The Self-reported Health of Immigrant Groups in Switzerland
The Self-reported Health of Immigrant Groups in Switzerland
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DOI：
10.1007/s10903-007-9089-z
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发表时间：
2008-08-01
影响因子：
1.9
通讯作者：
Wanner, Philippe
中科院分区：
文献类型：
--
作者：
Bischoff, Alexander;Wanner, Philippe
背景：瑞士20%以上的人口是移民，即拥有外国国籍的人。这项研究探讨了瑞士主要移民群体和瑞士多数人口之间的健康差距。研究方法：2002年瑞士健康调查（SHS）的流行病学分析：SHS包含从瑞士居民中随机抽样的19 706人的健康相关信息。对自我报告的健康状况进行了六个变量的双变量和多变量分析。结果：2002年瑞士健康调查的数据提供了一些证据，瑞士人和移民之间的健康差距。虽然“北方移民”（来自德国和法国的人）自我报告的健康状况与瑞士大多数人口没有显著差异，但“南方移民”（来自意大利、前南斯拉夫、葡萄牙、西班牙和土耳其的人）报告的健康水平在几个地区较低。据报告，意大利男子和妇女的健康水平特别低。结论：移民的自我报告健康状况目前不如瑞士人。如果瑞士卫生保健系统的立场是确保为所有瑞士居民，包括移民群体提供平等的保健服务，并努力为所有人提供平等的健康结果，那么移民自我报告的健康状况不佳是卫生政策和规划的有用基础。
Background: More than 20% of people living in Switzerland are immigrants, defined as people with foreign nationality. This study examines health disparities between the main immigrant groups in Switzerland and the majority Swiss population. Methods: Epidemiological analysis of the 2002 Swiss Health Survey (SHS): the SHS contains health-related information about 19,706 people who were randomly sampled from among people living in Switzerland. Bi-variate and multivariate analyses of six variables on self-reported health were performed. Findings: The data from the 2002 Swiss Health Survey provide some evidence of health disparities between Swiss people and immigrants. Although the self-reported health of "Northern immigrants'' (people from Germany and France) does not differ significantly from that of the majority Swiss population, "Southern immigrants'' (people from Italy, Former Yugoslavia, Portugal, Spain and Turkey) report lower levels of health in several areas. Lower levels of health are particularly likely to be reported by Italian men and women. Conclusion: The self-reported health of immigrants is currently inferior to that of the Swiss. If it is the position of the Swiss health care system to ensure equal health provision for all Swiss residents, including immigrant groups, and to strive for equal health outcomes for all, self-reported ill health among immigrants is a useful basis for health policy and planning.