School of the Built Environment, Heriot-Watt University, Edinburgh, UK; Owens Institute for Behavioral Research, University of Georgia, Atlanta, USA; Alzheimer's Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, UK.
Public Health. 2014 Apr;128(4):341-9. doi: 10.1016/j.puhe.2013.12.011. Epub 2014 Apr 13.
To understand the role of birthplace in chronic disease in adults and very old individuals.
Two national and population-based studies (UK Longitudinal Household Survey and US National Health and Nutrition Examination Surveys) in 2009-2010 were included.
Information on demographics, lifestyle factors and self-reported chronic diseases was obtained by household interview. Analyses included Chi-squared test, t-test and logistic regression modelling.
In the UK, there were more cases of heart failure and myocardial infarction in adults (aged 20-79 years) born in Scotland, and more cases of coronary heart disease in adults born in Northern Ireland. There were fewer cases of asthma, depression and hypothyroidism in adults born in Northern Ireland and not born in the UK, and fewer cases of cancer, chronic bronchitis and epilepsy in adults not born in the UK. In USA, there were fewer cases of asthma, cancer, chronic bronchitis, heart failure and heart attack, but more cases of liver disease in adults born in Mexico. Similarly, there were fewer cases of asthma, cancer and chronic bronchitis in adults born in other Spanish or non-Spanish countries, although there were more cases of liver disease in other Spanish-born adults and more cases of diabetes in other non-Spanish-born adults. In very old (≥80 years) individuals, there were more cases of chronic bronchitis in those born in Wales, more cases of myocardial infarction in those born in Northern Ireland, and more cases of diabetes and liver disease in those not born in the UK. Overall, diabetes was more common in foreign-born adults, and respiratory illness and cancer were more common in native-born adults.
It is suggested that future health policy and public health programmes should consider birthplace.
了解出生地在成年人和非常老年人慢性病中的作用。
纳入了 2009-2010 年两项全国性和基于人群的研究（英国家庭纵向调查和美国国家健康和营养检查调查）。
通过家庭访谈获得人口统计学、生活方式因素和自我报告的慢性病信息。分析包括卡方检验、t 检验和逻辑回归模型。
在英国，苏格兰出生的成年人（20-79 岁）心力衰竭和心肌梗死病例更多，北爱尔兰出生的成年人冠心病病例更多。北爱尔兰出生且非英国出生的成年人哮喘、抑郁和甲状腺功能减退病例较少，非英国出生的成年人癌症、慢性支气管炎和癫痫病例较少。在美国，墨西哥出生的成年人哮喘、癌症、慢性支气管炎、心力衰竭和心脏病发作病例较少，但肝病病例较多。同样，出生在其他西班牙语或非西班牙语国家的成年人哮喘、癌症和慢性支气管炎病例较少，但其他西班牙语出生的成年人肝病病例较多，其他非西班牙语出生的成年人糖尿病病例较多。在非常老年人（≥80 岁）中，威尔士出生的成年人慢性支气管炎病例较多，北爱尔兰出生的成年人心肌梗死病例较多，非英国出生的成年人糖尿病和肝病病例较多。总体而言，外国出生的成年人糖尿病更为常见，而本地出生的成年人呼吸系统疾病和癌症更为常见。
建议未来的卫生政策和公共卫生计划应考虑出生地。
