Department of Physiology and Pharmacology, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Research Institute of McGill University Health Centre, Montreal, QC, Canada.
Curr Hypertens Rep. 2022 Sep;24(9):325-340. doi: 10.1007/s11906-022-01194-5. Epub 2022 Jun 15.
To summarize results of recent studies of migrants in Europe and North America and ongoing efforts to adapt strategies to provide them with inclusive sensitive health care.
Major predisposing factors for developing hypertension, obesity, diabetes, and the metabolic syndrome in migrating populations and refugees were identified. Susceptibility to the metabolic syndrome is predominantly due to environmental factors and psychological stress. Acculturation also contributes to the emergence of cardiovascular (CV) risk factors in first-generation adult immigrants. Increased risk for later development of hypertension and dyslipidemia has also been detected in adolescent immigrants. Targets for public health efforts were based on data that show important differences in CV risk factors and prevalence of the metabolic syndrome among ethnic immigrant groups. Studies in young adults focused on lifestyle and dietary behaviors and perceptions about weight and body image, while the focus for older adults was end-of-life issues. Two important themes have emerged: barriers to health care, with a focus on cultural and language barriers, and violence and its impact on immigrants' mental health.
总结欧洲和北美的移民以及正在努力调整策略为其提供包容和敏感的医疗保健的相关研究成果。
确定了移民和难民中高血压、肥胖、糖尿病和代谢综合征发展的主要诱发因素。代谢综合征的易感性主要归因于环境因素和心理压力。文化适应也促成了第一代成年移民心血管风险因素的出现。在青少年移民中也检测到后来发生高血压和血脂异常的风险增加。公共卫生工作的目标是基于数据，这些数据显示出心血管危险因素和代谢综合征在不同族裔移民群体中的重要差异。针对年轻人的研究侧重于生活方式和饮食行为以及对体重和身体形象的看法，而针对老年人的研究重点是生命末期的问题。出现了两个重要主题：医疗保健障碍，重点是文化和语言障碍，以及暴力及其对移民心理健康的影响。
