加拿大安大略省移民和难民的慢性阻塞性肺病,2002-2019年
Jordan Sugarman1, Therese A Stukel2,3, Zhiyin Li4
1University of Toronto Faculty of Medicine, Respirology, Toronto, Canada.
Annals of the American Thoracic Society
|May 9, 2025
概括
在安大略省的移民通常患慢性阻塞性肺病 (COPD) 的风险低于非移民,但难民移民面临的风险更高. 随着加拿大居住时间的延长,COPD的患病率下降.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 移民 卫生 移民 卫生
背景情况:
- 加拿大的多元化移民和难民人口带来了独特的健康挑战.
- 了解这些群体中慢性阻塞性肺病 (COPD) 的负担对于有针对性的医疗保健策略至关重要.
研究的目的:
- 在安大略省,确定与非移民相比,移民中COPD的流行率.
- 调查移民身份,居住时间和COPD风险之间的关联.
主要方法:
- 基于人口的横截面研究,利用安大略省的卫生行政数据.
- 纳入标准:在2002年4月1日至2020年3月30日期间35岁及以上的个人.
- 使用经过验证的算法确定COPD的流行率;作为主要暴露的移民和难民身份.
主要成果:
- 在1,738,748名研究人员中,整体COPD患病率为12%.
- 移民的COPD风险显著降低 (移民后76%的COPD风险低于5年,54%的COPD风险低于5-14年,24%的COPD风险低于移民后15年).
- 与非难民移民相比,难民移民的COPD患病率更高 (调整后的相对风险为1.33).
结论:
- 移民通常具有较低的COPD风险,可能是由于"健康移民效应".
- 难民移民面临着不成比例地更高的COPD风险.
- 移民人口中COPD潜在的低诊断和医疗保健接入障碍需要进一步调查.
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