Faculty of Psychology, University of Málaga, 29071 Málaga, Spain.
Faculty of Social and Labour Studies, University of Málaga, 29071 Málaga, Spain.
Int J Environ Res Public Health. 2020 Jun 26;17(12):4601. doi: 10.3390/ijerph17124601.
The aim of the present study is to determine the effect of discrimination and psychological distress on the cardiovascular health of immigrants, as well as to analyse potential differences based on age, gender, length of residence in host country and geographic origin. The sample was formed by 1714 immigrants from Africa, Eastern Europe and Latin America. Of the sample, 48.7% were men and 51.3% were women. Most relevant results show that discrimination ( = 4.27; = 0.000) and psychological distress ( = 4.35; = 0.000) experienced by immigrants predict their cardiovascular risk. Furthermore, psychological distress mediates the relation between discrimination and risk ( = 4.03; = 0.000). Significant differences between men and women were found, as well as differences based on ethnicity, although to a lesser extent. Age affects the relation between discrimination, psychological distress and arterial hypertension and hypercholesterolemia. Results are notably relevant for the design of preventive health programmes for immigrants and intervention strategies in order to prevent diseases that may imply cardiovascular risks and seriously affect immigrants' health.
本研究旨在确定歧视和心理困扰对移民心血管健康的影响，并分析基于年龄、性别、在东道国居住时间和原籍地的潜在差异。该样本由来自非洲、东欧和拉丁美洲的 1714 名移民组成。其中，48.7%是男性，51.3%是女性。最相关的结果表明，移民经历的歧视（ = 4.27； = 0.000）和心理困扰（ = 4.35； = 0.000）预测了他们的心血管风险。此外，心理困扰在歧视和风险之间起中介作用（ = 4.03； = 0.000）。发现了男性和女性之间以及基于族裔的差异，尽管程度较小。年龄影响歧视、心理困扰与动脉高血压和高胆固醇血症之间的关系。这些结果对于为移民设计预防健康计划和干预策略以预防可能导致心血管风险并严重影响移民健康的疾病具有重要意义。
