| Titre : | 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. (2006) |
| Auteurs : | C.C. KELLEHER ; Y. BIMPEH ; L. DALY ; E. DALY ; N. FITZ-SIMON ; S. HARPER ; J.W. LYNCH ; ULMER (H.) : ATR. Department of Medical Statistics. Informatics and Health Economics. Innsbruck Medical University. Innsbruck. ; McGill University. Department of Epidemiology Biostatistics and Occupational Health. Montreal. CAN ; University College Dublin. Ucd School of Public Health and Population Science. Dublin. IRL |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 63, n° 2, 2006) |
| Pagination : | 465-484 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Homme ; Intégration sociale ; Ethnie ; Facteur socioéconomique ; Condition vie ; 20 siècle ; Epidémie ; Epidémiologie ; Etats Unis ; Amérique ; Migration ; Appareil circulatoire [pathologie] ; Tendance séculaire ; Amérique du Nord ; Migrant ; Maladie chronique |
| Résumé : | [BDSP. Notice produite par INIST-CNRS reR0xUV0. Diffusion soumise à autorisation]. 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 from 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, their first-generation native-born children. Our analysis of the electronic database indicates a strong relationship between the percentage of US population foreign born and native born of foreign parentage and age adjusted mortality from heart disease. 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-year period correspond closely to the rise and fall of the foreign population in previous years. For the foreign born only, 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 socio-economic 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. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact