移民成为经常吸烟者的可能性较小,相对风险(95%置信区间)为0.56(0.36 - 0.88),成为频繁饮酒者的可能性也较小,为0.49(0.27 - 0.89),但与在加拿大出生的人相比,食用水果和蔬菜较少的可能性更大,为1.26(1.04 - 1.53)。在与健康相关的因素方面,新移民超重的可能性较小,为0.79(0.62 - 0.99),患慢性病的可能性也较小,为0.59(0.44 - 0.80),但与在加拿大出生的人群相比,获得家庭医疗服务的机会有限的可能性更大,为1.24(1.04 - 1.47)。移民身份是一个重要的人口特征,它影响健康指标的分布。预防和促进策略应将移民身份视为公共卫生项目制定和实施中的一个暴露变量。

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