Bennet Louise, Lindström Martin
1 Centre for Primary Health Care Research, Skåne University Hospital, Sweden.
2 Department of Clinical Sciences in Malmö, Family Medicine, Lund University, Sweden.
Scand J Public Health. 2018 Mar;46(2):194-203. doi: 10.1177/1403494817730997. Epub 2017 Sep 15.
Poor self-rated health is an estimator of quality of life and a predictor of mortality seldom studied in immigrant populations. This work aimed to study self-rated health in relation to social capital, socioeconomic status, lifestyle and comorbidity in immigrants from Iraq - one of the largest non-European immigrant group in Sweden today - and to compare it with the self-rated health of native Swedes.
The study was a cross-sectional population-based study conducted from 2010 to 2012 among citizens of Malmö, Sweden, aged 30-65 years and born in Iraq or Sweden. All participants underwent a health examination and answered questionnaires on self-rated health, social capital, comorbidity, lifestyle and socioeconomic status.
In total, 1348 Iraqis and 677 Swedes participated. Poor self-rated health was identified in 43.9% of Iraqis and 21.9% of native Swedes ( p<0.001), with the highest prevalence (55.5%) among Iraqi women. Low social capital was highly prevalent in the immigrants. Female gender showed higher odds of poor self-rated health in Iraqis than in Swedes (OR 1.8, 95% CI 1.4-2.5, p=0.024), independent of other risk factors connected to social capital, socioeconomic status, lifestyle or comorbidity.
Although public health initiatives promoting social capital, socioeconomic status and comorbidity in immigrants are crucial, the excess risk of poor self-rated health in Iraqi women is not fully attributed to known risk factors for self-rated health, but remains to be further explored.
自我健康评价不佳是生活质量的一个指标，也是死亡率的一个预测因素，在移民群体中很少被研究。这项研究旨在探讨来自伊拉克的移民（当今瑞典最大的非欧洲移民群体之一）的自我健康评价与社会资本、社会经济地位、生活方式和合并症之间的关系，并将其与瑞典本土居民的自我健康评价进行比较。
该研究是一项基于人群的横断面研究，于2010年至2012年在瑞典马尔默年龄在30 - 65岁、出生于伊拉克或瑞典的公民中进行。所有参与者都接受了健康检查，并回答了关于自我健康评价、社会资本、合并症、生活方式和社会经济地位的问卷。
共有1348名伊拉克人和677名瑞典人参与。43.9%的伊拉克人和21.9%的瑞典本土居民自我健康评价不佳（p<0.001），其中伊拉克女性的患病率最高（55.5%）。低社会资本在移民中非常普遍。在伊拉克人中，女性自我健康评价不佳的几率高于瑞典人（比值比1.8，95%置信区间1.4 - 2.5，p = 0.024），这与与社会资本、社会经济地位、生活方式或合并症相关的其他风险因素无关。
尽管促进移民社会资本、社会经济地位和合并症的公共卫生举措至关重要，但伊拉克女性自我健康评价不佳的额外风险不能完全归因于已知的自我健康评价风险因素，仍有待进一步探索。
