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首页> 外文期刊>Annals of epidemiology >The effect of age at migration on cardiovascular mortality among elderly Mexican immigrants.
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The effect of age at migration on cardiovascular mortality among elderly Mexican immigrants.

机译：移民年龄对墨西哥年长移民心血管死亡率的影响。

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摘要

PURPOSE: In this study, we evaluated the influence of age at migration on cardiovascular mortality among older Mexican Americans immigrants. METHODS: A population-based cohort of Mexican-origin (N = 907) participants ages 60+ was followed up to 8 years. The association between migration before age 20 compared with after age 20 and mortality was analyzed with the use of multivariate Cox proportional models. RESULTS: Compared with those who migrated later, those who migrated before the age of 20 years had higher income and education, were more likely to speak English, were culturally more Anglo, and more likely to be men. Immigration before 20 years of age was associated with greater rates of cardiovascular mortality (hazard ratio, 2.39; 95% confidence interval, 1.16 - 4.94) compared with those migrating at older ages, even after adjustment for age, sex, education, income, and baseline cardiovascular health. No age at migration differences were observed for noncardiovascular deaths. CONCLUSIONS: Mexican Americans who migrated in early life experienced greater cardiovascular disease death rates than later migrants. Early experiences related to migration may have consequences for late-life disease that are not mitigated by the higher socioeconomic status achieved by early migrants. Health or economic selection related to migration may play a role although accounting for health and socioeconomic status actually increased differences between early and later migrants.
机译：目的：在这项研究中，我们评估了迁徙年龄对墨西哥裔美国人移民中心血管死亡率的影响。方法：以人群为基础的墨西哥裔人群（N = 907）年龄在60岁以上的参与者被随访了8年。使用多变量Cox比例模型分析了20岁之前与20岁之后相比迁移与死亡率之间的关系。结果：与后来移民的人相比，那些在20岁之前移民的人收入和文化程度更高，他们会说英语的可能性更高，在文化上更盎格鲁，并且更可能是男性。与年龄较大的人相比，即使在调整了年龄，性别，教育程度，收入和收入之后，20岁之前的移民与心血管疾病的死亡率较高（危险比，2.39; 95％置信区间，1.16-4.94）。基线心血管健康。没有观察到非心血管死亡的迁移年龄差异。结论：早年移民的墨西哥裔美国人心血管疾病的死亡率高于后来的移民。与移民有关的早期经验可能会对晚年疾病产生影响，而早期移民所取得的较高的社会经济地位并不能减轻这种影响。尽管考虑到健康和社会经济状况实际上增加了早期和晚期移民之间的差异，但与移民相关的健康或经济选择可能会发挥作用。

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