1 Sydney Nursing School, University of Sydney, Australia.
2 School of Health and Social Care, Edinburgh Napier University, UK.
Eur J Prev Cardiol. 2017 Dec;24(18):2000-2008. doi: 10.1177/2047487317736828. Epub 2017 Oct 24.
Background Acculturation is associated with increased prevalence of cardiovascular disease (CVD) risk-factors among immigrants in Western countries. Little is known about acculturation effects on CVD risks among Chinese immigrants, one of the fastest growing populations in Western countries. In this study, we aim to examine the association between acculturation and CVD risk-factors among Chinese immigrants, Australia's third-largest foreign-born group. Methods We accessed a subsample of Chinese immigrants ( n = 3220) within the 45-and-Up Study (2006-2009). Poisson regression model with a robust error variance examined the association between acculturation and CVD risk-factors, and prevalence ratios were reported, adjusted for socio-demographic characteristics. Indicators of acculturation included age at migration, length of Australian residence and language spoken at home. The outcomes were self-reported CVD diagnosis and six risk-factors (hypertension, diabetes, high cholesterol, smoking, overweight/obesity, physical inactivity). Results Mean age of Chinese participants was 58.9-years (SD = 10.7) and 55.5% were women. Chinese migrating to Australia aged <18 years were significantly more likely to report diabetes (prevalence ratio = 1.71; p < 0.01), overweight/obesity (prevalence ratio = 1.49; p < 0.001) and ≥ 3 CVD risk-factors (prevalence ratio = 1.47; p < 0.05) compared with those who migrated after 18-years-old. Chinese immigrants who lived in Australia for ≥ 30 years were significantly more likely to have diabetes (prevalence ratio = 1.84; p < 0.01) and ≥ 3 CVD risk-factors (prevalence ratio = 1.84; p < 0.01). There were no significant differences by language spoken at home. The association between indicators of acculturation and CVD risk-factors appeared to differ by sex. Conclusion Greater acculturation was associated with adverse CVD risk-factors among Chinese immigrants in Australia.
在西方国家，文化适应与心血管疾病（CVD）风险因素的患病率增加有关。在中国移民中，文化适应对 CVD 风险的影响知之甚少，而中国移民是西方国家增长最快的人群之一。在这项研究中，我们旨在研究文化适应与澳大利亚第三大外国出生群体——中国移民的 CVD 风险因素之间的关系。
我们利用 45 岁及以上研究（2006-2009 年）中的中国移民亚组（n=3220）。泊松回归模型和稳健误差方差用于检验文化适应与 CVD 风险因素之间的关系，并报告调整了社会人口统计学特征后的患病率比。文化适应的指标包括移民年龄、在澳居住时间和家庭语言。结果是自我报告的 CVD 诊断和六个风险因素（高血压、糖尿病、高胆固醇、吸烟、超重/肥胖、身体活动不足）。
中国参与者的平均年龄为 58.9 岁（标准差=10.7），55.5%为女性。18 岁以下移民到澳大利亚的中国人报告糖尿病（患病率比=1.71；p<0.01）、超重/肥胖（患病率比=1.49；p<0.001）和≥3 个 CVD 风险因素（患病率比=1.47；p<0.05）的可能性明显更高。在澳大利亚居住≥30 年的中国移民患糖尿病（患病率比=1.84；p<0.01）和≥3 个 CVD 风险因素（患病率比=1.84；p<0.01）的可能性明显更高。家庭语言无显著差异。文化适应指标与 CVD 风险因素之间的关联似乎因性别而异。
在中国移民中，更大的文化适应与不良 CVD 风险因素有关。
