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内部迁移,健康选择和鱼偏差:芬兰的基于登记册的研究
Eugenio Paglino1, Irma T Elo2, Pekka Martikainen3
1Helsinki Institute for Demography and Population Health, Helsinki, Finland; Max Planck-University of Helsinki Center for Social Inequalities in Population Health, Helsinki, Finland.
Social science & medicine (1982)
|May 22, 2025
概括
内部移民,即离开并返回其出生地区的人,在死亡率上比非移民有优势. 这种健康移民效应与较低的循环和与酒精有关的疾病死亡率有关.
科学领域:
- 人口统计学 人口统计学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 国际移民研究始终显示出死亡率优于本地出生的人口.
- 解释包括数据工件,健康行为和选择偏见,但这些对内部移民的研究较少.
研究的目的:
- 调查芬兰内部移民的死亡率优势.
- 区分返回者和离开者,并检查移民时的年龄.
- 分析内部移民中因特定原因的死亡率模式.
主要方法:
- 使用芬兰登记数据,使用精细的地理单位.
- 采用了超出比例危险假设的灵活统计模型.
- 将返回本土地区的内部移民 (返回者) 与没有返回本土地区的内部移民 (离开者) 区分开来.
- 检查了因特定原因的死亡率,包括循环,外部和与酒精有关的原因.
主要成果:
- 与非移民相比,离开者和返回者都表现出死亡率优势.
- 这种优势随着年龄的增长而减少,但对于60岁以后移民的人来说更为明显.
- 血液循环疾病的死亡率解释了超过一半的长寿优势;外部和与酒精有关的原因也发挥了作用.
- 在所有内部移民中观察到一个健康的移民效应.
结论:
- 这些发现挑战了国际移民研究对内部移民的概括性.
- 内部移民,无论返回身份如何,都表现出一致的健康移民效应.
- 移民模式和移民时的年龄会影响死亡率优势的程度.
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