意大利和移民居民死亡率的社会经济不平等:基于人口的纵向研究
Martina Ventura1, Alessio Petrelli1, Anteo Di Napoli1
1National Institute for Health, Migration and Poverty (INMP), Italy.
Journal of migration and health
|March 24, 2025
概括
社会经济死亡率梯度在意大利人中很强,但在来自高移民压力国家的移民中较弱. 这凸显了针对移民健康的具体风险和文化因素考虑的定制社会政策的必要性.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 流行病学 流行病学
背景情况:
- 在发达国家建立了一个社会经济死亡率梯度,有利于更有利的群体.
- 有限的研究存在于这种梯度如何在本地人和移民人口之间有所不同.
- 本研究调查了教育和职业对意大利和移民居民死亡率的影响.
研究的目的:
- 评估意大利和移民人口中教育水平与死亡率之间的关联.
- 评估这些群体中职业阶级和死亡率之间的关系.
- 确定本地人和移民之间的社会经济死亡率梯度的差异.
主要方法:
- 使用2011年意大利人口普查人口的纵向研究,追踪到2019年.
- 所有原因死亡率数据与死亡原因登记册相关联.
- 用于估计30-64岁受试者死亡率比率 (MRR) 的负二项式回归模型,按性别和原产地分层.
主要成果:
- 意大利人在受教育程度上显示出显著的死亡率梯度 (例如,低/高adjMRR:男性2.37,女性1.79).
- 来自高移民压力国家 (HMPC) 的移民表现出较弱的关联 (adjMRR: 1.12男性, 1.12女性).
- 特定的移民群体 (例如,罗马尼亚人,印度人,中国男性;各种女性群体) 的死亡率较低,教育程度较低,除了摩洛哥男性.
结论:
- 在受教育程度较低的人群中,较高的死亡率在意大利人中得到证实,但在HMPC移民中不太明显.
- 公民身份,出身和性别之间观察到的差异需要社会政策来解决特定的风险和文化因素.
- 量身定制的干预措施对于改善医疗服务获取和在多样化的移民群体中促进健康的生活方式至关重要.
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