Mortality Paradox of Older Italian-Born Men in Australia: The Concord Health and Ageing in Men Project

被引：10

作者：

Stanaway, Fiona F. ^{[1
]}

Blyth, Fiona M. ^{[2
]}

Naganathan, Vasi ^{[3
,4
]}

Le Couteur, David G. ^{[3
,4
]}

Ribeiro, Rosilene ^{[3
,4
,5
]}

Hirani, Vasant ^{[5
]}

Waite, Louise M. ^{[3
,4
]}

Handelsman, David J. ^{[6
]}

Seibel, Markus J. ^{[5
]}

Cumming, Robert G. ^{[1
,3
,4
]}

机构：

[1] Univ Sydney, Sydney Sch Publ Hlth, Edward Ford Bldg, Camperdown, NSW 2006, Australia

[2] Concord Hosp, Concord Clin Sch, Concord, NSW 2139, Australia

[3] Concord Hosp, Ctr Educ & Res Ageing, Ageing & Alzheimers Inst, Concord, NSW 2139, Australia

[4] Univ Sydney, Concord, NSW 2139, Australia

[5] Univ Sydney, Charles Perkins Ctr, Sch Life & Environm Sci, Camperdown, NSW 2006, Australia

[6] Univ Sydney, Concord Hosp, ANZAC Res Inst, Concord, NSW 2139, Australia

来源：

JOURNAL OF IMMIGRANT AND MINORITY HEALTH | 2020年 / 22卷 / 01期

基金：

英国医学研究理事会;

关键词：

Migrant; Older men; Mortality; Italian; Cohort; CARDIOVASCULAR-DISEASE; HISPANIC PARADOX; DIETARY PATTERNS; MIGRANTS; IMMIGRANTS; CANCER; BIRTHPLACE; MORBIDITY; AMERICANS; VALIDITY;

D O I：

10.1007/s10903-019-00874-w

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Italian migrants are one of the largest groups of older migrants in Australia. Past research has found lower mortality rates in Italian migrants but it is unclear if this persists into older age. Data came from 334 Italian-born and 849 Australian-born men aged 70 years and over participating in a longitudinal study of men's ageing. Male Italian migrants were more likely to smoke, be overweight, and have lower socio-economic status (SES). They also had higher morbidity from diabetes, chronic pain, dementia and depressive symptoms but lower morbidity from heart disease and cancer. There was no age-adjusted mortality difference. However, adjusting for SES, lifestyle and morbidity differences revealed a 25% lower mortality rate (adjusted HR = 0.75; 95% CI 0.57, 0.98) in Italian-born men. Compared to their Australian-born counterparts, older Italian-born men have a lower mortality than expected considering their lower SES, higher smoking and higher morbidity.

引用

页码：102 / 109

页数：8

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