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Journal of Immigrant and Minority Health

, Volume 12, Issue 1, pp 24–32 | Cite as

A Health Behaviour Cross-Sectional Study of Immigrants and Non-immigrants in a Swiss Urban General-Practice Setting

  • Patrick BodenmannEmail author
  • Jacques Cornuz
  • Paul Vaucher
  • William Ghali
  • Jean-Bernard Daeppen
  • Bernard Favrat
Original Paper

Abstract

Background Little is known about smoking, unhealthy use of alcohol, and risk behaviours for sexually transmitted diseases (STDs) in immigrants from developed and developing countries. Method We performed a cross-sectional study of 400 patients who consulted an academic emergency care centre at a Swiss university hospital. The odds ratios for having one or more risk behaviours were adjusted for age, gender, and education level. Results Immigrants from developing countries were less likely to use alcohol in an unhealthy manner (OR = 0.35, 95% CI 0.22–0.57) or practise risk behaviours for STDs (OR = 0.31, 95% CI 0.13–0.74). They were also less likely to have any of the three studied risk behaviours (OR = 2.5, 95% CI 1.5–4.3). Discussion In addition to the usual determinants, health behaviours are also associated with origin; distinguishing between immigrants from developing and developed countries is useful in clinical settings. Surprisingly, patients from developing countries tend to possess several protective characteristics.

Keywords

Immigration Health behaviours Smoking Unhealthy alcohol use Sexually transmitted diseases 

Notes

Acknowledgments

We thank Paul Krechtmer, Ph.D., Managing Director of the San Francisco Edit, for reviewing the structure and style of the final draft, Fabrice Althaus, MD, for supervising physicians and managing data during the trial, Marie Pin for enrolling patients and for entering the data, and Christiane Ruffieux, statistician MD, for her participation in statistical planning and analysis. The study received financial support from the Swiss Federal Health Office. They however did not take part in the design, the data collection, analysis, interpretation of the data, the writing of the report or the decision to submit the paper for publication.

