在瑞典的芬兰移民的通婚和死亡率:利用两国数据进行的前瞻性登记研究。

IF 3.7 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Kaarina Korhonen, Agneta Cederström, Pekka Martikainen, Olof Östergren
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引用次数: 0

摘要

婚姻关系可能会促使移民和本地人的健康行为趋同,但通婚与健康结果之间的关系仍未得到充分研究。我们根据配偶的出生国调查了在瑞典的芬兰移民的死亡率模式,并将这些模式与在瑞典和芬兰本地人口中观察到的模式进行了比较。利用瑞典和芬兰的登记数据,我们确定了 1999 年在瑞典的所有 40-64 岁已婚芬兰移民及其配偶,以及两国的相应参照组。我们采用直接匹配和反概率加权相结合的方法来调整两组之间的社会人口学差异。在 2000-17 年期间,我们对个人的全因死亡率、酒精相关死亡率、吸烟相关死亡率和心血管疾病 (CVD) 死亡率进行了跟踪调查。考虑到社会人口特征,与瑞典出生的配偶结婚的芬兰男性移民的全因死亡率(发病率比(IRR)为0.94,95%置信区间(CI)为0.90-0.98)和心血管疾病死亡率(发病率比(IRR)为0.88,95%置信区间(CI)为0.81-0.95)较低,与瑞典本地人的水平更为接近。与配偶为芬兰人的移民妇女相比,配偶为瑞典人的移民妇女的吸烟相关死亡率反而更高(IRR为1.41,95% CI为1.24-1.61),这与瑞典本土妇女的吸烟相关死亡率较高的情况如出一辙。对移民进行的个人水平回归分析进一步表明,根据婚姻持续时间进行调整后,通婚男性与酒精相关的死亡率较低(IRR为0.74,95% CI为0.56-0.98)。这些研究结果表明,与本地配偶通婚可促进移民和本地人之间健康行为和行为相关死亡率的趋同。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intermarriage and mortality among Finnish migrants in Sweden: a prospective register study using binational data.

Conjugal ties may contribute to a convergence of health behaviours between migrants and natives, but the association between intermarriage and health outcomes remains understudied. We investigated mortality patterns among Finnish migrants in Sweden according to the spouse's country of birth and compared these patterns with those observed in the native populations of both Sweden and Finland. Leveraging register data from Sweden and Finland, we identified all married Finnish migrants aged 40-64 and their spouses in Sweden in 1999 and corresponding reference groups in both countries. We used a combination of direct matching and inverse probability weighting to adjust for sociodemographic differences between the groups. We followed individuals for all-cause, alcohol-related, smoking-related, and cardiovascular disease (CVD) mortality during 2000-17. Accounting for sociodemographic characteristics, Finnish migrant men married to Swedish-born as opposed to Finnish-born spouses showed lower all-cause [incidence rate ratio (IRR) 0.94, 95% confidence interval (CI) 0.90-0.98], and CVD mortality (IRR 0.88, 95% CI 0.81-0.95), levels more akin to native Swedes. Migrant women with Swedish-born spouses instead had higher smoking-related mortality (IRR 1.41, 95% CI 1.24-1.61) than those married to Finnish-born spouses, mirroring the higher smoking-related mortality of native Swedish women. Individual-level regression analysis on migrants further indicated lower alcohol-related mortality for intermarried men, adjusted for duration of marriage (IRR 0.74, 95% CI 0.56-0.98). These findings suggest that intermarriage with a native spouse can facilitate the convergence of health behaviours and behaviour-related mortality between migrants and natives.

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来源期刊
European Journal of Public Health
European Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
2.30%
发文量
2039
审稿时长
3-8 weeks
期刊介绍: The European Journal of Public Health (EJPH) is a multidisciplinary journal aimed at attracting contributions from epidemiology, health services research, health economics, social sciences, management sciences, ethics and law, environmental health sciences, and other disciplines of relevance to public health. The journal provides a forum for discussion and debate of current international public health issues, with a focus on the European Region. Bi-monthly issues contain peer-reviewed original articles, editorials, commentaries, book reviews, news, letters to the editor, announcements of events, and various other features.
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