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BMC Public Health

, 14:603

Chronic Disease epidemiology

Abstract

BackgroundPrevious work has found that first-generation immigrants to developed nations tend to have better health than individuals born in the host country. We examined the evidence for the healthy immigrant effect and convergence of health status between Chinese immigrants n = 147 and U.S. born whites n = 167 participating in the cross-sectional Community Assessment of Freeway Exposure and Health study and residing in the same neighborhoods.

MethodsWe used bivariate and multivariate models to compare disease prevalence and clinical biomarkers.

ResultsDespite an older average age and lower socioeconomic status, Chinese immigrants were less likely to have asthma OR = 0.20, 95% CI = 0.09–0.48 or cardiovascular disease OR = 0.44, 95% CI = 0.20–0.94, had lower body mass index BMI, lower inflammation biomarker levels, lower average sex-adjusted low-density lipoprotein LDL cholesterol, and higher average sex-adjusted high-density lipoprotein HDL cholesterol. However, there was no significant difference in the prevalence of diabetes or hypertension. Duration of time in the U.S. was related to cardiovascular disease and asthma but was not associated with diabetes, hypertension, BMI, HDL cholesterol, LDL cholesterol, socioeconomic status, or health behaviors.

ConclusionsThe lower CVD and asthma prevalence among the Chinese immigrants may be partially attributed to healthier diets, more physical activity, lower BMI, and less exposure to cigarette smoke. First generation immigrant status may be protective even after about two decades.

KeywordsHealthy immigrant effect Chinese immigrants Convergence of health status AbbreviationsBMIBody mass index

CAFEHCommunity assessment of freeway exposure and health

CRPC-reactive protein

CVDCardiovascular disease

IL-6Interleukin-6

LDLLow-density lipoprotein

HDLHigh-density lipoprotein

SESSocioeconomic status

SHSSecondhand smoke

TNFTumor necrosis factor α-receptor II.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-603 contains supplementary material, which is available to authorized users.

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Autor: Laura Corlin - Mark Woodin - Mohan Thanikachalam - Lydia Lowe - Doug Brugge

Fuente: https://link.springer.com/







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