OBJECTIVES: To explore if risk of cardiovascular disease (CVD) for participants who moved before their first CVD event is higher than for stayers, and examine whether the relationship is moderated by ethnicity. METHODS: The sample comprised 2,068,360 New Zealand residents enrolled in any Primary Health Organisation, aged between 30 and 84 years, had complete demographic information, and no prior history of CVD. Cox proportional regression was used to compare CVD risk between movers and stayers. The analysis was conducted for the whole sample and stratified by ethnicity. RESULTS: The combined analysis suggested that movers have a lower risk of CVD than stayers. This is consistent for all ethnic groups with some variation according to experience of deprivation change following residential mobility. CONCLUSIONS: Although mobile groups may have a higher risk of CVD than immobile groups overall, risk of CVD in the period following a residential mobility event is lower than for stayers. Results are indicative of a short-term healthy migrant effect comparable to that observed for international migrants.
OBJECTIVES: To explore if risk of cardiovascular disease (CVD) for participants who moved before their first CVD event is higher than for stayers, and examine whether the relationship is moderated by ethnicity. METHODS: The sample comprised 2,068,360 New Zealand residents enrolled in any Primary Health Organisation, aged between 30 and 84 years, had complete demographic information, and no prior history of CVD. Cox proportional regression was used to compare CVD risk between movers and stayers. The analysis was conducted for the whole sample and stratified by ethnicity. RESULTS: The combined analysis suggested that movers have a lower risk of CVD than stayers. This is consistent for all ethnic groups with some variation according to experience of deprivation change following residential mobility. CONCLUSIONS: Although mobile groups may have a higher risk of CVD than immobile groups overall, risk of CVD in the period following a residential mobility event is lower than for stayers. Results are indicative of a short-term healthy migrant effect comparable to that observed for international migrants.
Entities:
Keywords:
Cardiovascular disease; Deprivation; New Zealand; Residential mobility; Survival analysis
Authors: Corina Grey; Sue Wells; Tania Riddell; Romana Pylypchuk; Roger Marshall; Paul Drury; Raina Elley; Shanthi Ameratunga; Dudley Gentles; Stephanie Erick-Peletiy; Fionna Bell; Andrew Kerr; Rod Jackson Journal: N Z Med J Date: 2010-11-05
Authors: Suneela Mehta; Sue Wells; Corina Grey; Tania Riddell; Andrew Kerr; Roger Marshall; Shanthi Ameratunga; Jeff Harrison; Tim Kenealy; Dale Bramley; Wing Cheuk Chan; Simon Thornley; Gerhard Sundborn; Rod Jackson Journal: Eur J Prev Cardiol Date: 2012-10-02 Impact factor: 7.804