Sundquist J, Johansson S E
Stanford University Center for Research in Disease Prevention, Palo Alto, Kalifornien, USA.
Lakartidningen. 1998 Mar 4;95(10):1000-2, 1005-6.
In a study based on data derived from the Swedish Survey of Living Conditions conducted from 1990 to 1993, differences in the prevalences of long-term somatic illnesses between native and foreign-born Swedes were analysed. Of the 18,242 randomly selected participants, aged 25-74 years. Eleven per cent were foreign-born, a figure consistent with the proportion of immigrants in the population as a whole. For the purpose of analysis, the foreign-born participants were divided into four subgroups: Finns, Southern Europeans, those from Western countries, and all others (i.e. from East Europe, Asia, Africa, and Latin America). As compared with native Swedes, and after adjustment for sex, age, marital status and level of education, the Finnish, Southern European and 'all other' subgroups were characterised by significantly higher prevalence rates for for longterm somatic illness (odds ratios, 1.62, 1.49 and 1.24, respectively). The same three subgroups also manifested significantly higher age- and sex-adjusted prevalences of musculo-skeletal diseases. Although the study design did not permit determination of whether susceptibility to poor somatic health was exacerbated by migration trauma or acculturative stress, the results suggest immigration to have an adverse effect on health.
在一项基于1990年至1993年瑞典生活条件调查数据的研究中，分析了瑞典本土出生者与外国出生者之间长期躯体疾病患病率的差异。在随机选取的18242名年龄在25至74岁的参与者中，11%为外国出生，这一数字与整个人口中移民的比例一致。为了进行分析，外国出生的参与者被分为四个亚组：芬兰人、南欧人、来自西方国家的人以及所有其他国家的人（即来自东欧、亚洲、非洲和拉丁美洲）。与瑞典本土出生者相比，在对性别、年龄、婚姻状况和教育水平进行调整后，芬兰人、南欧人和“所有其他国家的人”亚组的长期躯体疾病患病率显著更高（优势比分别为1.62、1.49和1.24）。同样这三个亚组在年龄和性别调整后的肌肉骨骼疾病患病率也显著更高。尽管该研究设计无法确定躯体健康不佳的易感性是否因移民创伤或文化适应压力而加剧，但结果表明移民对健康有不利影响。
