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移民中的非传染性疾病:专家综述。

Non-communicable diseases in migrants: an expert review.

机构信息

Department of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, AZ Amsterdam, the Netherlands.

Department of Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.

出版信息

J Travel Med. 2019 Feb 1;26(2). doi: 10.1093/jtm/tay107.


DOI:10.1093/jtm/tay107
PMID:30346574
Abstract

BACKGROUND: Non-communicable diseases (NCDs) remain a major challenge in the 21st century. High-income countries (HICs) populations are ethnically and culturally diverse due to international migration. Evidence suggests that NCDs rates differ between migrants and the host populations in HICs. This paper presents a review of NCDs burden among migrant groups in HICs in Europe, North America and Australia with a major focus on cardiovascular diseases (CVDs), cancer and diabetes. METHODS: We performed a narrative review consisting of scholarly papers published between 1960 until 2018. RESULTS: CVD risk differs by country of origin, country of destination and duration of residence. For example, stroke is more common in sub-Sahara African and South-Asian migrants, but lower in North African and Chinese migrants. Chinese migrants, however, have a higher risk of haemorrhagic stroke despite the lower rate of overall stroke. Coronary heart disease (CHD) is more common in South-Asian migrants, but less common in sub-Saharan and north African migrants although the lower risk of CHD in these population is waning. Diabetes risk is higher in all migrants and migrants seem to develop diabetes at an earlier age than the host populations. Migrants in general have lower rates of overall cancer morbidity and mortality than the host populations in Europe. However, migrants have a higher infectious disease-related cancers than the host populations in Europe. In North America, the picture is more complex. Data from cross-national comparisons indicate that migration-related lifestyle changes associated with the lifestyle of the host population in the country of settlement may influence NCDs risk among migrants in a very significant way. CONCLUSION: With exception of diabetes, which is consistently higher in all migrant groups than in the host populations, the burden of NCDs among migrants seems to depend on the migrant group, country of settlement and NCD type. This suggests that more work is needed to disentangle the key migration-related lifestyle changes and contextual factors that may be driving the differential risk of NCDs among migrants in order to assist prevention and clinical management of NCDs in these populations.

摘要

背景:非传染性疾病(NCDs)仍是 21 世纪的主要挑战。高收入国家(HICs)由于国际移民而在种族和文化上呈现多样化。有证据表明,NCDs 在移民和 HICs 中的宿主人群之间的发病率存在差异。本文综述了欧洲、北美和澳大利亚 HICs 中移民群体的 NCD 负担,主要集中在心血管疾病(CVDs)、癌症和糖尿病。

方法:我们进行了一项叙事综述,包括 1960 年至 2018 年期间发表的学术论文。

结果:心血管疾病风险因原籍国、目的地国和居住时间而异。例如,撒哈拉以南非洲和南亚移民中更常见中风,但北非和中国移民中较低。然而,尽管总体中风率较低,但中国移民的出血性中风风险更高。冠心病(CHD)在南亚移民中更为常见,但在撒哈拉以南和北非移民中则较低,尽管这些人群中 CHD 的风险较低。所有移民的糖尿病风险都较高,而且移民似乎比宿主人群更早地患上糖尿病。移民的总体癌症发病率和死亡率低于欧洲的宿主人群。然而,移民的传染病相关癌症发病率高于欧洲的宿主人群。在北美,情况更为复杂。跨国比较数据表明,与居住国宿主人群的生活方式相关的移民相关生活方式改变可能会以非常显著的方式影响移民中的 NCDs 风险。

结论:除了糖尿病,所有移民群体的糖尿病发病率都明显高于宿主人群外,移民中的 NCD 负担似乎取决于移民群体、居住国和 NCD 类型。这表明,需要做更多的工作来理清可能导致移民中 NCDs 风险差异的关键移民相关生活方式改变和背景因素,以便协助这些人群的 NCD 预防和临床管理。

相似文献

[1]
Non-communicable diseases in migrants: an expert review.

J Travel Med. 2019-2-1

[2]
The prevalence and contextual correlates of non-communicable diseases among inter-provincial migrants and non-migrants in South Africa.

BMC Public Health. 2021-5-27

[3]
International Migration and Cardiovascular Health: Unraveling the Disease Burden Among Migrants to North America and Europe.

J Am Heart Assoc. 2024-5-7

[4]
Type 2 diabetes burden among migrants in Europe: unravelling the causal pathways.

Diabetologia. 2021-12

[5]
The relationship between non-permanent migration and non-communicable chronic disease outcomes for cancer, heart disease and diabetes - a systematic review.

BMC Public Health. 2019-4-15

[6]
Burden of non-communicable diseases in sub-Saharan Africa, 1990-2017: results from the Global Burden of Disease Study 2017.

Lancet Glob Health. 2019-10

[7]
NCD Countdown 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4.

Lancet. 2018-9-20

[8]
Migration and Cardiovascular Disease Risk Among Ghanaian Populations in Europe: The RODAM Study (Research on Obesity and Diabetes Among African Migrants).

Circ Cardiovasc Qual Outcomes. 2017-11

[9]
Characterizing non-communicable disease trends in undocumented migrants over a period of 10 years in Italy.

Sci Rep. 2023-5-8

[10]
Transitioning food environments and diets of African migrants: implications for non-communicable diseases.

Proc Nutr Soc. 2023-2

引用本文的文献

[1]
Status of cardiovascular health in United States immigrants using the American Heart Association's Life's Essential 8 framework: a population-based study of prevalence estimates and determinants.

Lancet Reg Health Am. 2025-5-13

[2]
Harmonization and integration of data from prospective cohort studies across the Region of the Americas.

Rev Panam Salud Publica. 2025-5-27

[3]
Social determinants of the healthcare needs of undocumented migrants living with non-communicable diseases: a scoping review.

BMJ Public Health. 2024-4-5

[4]
Integrating health into the European Union Migrant and Asylum Pact: a call to action.

Lancet Reg Health Eur. 2024-10-9

[5]
Improving nutrition for migrant children in Europe through policy: A scoping review.

J Migr Health. 2025-1-6

[6]
Manifestation of Chronic and Non-Communicable Diseases Among Filipino Internationally Educated Nurses in Finland: A Qualitative Study.

Nurs Health Sci. 2025-3

[7]
Health literacy and self-care among adult immigrants with type 2 diabetes: a scoping review.

BMC Public Health. 2024-11-22

[8]
Determination of risk factors influencing substance use among Turkish-origin immigrants in Germany.

Turk J Med Sci. 2024

[9]
Health Catch-UP!: a realist evaluation of an innovative multi-disease screening and vaccination tool in UK primary care for at-risk migrant patients.

BMC Med. 2024-10-29

[10]
Interoceptive inference and prediction in food-related disorders.

Genes Dev. 2024-10-16

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