血压中的移民地位差异:可修改因素的多重调解分析
Teresa Dalla Zuanna1, Erich Batzella1, Francesca Russo2
1Unit of Biostatistics, Epidemiology and Public Health, Department of Cardio-Thoraco-Vascular Sciences and Public Health, University of Padua, Via Loredan 18, 35100, Padua, Italy.
Journal of epidemiology and global health
|July 8, 2023
概括
第一代移民的血压略低于本地人. 体重指数 (BMI) 在很大程度上调解了这种BP优势,突出了它对移民健康的重要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管健康 心血管健康
背景情况:
- 研究了意大利东北部第一代移民和本地人之间的血压 (BP) 差异.
- 检查了生活方式行为,体重指数 (BMI) 和教育作为血压水平的潜在媒介.
研究的目的:
- 为了确定可修改因素在BP中扮演的角色,移民和本地人之间的差异.
- 确定保护与BP相关的移民健康优势的关键目标.
主要方法:
- 包括来自威尼托地区健康监测计划的37710名成年居民 (20-69岁).
- 利用多种调解分析来评估BMI,教育和生活方式因素对缩血压 (SBP) 和高血压的贡献.
- 根据原籍国 (高移民压力国家) 和地理宏观区域分组移民.
主要成果:
- 与本地人相比,移民在SBP (β = -0.71) 和较低的高血压率方面表现出了小的优势.
- 身体质量指数 (BMI) 在移民血压优势上表现出最强的抑制作用 (β = 1.14),其次是教育.
- 发现酒精消费会放大移民的健康优势;BMI的影响在女性和北非移民中更为明显.
结论:
- 身体质量指数 (BMI) 被确定为影响移民血压优势的最重要的可修改因素.
- 针对BMI的干预措施对于维持移民人口心血管健康益处至关重要.
- 虽然由于横截面设计,无法确定因果关系,但研究结果表明,BMI管理是关键.
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