Does migration exaggerate the relationship between deprivation and limiting long-term illness? A Scottish analysis

Does migration exaggerate the relationship between deprivation and limiting long-term illness? A Scottish analysis
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DOI:
10.1016/s0277-9536(01)00217-9
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发表时间:
2002-07-01
影响因子:
5.4
通讯作者:
Rees, P
Rees, P
中科院分区:
医学2区
文献类型:
--
作者:
Boyle, P;Norman, P;Rees, P

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关于健康与环境变量之间联系的流行病学研究很少考虑到人口移徙的潜在混杂影响。在这里,我们探讨自我报告的限制长期疾病和物质匮乏之间的关系,使用个人层面的1991年人口普查数据提取的苏格兰。其目的是调查病人的移徙模式是否影响限制长期疾病和物质匮乏之间的关系。具体而言,我们试图确定是否个人谁是很好的更有可能迁移远离贫困地区,是否生病的人更有可能迁移到贫困地区。如果这是真的,这将表明贫困和限制长期疾病之间的明显关系被移民的影响夸大了。然后,我们研究控制个人层面的特点,预计影响限制长期疾病的问题,并特别注意公共住房在这些关系中的作用。(C)2002爱思唯尔科技有限公司。保留所有权利。
Few epidemiological studies of the links between health and environmental variables account for the potentially confounding effects of population migration. Here we explore the relationship between self-reported limiting long-term illness and material deprivation, using individual-level 1991 census data extracted for Scotland. The aim is to investigate whether the migration patterns of ill individuals influences the relationship between limiting long-term illness and material deprivation. Specifically, we seek to determine whether individuals who are well are more likely to migrate away from deprived areas and whether ill individuals are more likely to migrate towards deprived areas. If true, this would suggest that the apparent relationship between deprivation and limiting long-term illness is exaggerated by the effects of migration. We then examine the issue controlling for individual-level characteristics expected to influence limiting long-term illness and pay special attention to the role of public housing in these relationships. (C) 2002 Elsevier Science Ltd. All rights reserved.