Université Libre de Bruxelles, Ecole de Santé Publique, Centre de Recherche en Epidémiologie, Biostatistique et Recherche Clinique, Route de Lennik 808, 1070, Brussels, Belgium.
Université Libre de Bruxelles, Ecole de Santé Publique, Centre de Recherche en Epidémiologie, Biostatistique et Recherche Clinique, Route de Lennik 808, 1070, Brussels, Belgium.
Public Health. 2019 Oct;175:120-128. doi: 10.1016/j.puhe.2019.07.001. Epub 2019 Aug 29.
Previous research indicates that the impact of immigration on health tends to be specific as it is influenced by many factors such as life stage and host country. The aim of this study was to examine the relationship between immigration and adolescent health within the multicultural context of the Brussels-Capital Region in Belgium.
The study was based on the 2014 Health Behaviour in School-aged Children survey. The sample consisted of 2962 adolescents from the fifth grade of primary to the last grade of secondary schools in Brussels.
Associations between health indicators and immigration status were analysed using multivariable logistic regression models adjusted for sociodemographic characteristics.
Natives, first-generation immigrants, second-generation immigrants with both parents born abroad and second-generation immigrants with one parent born abroad represented 19%, 23%, 36% and 22% of the respondents, respectively. Sociodemographic characteristics and health behaviours varied according to immigrant status. Young immigrants were more likely to present overweight (odds ratio [OR] = 1.76 [95% confidence interval {CI} = 1.16-2.65]; OR = 2.06 [95% CI = 1.41-3.02]; OR = 1.69 [95% CI = 1.12-2.56]). This effect turned out to be partially explained by sociodemographic status and health-related behaviours. No association was detected between immigration and self-rated health and multiple recurrent symptoms.
Discrepancies in health behaviours and weight status were identified between adolescents of different immigration background, whereas this was not the case for well-being. Socio-economic status, cultural characteristics and specific behaviours partly explained these findings. Future research is needed to better understand immigration-related risk and protective factors, at individual and school levels.
既往研究表明，移民对健康的影响具有特定性，因为其受到许多因素的影响，如生命阶段和东道国。本研究旨在在比利时布鲁塞尔首都大区的多元文化背景下，考察移民与青少年健康之间的关系。
本研究基于 2014 年《青少年健康行为调查》。样本包括来自布鲁塞尔小学五年级至最后年级的 2962 名青少年。
使用多变量逻辑回归模型，根据社会人口特征调整健康指标与移民身份之间的关联。
本地人、第一代移民、父母双方均为外国出生的第二代移民和父母一方为外国出生的第二代移民分别占受访者的 19%、23%、36%和 22%。移民身份与社会人口特征和健康行为存在差异。年轻移民更有可能超重（优势比 [OR] = 1.76 [95%置信区间 {CI} = 1.16-2.65]；OR = 2.06 [95% CI = 1.41-3.02]；OR = 1.69 [95% CI = 1.12-2.56]）。这种影响部分可以通过社会人口地位和与健康相关的行为来解释。移民与自我报告的健康和多种反复出现的症状之间没有关联。
不同移民背景的青少年之间存在健康行为和体重状况的差异，而幸福感则不然。社会经济地位、文化特征和特定行为部分解释了这些发现。需要进一步研究，以更好地了解个人和学校层面与移民相关的风险和保护因素。
