移民中的心血管风险因素:一个交叉的真实世界数据方法来理解健康不平等
Yuleydy Collazo1,2, Adriana Gamba3, Sara Malo3,4,5
1Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA), Fundación Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Zaragoza, Spain. 904680@unizar.es.
BMC public health
|November 7, 2025
概括
心血管风险因素在城市地区的老年移民男性和非洲妇女中更为常见. 交叉性强调了社会劣势如何增加这些弱势群体的健康风险.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 健康差异 在健康上的差异
背景情况:
- 健康的社会决定因素显著影响心血管风险因素 (CVRFs).
- 现有的研究可能会过分简化移民健康,因为它没有考虑到交叉的社会不平等.
- 跨界框架对于了解不同移民群体中的CVRF至关重要.
研究的目的:
- 通过使用真实世界数据 (RWD) 分析移民中CVRF的流行率.
- 检查重叠的社会身份 (原籍国,年龄,性别,收入,居住地) 如何影响CVRF.
- 应用一个跨学科性框架来识别脆弱的移民子组.
主要方法:
- 在CARhES队列中对45,861名移民进行了横截面观察研究.
- 物流回归模型评估了社会经济特征和CVRFs.
- 在物流回归中的交互术语探讨了社会人口统计学变量对CVRFs的联合影响.
主要成果:
- 随着年龄,低收入和城市地区,特别是移民男性中,CVRF的患病率增加.
- 在65-79岁的年龄段和欧洲人中观察到最强烈的关联,无论国家时间如何.
- 交叉分析确定了城市地区的老拉丁美洲/加勒比地区男性和非洲妇女为CVRFs的高风险群体.
结论:
- 跨界方法对于了解移民人口中的CVRF至关重要.
- 老年移民,特别是来自拉丁美洲/加勒比地区的男性和来自非洲的女性在城市环境中,面临着较高的CVRF风险.
- 这种以RWD为导向的方法有助于为处于风险的移民群体设计有针对性的,公平的健康干预措施.
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