Rennert G
Department of Community Medicine and Epidemiology, Kupat Holim Klalit, Carmel Medical Center, Haifa, Israel.
Int J Epidemiol. 1994 Aug;23(4):751-6. doi: 10.1093/ije/23.4.751.
Many immigrants from the former USSR arrived in Israel during the period 1989 to 1992 and now comprise 10% of the Israeli population. They are expected to cause a change in the health profile of the country due to their different patterns of disease and an analysis was undertaken to predict these expected changes.
Official mortality statistics from Israel and the USSR were compared for differences in major causes of death. Russian mortality rates were then incorporated into a calculation taking into account the total size of the Israeli population and the relative size of the immigrant population to give the expected overall age-adjusted mortality in Israel following the wave of immigration.
Reported mortality rates in the European republics of the former USSR were found to be higher, by about 40%, than mortality rates in Israel. Cardiovascular diseases (40%) and cancer (20%) were found to contribute equally to male mortality in Israel and the USSR, but cardiovascular diseases were more important in females in the USSR (65% versus 44% in Israel). Cerebrovascular disease was three times more common as a cause of death in the USSR than in Israel, in both sexes. Cancer, though similar in overall rate, was differently distributed in the two countries with lung and stomach cancer predominating and causing much higher mortality in the former USSR. Projections from these observations showed an expected immediate increase in mortality of 6% in males and 4.4% in females, assuming the mortality patterns reported are valid for Russian immigrants to Israel.
Massive immigration to a country has the potential to significantly affect the overall health picture of the host country. Therefore, an evaluation of the health status and health-related habits of the immigrant population is warranted to target areas requiring intervention in order to both protect the host country and to facilitate assimilation.
许多前苏联移民在1989年至1992年期间抵达以色列，目前占以色列人口的10%。由于他们不同的疾病模式，预计这将导致该国健康状况的变化，并进行了一项分析以预测这些预期变化。
比较以色列和前苏联的官方死亡率统计数据，以找出主要死因的差异。然后将俄罗斯的死亡率纳入计算，同时考虑到以色列人口的总数和移民人口的相对规模，以得出移民潮后以色列预期的总体年龄调整死亡率。
发现前苏联欧洲共和国报告的死亡率比以色列的死亡率高约40%。心血管疾病（40%）和癌症（20%）在以色列和前苏联男性死亡率中的贡献相当，但心血管疾病在前苏联女性中更为重要（65%对以色列的44%）。在苏联，脑血管疾病作为死因的发生率是以色列的三倍，男女皆是如此。癌症虽然总体发生率相似，但在两国的分布不同，肺癌和胃癌在前苏联占主导地位，导致的死亡率要高得多。根据这些观察结果进行的预测显示，假设报告的死亡率模式对移民到以色列的俄罗斯人有效，预计男性死亡率将立即上升6%，女性死亡率将上升4.4%。
大规模移民到一个国家有可能显著影响东道国的整体健康状况。因此，有必要评估移民人口的健康状况和与健康相关的习惯，以便针对需要干预的领域，从而既保护东道国又促进同化。
