Department of Family Medicine and Siaal Research Center for Family Medicine and Primary Care, Division of Community Health, Faculty of Health Science, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Department of Family Medicine and Siaal Research Center for Family Medicine and Primary Care, Division of Community Health, Faculty of Health Science, Ben-Gurion University of the Negev, Beer Sheva, Israel; Southern District, Clalit Health Services, Israel.
Int J Cardiol. 2019 Dec 1;296:172-176. doi: 10.1016/j.ijcard.2019.08.022. Epub 2019 Aug 10.
Previous studies reported low prevalence of cardiovascular disease (CVD) despite an increasing prevalence of metabolic abnormalities in immigrants who moved from low CVD-risk regions to Western countries. Nevertheless, little is known about hospital admissions due to CVD in immigrants.
A retrospective cohort study of East Africa immigrants (EAI), Former Soviet Union immigrants (FSUI) and native-born Israelis (NBI) over 11-year period. Associations between ethnicity, age, sex, CVD, and hospital admission were assessed using logistic and Poisson regression models. Incidence density rates per person-years were calculated.
The age-adjusted prevalence rates of ischemic heart disease in EAI, FSUI and NBI, respectively, were 1.8%, 8.2%, and 5.8%, respectively (p < 0.001). The corresponding rates for stroke were 2.6%, 3.5%, and 2.5%, respectively. Multivariate odds ratios for all CVD were found to be significantly lower in EAI for both sexes. Hospitalizations rate due to CVD were 9, 17, and 6 per 1000 person-years in EAI, FSUI and NBI, respectively (p < 0.001). EAI were more likely to be hospitalized due to hypertensive disease, cerebral vascular diseases and heart disease, in comparison to NBI and FSUI. However, when controlling for CVD risk factors profile, EAI had similar admission rates to NBI. EAI were more likely to be hospitalized in internal medicine, geriatrics, and neurology departments, and less likely to be admitted to intensive care units or surgical department.
EAI had low rates of all types of CVD, and low risk of hospitalization after controlling for CVD risk factors profile.
尽管从低心血管疾病（CVD）风险地区移民到西方国家的移民中代谢异常的患病率不断上升，但之前的研究报告称 CVD 的患病率较低。然而，对于移民因 CVD 住院的情况知之甚少。
对 11 年间来自东非的移民（EAI）、前苏联移民（FSUI）和土生土长的以色列人（NBI）进行回顾性队列研究。使用逻辑和泊松回归模型评估种族、年龄、性别、CVD 和住院之间的关联。计算每 1 人年的发病率密度。
EAI、FSUI 和 NBI 的缺血性心脏病年龄调整患病率分别为 1.8%、8.2%和 5.8%（p<0.001）。相应的中风率分别为 2.6%、3.5%和 2.5%。发现所有 CVD 的多变量比值比在男女两性中 EAI 均显著较低。EAI、FSUI 和 NBI 的 CVD 住院率分别为 9、17 和 6/1000 人年（p<0.001）。与 NBI 和 FSUI 相比，EAI 因高血压疾病、脑血管疾病和心脏病住院的可能性更大。然而，在控制 CVD 危险因素谱后，EAI 的入院率与 NBI 相似。EAI 更有可能被收治在内科、老年科和神经科，而不太可能被收入重症监护病房或外科病房。
在控制 CVD 危险因素谱后，EAI 的各种 CVD 发生率均较低，且住院风险较低。
