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在美国的外国出生人群中,重新安置前的受害经历与慢性疾病。

Experiences of victimization before resettlement and chronic disease among foreign-born people in the United States.

机构信息

Emory University.

出版信息

Popul Stud (Camb). 2024 Nov;78(3):447-466. doi: 10.1080/00324728.2024.2371286. Epub 2024 Aug 20.

Abstract

Stressful experiences are common among migrants and may have health implications. With the only US nationally representative data set on migration, the New Immigrant Survey, we used survey-adjusted descriptive and multivariate regression methods to examine whether victimization prior to resettlement was associated with obesity, cardiovascular disease, diabetes, arthritis, cancer, and chronic lung disease. Among foreign-born people who obtained lawful permanent residence in the US in 2003-04, 6.7 per cent reported victimization before arriving in the US. Those who had experienced victimization more often suffered from chronic conditions than people without such experiences: they were 32 per cent more likely to suffer from at least one chronic condition (< 0.05), especially cancer (4.36, < 0.05), arthritis (1.77, < 0.01), and cardiovascular disease (odds ratio 1.32, < 0.05). These relationships were in part mediated by differences in healthcare access after arriving in the US between those who had experienced victimization and those who had not. Victimization may have consequences for integration and later-life chronic disease.

摘要

移民中常见压力经历,这些经历可能对健康产生影响。我们利用美国唯一具有全国代表性的移民调查数据,采用经过调查调整的描述性和多变量回归方法,研究了在重新安置之前是否曾遭受过侵害与肥胖、心血管疾病、糖尿病、关节炎、癌症和慢性肺部疾病之间的关系。在 2003-04 年获得美国合法永久居留权的外国出生人群中,有 6.7%的人报告称在抵达美国之前曾遭受过侵害。与没有此类经历的人相比,遭受过侵害的人更经常患有慢性疾病:他们至少有一种慢性疾病的患病风险高 32%(<0.05),尤其是癌症(4.36,<0.05)、关节炎(1.77,<0.01)和心血管疾病(比值比 1.32,<0.05)。在抵达美国后,遭受过侵害和没有遭受过侵害的人在获得医疗保健方面存在差异,这些差异在一定程度上解释了这些关系。遭受侵害可能会对融入社会和以后的慢性疾病产生影响。

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