Migration surrogates and their association with obesity among within-country migrants.
Migration surrogates and their association with obesity among within-country migrants.
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DOI：
10.1038/oby.2010.92
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发表时间：
2010-11
期刊：
影响因子：
--
通讯作者：
Miranda JJ
中科院分区：
文献类型：
--
作者：
Bernabe-Ortiz A;Gilman RH;Smeeth L;Miranda JJ
有限的研究评估了国内移民的文化适应与健康结果之间的联系。本研究的目的是评估知名的文化适应代理人是否与秘鲁农村到城市移民的肥胖有关。我们进行了一项横断面调查，秘鲁移民研究，采用单阶段随机抽样。评估包括体重、身高和腰围（WC）以及文化适应替代物。采用体重指数（BMI）和腰围评估肥胖。在logistic回归模型中评估居住时间、移民年龄、语言能力和语言偏好（西班牙语或盖丘亚语），以计算调整潜在混杂因素的比值比（OR）和95%置信区间（CI）。共有589名农村进城移民入学。平均年龄为47.8岁（SD：11.7，范围：30-92岁），280例（47.5%）为男性。根据BMI评估的肥胖患病率在女性中为30.4%，在男性中为10.7%（p<0.001），而根据WC评估的腹部肥胖在女性中为29.1%，在男性中为19.1%（p<0.01）。肥胖与首次移民年龄较大、语言熟练程度和语言偏好有关。肥胖和文化适应代理人之间的关联在这一人群中是可变的。因此，文化适应本身可以探索与更好的健康结果相关的积极渠道。本报告中显示的模式表明这些因素之间存在更复杂的关联。
Limited studies have evaluated the link between acculturation and health outcomes of within-country migrants. The objective of this study was to evaluate whether well-known acculturation surrogates were associated with obesity among Peruvian rural-to-urban migrants. We performed a cross sectional survey, the PERU MIGRANT study, using single-stage random sampling. Evaluation included weight, height, and waist circumference (WC) as well as acculturation surrogates. Obesity was assessed using body mass index (BMI) and WC. Length of residence, age at migration, language proficiency and language preferences (Spanish or Quechua) were assessed in logistic regression models to calculate odd ratios (OR) and 95% confidence intervals (CI) adjusting for potential confounders. A total of 589 rural-to-urban migrants were enrolled. The mean age was 47.8 (SD: 11.7, range: 30-92) and 280 (47.5%) were males. Obesity prevalence assessed by BMI was 30.4% among women and 10.7% among men (p<0.001), whereas abdominal obesity assessed by WC was 29.1% among women and 19.1% among men (p<0.01). Obesity was associated with older age at first migration, language speaking proficiency and language preferences. The association between obesity and acculturation surrogates is variable in this population. Thus, acculturation per se can explore positive channels associated with better health outcomes. The patterns shown in this report suggest a more complex association for these factors.
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