Centre for Clinical Research, Uppsala University, Hospital of Västmanland Västerås, 721 89 Västerås, Sweden.
Family Medicine and Preventive Medicine Unit, Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22 Uppsala, Sweden.
Int J Environ Res Public Health. 2020 Oct 28;17(21):7886. doi: 10.3390/ijerph17217886.
Sweden has a large population of both recent and established immigrants with high prevalence of risk factors for ill health. Here, we aimed to explore the prevalence of chronic severe sleep problems (CSSP) among non-Nordic-born persons, and to evaluate the risk for CSSP when fully adjusted for covariates. Our additional hypothesis was that lengthier time since immigration would reduce the risk for CSSP. We used data from a large-population postal survey covering life and health issues among inhabitants in mid-Sweden. Relationship between different countries of birth and CSSP was assessed in logistic analyses for more severe and longstanding pain, sex, employment, mental disability, gastrointestinal problems, and length of stay (short, middle time, and up to ten years of stay). Persons of non-Nordic birth reported significantly more often CSSP, regardless of short or long-term stay. Our findings indicate that non-Nordic birth, regardless of residence time and covariates, was an independent and significant predictor for CSSP. The findings may contribute to increasing awareness in healthcare personnel to recognize chronic sleep problems among immigrant patients. Thus, our study might contribute to developing strategies to enhance health for minorities.
瑞典拥有大量的新移民和老移民，他们的健康风险因素普遍较高。在这里，我们旨在探讨非北欧出生者慢性严重睡眠问题 (CSSP) 的患病率，并在充分调整协变量后评估 CSSP 的风险。我们的附加假设是，移民时间越长，CSSP 的风险就越低。我们使用了一项大型人口普查的数据，该数据涵盖了瑞典中部居民的生活和健康问题。在逻辑分析中，我们评估了不同出生地与 CSSP 之间的关系，包括更严重和长期的疼痛、性别、就业、精神残疾、胃肠道问题以及逗留时间（短期、中期和长达十年）。无论逗留时间长短，非北欧出生者报告 CSSP 的频率明显更高。我们的研究结果表明，无论居住时间和协变量如何，非北欧出生都是 CSSP 的一个独立且重要的预测因素。这些发现可能有助于提高医疗保健人员对移民患者慢性睡眠问题的认识。因此，我们的研究可能有助于制定增强少数民族健康的策略。
