中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2009年
4期
360-364
,共5页
孙琢玉%熊辉%张绪梅%黄国伟%王培忠
孫琢玉%熊輝%張緒梅%黃國偉%王培忠
손탁옥%웅휘%장서매%황국위%왕배충
健康状况%移民流行病学%影响因素
健康狀況%移民流行病學%影響因素
건강상황%이민류행병학%영향인소
Health status%Epidemiology of immigrants%Influencing factors
目的 评估加拿大亚洲移民的健康状况及相关影响因素.方法 采用横断面研究,利用加拿大统计局提供的2003年加拿大人群健康状况调查数据进行分析.采用描述性分析比较不同人群中健康影响因素分布差异.通过对患病率进行年龄标化,比较亚洲移民、非移民及其他移民的慢性病患病情况差异.利用多因素logistic回归分析控制可能影响因素,比较不同人群中选定的6种慢性病指标的0R值及95%CI.结果 经年龄标化后,亚洲移民患有1～5种慢性病患病率与非移民无明显差异,患有5种以上慢性病的患病率为3.56%,明显低于非移民慢性病患病率5.31%.亚洲移民患有至少一种慢性病的风险(0R=0.49,95%CI:0.46-0.51)明显低于非移民患病风险(0R=1.00).新移民患病风险(0R=0.34,95%CI:0.31～0.37)低于老移民的患病风险(0R=0.62,95%CI:0.58～0.66).调整社会经济特征和生活方式等冈素后,亚洲移民4种常见病的患病风险仅有微小改变,除心脏病的患病风险变化明显.结论 亚洲移民总体慢性病的患病率及患病风险低于非移民,但这种健康优势随着在加拿大的居住年限的推移逐渐消失.社会经济特征和生活方式的不同不能完全解释亚洲移民和非移民的健康状况差异.
目的 評估加拿大亞洲移民的健康狀況及相關影響因素.方法 採用橫斷麵研究,利用加拿大統計跼提供的2003年加拿大人群健康狀況調查數據進行分析.採用描述性分析比較不同人群中健康影響因素分佈差異.通過對患病率進行年齡標化,比較亞洲移民、非移民及其他移民的慢性病患病情況差異.利用多因素logistic迴歸分析控製可能影響因素,比較不同人群中選定的6種慢性病指標的0R值及95%CI.結果 經年齡標化後,亞洲移民患有1～5種慢性病患病率與非移民無明顯差異,患有5種以上慢性病的患病率為3.56%,明顯低于非移民慢性病患病率5.31%.亞洲移民患有至少一種慢性病的風險(0R=0.49,95%CI:0.46-0.51)明顯低于非移民患病風險(0R=1.00).新移民患病風險(0R=0.34,95%CI:0.31～0.37)低于老移民的患病風險(0R=0.62,95%CI:0.58～0.66).調整社會經濟特徵和生活方式等岡素後,亞洲移民4種常見病的患病風險僅有微小改變,除心髒病的患病風險變化明顯.結論 亞洲移民總體慢性病的患病率及患病風險低于非移民,但這種健康優勢隨著在加拿大的居住年限的推移逐漸消失.社會經濟特徵和生活方式的不同不能完全解釋亞洲移民和非移民的健康狀況差異.
목적 평고가나대아주이민적건강상황급상관영향인소.방법 채용횡단면연구,이용가나대통계국제공적2003년가나대인군건강상황조사수거진행분석.채용묘술성분석비교불동인군중건강영향인소분포차이.통과대환병솔진행년령표화,비교아주이민、비이민급기타이민적만성병환병정황차이.이용다인소logistic회귀분석공제가능영향인소,비교불동인군중선정적6충만성병지표적0R치급95%CI.결과 경년령표화후,아주이민환유1～5충만성병환병솔여비이민무명현차이,환유5충이상만성병적환병솔위3.56%,명현저우비이민만성병환병솔5.31%.아주이민환유지소일충만성병적풍험(0R=0.49,95%CI:0.46-0.51)명현저우비이민환병풍험(0R=1.00).신이민환병풍험(0R=0.34,95%CI:0.31～0.37)저우로이민적환병풍험(0R=0.62,95%CI:0.58～0.66).조정사회경제특정화생활방식등강소후,아주이민4충상견병적환병풍험부유미소개변,제심장병적환병풍험변화명현.결론 아주이민총체만성병적환병솔급환병풍험저우비이민,단저충건강우세수착재가나대적거주년한적추이축점소실.사회경제특정화생활방식적불동불능완전해석아주이민화비이민적건강상황차이.
Objective The aim of this study was to systematically evaluate the health status of Asian immigrants in Canada and the associated factors. Methods Using data from the 2003 Canadian Community Health Survey, a descriptive analysis was performed to estimate the frequency of health associated factors among different populations. Age-standardization rates was also used to compare the prevalence of chronic conditions among Asian immigrants, other immigrants and native residents. Logistic regression analysis was used to estimate the adjusted Odds ratio (0R) associated with each health outcome and 95% confidence interval (95%CI) after controlling for potential confounding factors. Results After age-standardization, Asian immigrants had a similar prevalence of 1-5 chronic conditions and a lower prevalence of 5+ chronic conditions (3.56%) compared with non-immigrants (5.31%). Asian immigrants were less likely to report any chronic disease (0R=0.49, 95% CI: 0.46-0.51) than non- immigrants (0R=1.00). Recent Asian immigrants were less likely to report any chronic condition (0R=0.34, 95% CI: 0.31-0.37) than long-term Asian immigrants (0R=0.62, 95% VI: 0.58-0.66). After adjusting for socioeconomic status and lifestyle factors, Asian immigrants had a slightly changed risk of four chronic conditions with exception of heart disease. Conclusion Asian immigrants had lower risk of chronic conditions as a whole, however, these health advantages decreased along with increasing length of residence in Canada. Socioeconomic factors and lifestyles cannot fully explain the differences of health status between Asian immigrants and non-immigrant Canadians reported in this paper.
