Alves Luís, Azevedo Ana, Barros Henrique, Vollenweider Peter, Waeber Gérard, Marques-Vidal Pedro
EPIUnit - Institute of Public Health of the University of Porto (ISPUP), Porto, Portugal.
Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal.
BMC Public Health. 2015 Mar 31;15:307. doi: 10.1186/s12889-015-1659-8.
Information regarding the health status of migrants compared to subjects who remain in the country of origin is scarce. We compared the levels and management of the main cardiovascular risk factors between Portuguese living in Porto (Portugal) and Portuguese migrants living in Lausanne (Switzerland).
Cross-sectional studies conducted in Porto (EPIPorto, 1999 to 2003, n = 1150) and Lausanne (CoLaus, 2003 to 2006, n = 388) among subjects aged 35-65 years. Educational level, medical history and time since migration were collected using structured questionnaires. Body mass index, blood pressure, cholesterol and glucose levels were measured using standardized procedures.
Portuguese living in Lausanne were younger, more frequently male and had lower education than Portuguese living in Porto. After multivariate adjustment using Poisson regression, no differences were found between Portuguese living in Porto or in Lausanne: prevalence rate ratio (PRR) and (95% confidence interval) for Portuguese living in Lausanne relative to Portuguese living in Porto: 0.92 (0.71 - 1.18) for current smoking; 0.78 (0.59 - 1.04) for obesity; 0.81 (0.62 - 1.05) for abdominal obesity; 0.82 (0.64 - 1.06) for hypertension; 0.88 (0.75 - 1.04) for hypercholesterolemia and 0.92 (0.49 - 1.73) for diabetes. Treatment and control rates for hypercholesterolemia were higher among Portuguese living in Lausanne: PRR = 1.91 (1.15 - 3.19) and 3.98 (1.59 - 9.99) for treatment and control, respectively. Conversely, no differences were found regarding hypertension treatment and control rates: PRR = 0.98 (0.66 - 1.46) and 0.97 (0.49 - 1.91), respectively, and for treatment rates of diabetes: PRR = 1.51 (0.70 - 3.25).
Portuguese living in Lausanne, Switzerland, present a similar cardiovascular risk profile but tend to be better managed regarding hypercholesterolemia than Portuguese living in Porto, Portugal.
与留在原籍国的人群相比，有关移民健康状况的信息匮乏。我们比较了居住在波尔图（葡萄牙）的葡萄牙人和居住在洛桑（瑞士）的葡萄牙移民之间主要心血管危险因素的水平及管理情况。
在波尔图（EPIPorto研究，1999年至2003年，n = 1150）和洛桑（CoLaus研究，2003年至2006年，n = 388）对35至65岁的人群进行横断面研究。通过结构化问卷收集教育程度、病史和移民时间。使用标准化程序测量体重指数、血压、胆固醇和血糖水平。
居住在洛桑 的葡萄牙人比居住在波尔图的葡萄牙人更年轻，男性比例更高，教育程度更低。使用泊松回归进行多变量调整后，居住在波尔图或洛桑的葡萄牙人之间未发现差异：居住在洛桑的葡萄牙人相对于居住在波尔图的葡萄牙人的患病率比值（PRR）及（95%置信区间）：当前吸烟为0.92（0.71 - 1.18）；肥胖为0.78（0.59 - 1.04）；腹型肥胖为0.81（0.62 - 1.05）；高血压为0.82（0.64 - 1.06）；高胆固醇血症为0.88（0.75 - 1.04）；糖尿病为0.92（0.49 - 1.73）。居住在洛桑的葡萄牙人中高胆固醇血症的治疗率和控制率更高：治疗的PRR = 1.91（1.15 - 3.19），控制的PRR = 3.98（1.59 - 9.99）。相反，高血压的治疗率和控制率未发现差异：治疗的PRR分别为0.98（0.66 - 1.46），控制的PRR为0.97（0.49 - 1.91）；糖尿病治疗率的PRR = 1.51（0.70 - 3.25）。
居住在瑞士洛桑的葡萄牙人呈现出相似的心血管风险状况，但在高胆固醇血症的管理方面比居住在葡萄牙波尔图的葡萄牙人更好。
