Williams R
MRC Medical Sociology Unit, Glasgow.
J Public Health Med. 1993 Mar;15(1):52-60. doi: 10.1093/oxfordjournals.pubmed.a042820.
To relate health to length of residence in the United Kingdom in an age-controlled sample of British South Asians, a cross-sectional survey was undertaken with interviews and physical measures in a two-stage stratified random cluster sample in the City of Glasgow. The sample consisted of 159 South Asians aged 30-40, with a mean age of 35 years (73.6 per cent of those invited). The main measures considered were body structure, lung function, pulse and blood pressure, history of physical and mental health, results of standardized questionnaires on mental health, angina and respiratory health, recent and past symptoms, history of accidents and sickness behaviour. It was found that over a quarter of the health measures showed differences by length of residence, and long-established residents had almost consistently worse results. More were overweight, reported heart trouble and respiratory conditions, had had accidents, experienced symptoms, especially respiratory and psychosomatic, needed glasses and took time ill in bed. Comparisons with North Indian data make it unlikely that these results are explained by positive selection of recent migrants. Also, the results do not endorse the assumption that the UK environment has promoted higher levels of health in migrants longer exposed to it, nor that the stress of the move promotes higher levels of illness in recent migrants. Further investigation is required of ways in which the UK environment, or the particular situation of South Asians within it, may be damaging to health.
为了在年龄匹配的英国南亚裔样本中研究健康状况与在英国居住时长的关系,在格拉斯哥市进行了一项两阶段分层随机整群抽样的横断面调查,包括访谈和身体测量。样本由159名年龄在30至40岁之间的南亚裔组成,平均年龄为35岁(占受邀者的73.6%)。主要测量指标包括身体结构、肺功能、脉搏和血压、身心健康史、心理健康、心绞痛和呼吸健康标准化问卷的结果、近期和过去的症状、事故史和患病行为。研究发现,超过四分之一的健康指标因居住时长而存在差异,长期居住者的结果几乎一直更差。超重者更多,报告有心脏病和呼吸疾病,发生过事故,出现过症状,尤其是呼吸和身心方面的症状,需要戴眼镜,并且因病卧床时间更长。与北印度数据的比较表明,这些结果不太可能是由于近期移民的正向选择造成的。此外,这些结果并不支持以下假设:英国的环境使长期接触该环境的移民健康水平更高,或者移民过程中的压力使近期移民的疾病水平更高。需要进一步调查英国环境或南亚裔在其中的特殊情况可能对健康造成损害的方式。