Evidence for the healthy immigrant effect in older Chinese immigrants: a cross-sectional study
Evidence for the healthy immigrant effect in older Chinese immigrants: a cross-sectional study
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DOI：
10.1186/1471-2458-14-603
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发表时间：
2014-06-14
影响因子：
4.5
通讯作者：
Brugge, Doug
中科院分区：
文献类型：
--
作者：
Corlin, Laura;Woodin, Mark;Brugge, Doug
工作背景：以前的研究发现，发达国家的第一代移民往往比在东道国出生的人健康状况更好。我们检验了中国移民（n = 147）和美国移民的健康移民效应和健康状况趋同的证据。S.出生的白人（n = 167）参加了高速公路暴露和健康研究的横断面社区评估，并居住在相同的neighborhoods.Methods：我们使用双变量和多变量模型来比较疾病患病率和临床生物标志物。尽管平均年龄较大，社会经济地位较低，但中国移民患哮喘的可能性较小（OR = 0.20，95% CI = 0.09-0.48）或心血管疾病（OR = 0.44，95%CI = 0.20-0.94），具有较低的体重指数（BMI），较低的炎症生物标志物水平，较低的平均性别调整低密度脂蛋白（LDL）胆固醇，和更高的平均性别调整高密度脂蛋白（HDL）胆固醇。然而，糖尿病或高血压的患病率没有显著差异。持续时间在美国的心血管疾病和哮喘，但与糖尿病，高血压，体重指数，高密度脂蛋白胆固醇，低密度脂蛋白胆固醇，社会经济地位，或health behaviors.Conclusions：较低的心血管疾病和哮喘的患病率在中国移民可能部分归因于更健康的饮食，更多的体力活动，较低的体重指数，和较少暴露于香烟烟雾。第一代移民身份即使在大约二十年后也可能具有保护性。
Background: Previous work has found that first-generation immigrants to developed nations tend to have better health than individuals born in the host country. We examined the evidence for the healthy immigrant effect and convergence of health status between Chinese immigrants (n = 147) and U. S. born whites (n = 167) participating in the cross-sectional Community Assessment of Freeway Exposure and Health study and residing in the same neighborhoods.Methods: We used bivariate and multivariate models to compare disease prevalence and clinical biomarkers.Results: Despite an older average age and lower socioeconomic status, Chinese immigrants were less likely to have asthma (OR = 0.20, 95% CI = 0.09-0.48) or cardiovascular disease (OR = 0.44, 95% CI = 0.20-0.94), had lower body mass index (BMI), lower inflammation biomarker levels, lower average sex-adjusted low-density lipoprotein (LDL) cholesterol, and higher average sex-adjusted high-density lipoprotein (HDL) cholesterol. However, there was no significant difference in the prevalence of diabetes or hypertension. Duration of time in the U.S. was related to cardiovascular disease and asthma but was not associated with diabetes, hypertension, BMI, HDL cholesterol, LDL cholesterol, socioeconomic status, or health behaviors.Conclusions: The lower CVD and asthma prevalence among the Chinese immigrants may be partially attributed to healthier diets, more physical activity, lower BMI, and less exposure to cigarette smoke. First generation immigrant status may be protective even after about two decades.