The Americanisation of Migrants : Evidence for the Contribution of Ethnicity, Social Deprivation, Lifestyle and Life Course Processes to the Mid 20th Century Coronary Heart Disease Epidemic in the US  

Oleh:

C. C. Kelleher ; J. W. Lynch ; L. Daly ; Harper, S. ; Fitz-Simon, N. ; Bimpeh, Y. ; E. Daly ; Ulmer, H.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 63 no. 2 (Jul. 2006), page 465-484.
Topik: LIFE COURSE; migration; life course; social variation; cardiovascular disease; ethnicity; US

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.5 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

We investigated the contribution of the large scale immigration of white europeans into the US between 1850 and 1930 to the timing and extent of the epidemic pattern of heart disease between 1900 and 1980. The analyses are based on data collected through the united states federal census form 1850 to the present. The hardcopy historical record confirms that census reports themselves and related monographs were concerned from 1850 with excessive mortality from heart disease of immigrants, particularly of northern european origin and initially at least. We identified a lag of 50 years giving the maximum linear correlation coefficient for men (r2 = 0,92) and for women a shorter lag of 38 years and an earlier decline in coronary heart disease (CHD) rates (r2 = 0,96). Both the rise and fall of the CHD epidemic over an 80 age adjusted negative binomial general estimated equation (GEE) models calculate the relative risk of dying of heart disease per 10% increase in proportion foreign born. There is an independent influence for men until 1930 and for women throughout the period from 1910 onwards. We conclude there is an impact of immigration on the pattern of the epidemic, mediated through a combination of factors, such as accumulated life course susceptibility, deprived socioeconomic conditions upon arrival and the enthusiastic uptake of behaviours related to the classic risk factors of smoking, high saturated fat and salt diet. Our analysis provides a more contextualised understanding of the scale and timing of the epidemic of CHD in the US.

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