References

  1. 1.
    Uitewaal PJ, et al. Prevalence of type 2 diabetes mellitus, other cardiovascular risk factors, and cardiovascular disease in Turkish and Moroccan immigrants in North West Europe: a systematic review. Prev Med. 2004;39:1068–76.CrossRefPubMedGoogle Scholar
  2. 2.
    Sambamoorthi U, McAlpine DD. Racial, ethnic, socio-economic, and access disparities in the use of preventive services among women. Prev Med. 2003;37:475–84.CrossRefPubMedGoogle Scholar
  3. 3.
    Furler J, Young D. Prevention and socioeconomic disadvantage. Aust Fam Physician. 2005;34:821–4.PubMedGoogle Scholar
  4. 4.
    Gadd M, et al. Do immigrants have an increased prevalence of unhealthy behaviours and risk factors for coronary heart disease? Eur J Cardiovasc Prev Rehabil. 2005;12:535–41.CrossRefPubMedGoogle Scholar
  5. 5.
    Jacobs DH, et al. Behavioral risk factor and preventive health care practice survey of immigrants in the emergency department. Acad Emerg Med. 2002;9:599–608.CrossRefPubMedGoogle Scholar
  6. 6.
    Wolff H, et al. Health care and illegality: a survey of undocumented pregnant immigrants in Geneva. Soc Sci Med. 2005;60:2149–54.CrossRefPubMedGoogle Scholar
  7. 7.
    Bodenmann P, et al. Etre malade et “sans-papiers” à Lausanne: Quo Vadis? Médecine et Hygiène. 2003;61:2023–8.Google Scholar
  8. 8.
    Eytan A, et al. Determinants of postconflict symptoms in Albanian Kosovars. J Nerv Ment Dis. 2004;192:664–71.CrossRefPubMedGoogle Scholar
  9. 9.
    Reijneveld S. Reported health, lifestyles, and use of health care of first generation immigrants in the Netherlands: do socioecononmic factors explain their adverse position? J Epidemiol Community Health. 1998;52:298–304.CrossRefPubMedGoogle Scholar
  10. 10.
    Nierkens V, de Vries H, Stronks K. Smoking in immigrants: do socioeconomic gradients follow the pattern expected from the tobacco epidemic? Tob Control. 2006;15:385–91.CrossRefPubMedGoogle Scholar
  11. 11.
    Brindis C, et al. The associations between status and risk-behavior patterns in Latino-adolescents. J Adolesc Health. 1995;17:99–105.CrossRefPubMedGoogle Scholar
  12. 12.
    Bodenmann P, et al. Perception of the damaging effects of smoking, and brief cessation counselling by doctors. Swiss Med Wkly. 2005;135:256–62.PubMedGoogle Scholar
  13. 13.
    Wright J. Assessing health needs. In: Pencheon D, et al. editors. Oxford handbook of public health practice. Oxford: Oxford University Press; 2003. p. 38–46.Google Scholar
  14. 14.
    Métraux JC, et al. Les migrants en Suisse. Quand la médecine a besoin d’interprètes. Médecine et Hygiène. Genève: Cahiers Médico-Sociaux; 2003. p. 11–4.Google Scholar
  15. 15.
    Bhopal R. Glossary of terms relating to ethnicity and race: for reflection and debate. J Epidemiol Community Health. 2004;58:441–5.CrossRefPubMedGoogle Scholar
  16. 16.
    Santos-Eggimann B. Increasing use of the emergency department in a Swiss hospital: observational study based on measures of the severity of cases. BMJ. 2002;324:1186–7.CrossRefPubMedGoogle Scholar
  17. 17.
    Watkins K. United Nations Development Program Report. Published for the UNDP; p. 363. http://hdr.undp.org/reports/global/2005. Accessed Feb. 2006.
  18. 18.
    Bjartveit K, Tverdal A. Health consequences of smoking 1–4 cigarettes per day. Tob Control. 2005;14:315–20.CrossRefPubMedGoogle Scholar
  19. 19.
    Saitz R. Unhealthy alcohol use. N Engl J Med. 2005;352:596–607.CrossRefPubMedGoogle Scholar
  20. 20.
    Bush K, et al. The AUDIT alcohol consumption questions (AUDIT-C). Arch Intern Med. 1998;158:1789–95.CrossRefPubMedGoogle Scholar
  21. 21.
    Gmel G. The effect of mode of data collection and of non-response on reported alcohol consumption: a split-sample study in Switzerland. Addiction 2000;95:123–134.CrossRefPubMedGoogle Scholar
  22. 22.
    INSEE. Classifications of occupations and socio-occupational categories, PCS 2003. www.insee.fr/en/nom_def_met/nomenclatures/pcs.htm. Accessed Sept. 2006.
  23. 23.
    Borell NL. The role of social class on health behaviors and psychosocial factors: the United States experience. Soz.-Präventivmed. 2005;50:193–94.CrossRefGoogle Scholar
  24. 24.
    Ghouri N, Atcha M, Sheik A. Influence of Islam on smoking among Muslims. BMJ. 2006;332:291–94.CrossRefPubMedGoogle Scholar
  25. 25.
    Tobacco control country profile 2003, http://www.globalink.org/tccp/. Accessed Feb. 2007.
  26. 26.
    Ramstrom L. Prevalence and other dimensions of smoking in the world. In: Bollinger CT, Fagerstrom KO, editors. The tobacco epidemic. progress in respiratory research. Basel: Karger; 1997. p. 64–67.CrossRefGoogle Scholar
  27. 27.
    Wilson CM, Tobin S, Young RC. The exploding worldwide cancer burden: the impact of cancer on women. Int J Gynecol Cancer. 2004;14:1–11.CrossRefPubMedGoogle Scholar
  28. 28.
    Dawson AD. Beyond Black, white and Hispanic: race, ethnic origin and drinking patterns in the United States. J Subst Abuse. 1998;10:321–39.CrossRefPubMedGoogle Scholar
  29. 29.
    Amundsen EJ, Rossow I, Skurtveit S. Drinking patterns among adolescents with immigrant and Norwegian backgrounds: a two-way influence? Addiction 2005;100:1453–63.CrossRefPubMedGoogle Scholar
  30. 30.
    Dupont HJ, et al. Killing time: drug and alcohol problems among asylum seekers in The Netherlands. Drug Policy. 2004;16:27–36.CrossRefGoogle Scholar
  31. 31.
    UNAIDS. 2004 Report on the global AIDS epidemic: 4th global report. Geneva. June 2004. UNAIDS/04.16E.Google Scholar
  32. 32.
    Gras MJ, et al. Determinants of high-risk sexual behavior among immigrant groups in Amsterdam: implications for interventions. J Acquir Immune Defic Syndr. 2001;28:166–72.CrossRefPubMedGoogle Scholar
  33. 33.
    Shuit AJ, et al. Clustering of lifestyle risk factors in a general adult population. Prev Med. 2002;35:219–24.CrossRefGoogle Scholar
  34. 34.
    Williams DR, Collins C. US socioeconomic and racial differences in health: patterns and explanations. Ann Rev Sociol. 1995;21:349–86.CrossRefGoogle Scholar
  35. 35.
    De Vogli R, et al. The lack of social gradient of health behaviors and psychosocial factors in Northern Italy. Soz Präventivmed. 2005;50:197–205.CrossRefPubMedGoogle Scholar
  36. 36.
    Keller R, Krebs H, Hornung R. La consommation de tabac dans la population suisse de 2001 à 2005. Résumé du rapport 2006. Universität Zurich, 2006.Google Scholar
  37. 37.
    Fiellin DA, Reid MC, O’Connor PG. Screening for alcohol problems in primary care: a systematic review. Arch Intern Med. 2000;160:1977–89.CrossRefPubMedGoogle Scholar
  38. 38.
    D’Onofrio G, et al. Patients with alcohol problems in the emergency department, part 1: improving detection. SAEM Substance Abuse Task Force. Society for Academic Emergency Medicine. Acad Emerg Med. 1998;5:1200–9.PubMedCrossRefGoogle Scholar
  39. 39.
    Bayoumi AM, Hwang SW. Methodological, practical, and ethical challenges to inner-city health research. J Urban Health Bull NY Acad Med. 2002;79:S35–42.CrossRefGoogle Scholar
  40. 40.
    Bischoff A, et al. Language barriers between nurses and asylum seekers: their impact on symptom reporting and referral. Soc Sci Med. 2003;57:503–12.CrossRefPubMedGoogle Scholar
  41. 41.
    Zochetti C, Consonni D, Bertazzi PA. Relationship between prevalence rate ratios and odds ratios in cross-sectional studies. Int J Epidemiol. 1997;26:220–3.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Patrick Bodenmann
    • 1
    Email author
  • Jacques Cornuz
    • 1
  • Paul Vaucher
    • 1
  • William Ghali
    • 2
  • Jean-Bernard Daeppen
    • 3
  • Bernard Favrat
    • 1
  1. 1.Department of Ambulatory Care and Community MedicineUniversity Outpatient ClinicLausanneSwitzerland
  2. 2.Department of Medicine and Public HealthUniversity of CalgaryCalgaryCanada
  3. 3.Alcohol Treatment CentreUniversity of LausanneLausanneSwitzerland

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