Sydney School of Public Health, Sydney University, Edward Ford Building, Camperdown, NSW, 2006, Australia.
Concord Clinical School, Concord Hospital, Concord, NSW, 2139, Australia.
J Immigr Minor Health. 2020 Feb;22(1):102-109. doi: 10.1007/s10903-019-00874-w.
Italian migrants are one of the largest groups of older migrants in Australia. Past research has found lower mortality rates in Italian migrants but it is unclear if this persists into older age. Data came from 334 Italian-born and 849 Australian-born men aged 70 years and over participating in a longitudinal study of men's ageing. Male Italian migrants were more likely to smoke, be overweight, and have lower socio-economic status (SES). They also had higher morbidity from diabetes, chronic pain, dementia and depressive symptoms but lower morbidity from heart disease and cancer. There was no age-adjusted mortality difference. However, adjusting for SES, lifestyle and morbidity differences revealed a 25% lower mortality rate (adjusted HR = 0.75; 95% CI 0.57, 0.98) in Italian-born men. Compared to their Australian-born counterparts, older Italian-born men have a lower mortality than expected considering their lower SES, higher smoking and higher morbidity.
意大利移民是澳大利亚最大的老年移民群体之一。过去的研究发现意大利移民的死亡率较低，但尚不清楚这种情况是否会持续到老年。数据来自 334 名意大利出生和 849 名澳大利亚出生的 70 岁及以上男性，他们参加了一项男性衰老的纵向研究。男性意大利移民更有可能吸烟、超重和社会经济地位较低（SES）。他们还患有更多的糖尿病、慢性疼痛、痴呆和抑郁症状，但心脏病和癌症的发病率较低。没有经过年龄调整的死亡率差异。然而，调整 SES、生活方式和发病差异后，意大利出生的男性死亡率降低了 25%（调整后的 HR=0.75；95%CI 0.57,0.98）。与澳大利亚出生的同龄人相比，考虑到较低的 SES、较高的吸烟率和较高的发病率，老年意大利出生的男性的死亡率低于预期。
