BMC Public Health
Volume 17, Issue 1, 2017

Association between length of residence and overweight among adult immigrants in Portugal: A nationwide cross-sectional study (Article) (Open Access)

Da Costa L.P.* , Dias S.F. , Martins M.D.R.O.
  • a Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Rua da Junqueira 100, Lisbon, 1349-008, Portugal
  • b Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Rua da Junqueira 100, Lisbon, 1349-008, Portugal
  • c Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Rua da Junqueira 100, Lisbon, 1349-008, Portugal

Abstract

Background: Despite the importance of immigrant population in Portugal few studies have analyzed the patterns of overweight/obesity in this subpopulation. The aims of this study are: (i) describe and compare the prevalence of overweight between immigrants and natives in Portugal; (ii) analyze the association between length of residence and overweight among adult immigrants in Portugal. Methods: A cross-sectional study (2005-2006) in a representative sample of the Portuguese population from national territory, including the Autonomous Regions of Azores and Madeira. The final sample comprised 31,685 adult participants (≥19 years old), of whom 4.6% were immigrants. Country of birth was used to determine immigrant condition. Logistic regressions were conducted to investigate the association between overweight (dependent variable) and length of residence (exposure), adjusting for all covariates in the study. A 5% confidence level and 95% CI were considered. Results: The percentage of immigrants that are overweight [44.9% (95% CI: 42.3; 47.5)] was lower than for natives [52.8% (95% CI: 52.2; 53.4)]. The migrant condition, after adjusted for sociodemographic variables, was not associated with overweight [OR 1.004 (95% CI: 0.998; 1.010)]. Among immigrants, being women [OR 0.585 (95% CI: 0.583; 0.587)], not married [OR 0.784 (95% CI: 0.781; 0.787)] and with a higher education [OR 0.481 (95% CI: 0.478; 0.483)], are probably protective factors of being overweight. Adjusting for other factors, the odds of being overweight for a long-term immigrant (≥15 years) was 1.3 times higher [OR 1.274 (95% CI: 1.250; 1.299)] than for the newcomers (<4 years). Conclusions: The prevalence of overweight was higher for natives than immigrants. Length of residence (≥15 years) was positively associated with prevalence of overweight, among adult immigrant population. In the future, understanding dietary patterns and acculturation process may be important for health immigrant studies. © 2017 The Author(s).

Author Keywords

Length of residence overweight immigrants Portuguese population

Index Keywords

demography Portugal human middle aged Overweight statistics and numerical data obesity time factor Time Factors Aged Logistic Models Health Surveys Residence Characteristics Cross-Sectional Studies Young Adult cross-sectional study migrant Humans male Emigrants and Immigrants Acculturation female risk factor Risk Factors cultural factor prevalence adult statistical model health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018520741&doi=10.1186%2fs12889-017-4252-5&partnerID=40&md5=2de7786d89d213030f238f058187d461

DOI: 10.1186/s12889-017-4252-5
ISSN: 14712458
Cited by: 3
Original Language: English