Yang Weikang, Li Haitao, Fu Xiaoyuan, Lu Junqiang, Xue Zhiqiang, Wu Chuan'an
From the Health Education Institute of Longhua New District, Shenzhen, P.R. China (WY, ZX, CAW); and School of Medicine, Shenzhen University, Shenzhen, P.R. China (HL, XF, JL).
Medicine (Baltimore). 2015 Dec;94(49):e2103. doi: 10.1097/MD.0000000000002103.
Household registration status is one social determinant that influences health disparities. This study aimed to investigate the disparities in cardiovascular health between local and migrant residents, which may provide important implications for public health services and may help improve cardiovascular health for residents in Shenzhen.A cross-sectional study was conducted in Shenzhen City Longhua district. Participants were selected for face-to-face interview surveys by using a multistage cluster random sampling design. Chi-square tests and multiple logistic regression models were constructed to compare cardiovascular health between the migrant and local residents.A total of 6934 eligible respondents, of whom 1400 were local and 5534 were migrants, completed the face-to-face interview surveys. The local residents were more likely to have hypertension (3.1% vs. 2.0%, P < 0.05) and diabetes mellitus (1.4% vs. 0.5%, P < 0.05), whilst to be overweight or obese (20.3% vs. 16.4%, P < 0.05) when compared with their migrant counterparts. A higher proportion of local residents than migrant ones had ≥2 cardiovascular risk factors, 2.4% and 1.2%, respectively (P < 0.01). Compared with migrants, the locals were more likely to know their BP values (65.4% vs. 54.5%, P < 0.05) and know the symptoms of diabetes (63.1% vs. 49.7%, P < 0.01).Our study suggests that household registration status is an important driver of social disparities in cardiovascular health except for the factors regarding socioeconomic status. Programs to improve the awareness of hypertension and diabetes are suggested to be initiated among the migrants.
户籍状况是影响健康差异的一个社会决定因素。本研究旨在调查本地居民与外来居民在心血管健康方面的差异,这可能为公共卫生服务提供重要启示,并有助于改善深圳居民的心血管健康。
在深圳市龙华区进行了一项横断面研究。采用多阶段整群随机抽样设计选择参与者进行面对面访谈调查。构建卡方检验和多元逻辑回归模型,以比较外来居民和本地居民的心血管健康状况。
共有6934名符合条件的受访者完成了面对面访谈调查,其中1400名是本地居民,5534名是外来居民。与外来居民相比,本地居民患高血压(3.1%对2.0%,P<0.05)和糖尿病(1.4%对0.5%,P<0.05)的可能性更高,同时超重或肥胖的比例也更高(20.3%对16.4%,P<0.05)。本地居民中具有≥2种心血管危险因素的比例高于外来居民,分别为2.4%和1.2%(P<0.01)。与外来居民相比,本地居民更有可能知道自己的血压值(65.4%对54.5%,P<0.05)和了解糖尿病症状(63.1%对49.7%,P<0.01)。
我们的研究表明,除社会经济地位因素外,户籍状况是心血管健康社会差异的一个重要驱动因素。建议在外来居民中启动提高高血压和糖尿病意识的项目。