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Differences in the risk of cardiovascular disease for movers and stayers in New Zealand: a survival analysis

Author

Listed:
  • Frances Darlington-Pollock

    (Queen Mary University of London)

  • Nichola Shackleton

    (University of Auckland)

  • Paul Norman

    (University of Leeds)

  • Arier C. Lee

    (University of Auckland)

  • Daniel Exeter

    (University of Auckland)

Abstract

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.

Suggested Citation

  • Frances Darlington-Pollock & Nichola Shackleton & Paul Norman & Arier C. Lee & Daniel Exeter, 2018. "Differences in the risk of cardiovascular disease for movers and stayers in New Zealand: a survival analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 173-179, March.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:2:d:10.1007_s00038-017-1011-4
    DOI: 10.1007/s00038-017-1011-4
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    References listed on IDEAS

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    1. Larson, Ann & Bell, Martin & Young, Anne Frances, 2004. "Clarifying the relationships between health and residential mobility," Social Science & Medicine, Elsevier, vol. 59(10), pages 2149-2160, November.
    2. Norman, Paul & Boyle, Paul & Rees, Philip, 2005. "Selective migration, health and deprivation: a longitudinal analysis," Social Science & Medicine, Elsevier, vol. 60(12), pages 2755-2771, June.
    3. Boyle, Paul & Norman, Paul & Rees, Philip, 2002. "Does migration exaggerate the relationship between deprivation and limiting long-term illness? A Scottish analysis," Social Science & Medicine, Elsevier, vol. 55(1), pages 21-31, July.
    4. Bentham, Graham, 1988. "Migration and morbidity: Implications for geographical studies of disease," Social Science & Medicine, Elsevier, vol. 26(1), pages 49-54, January.
    5. Exeter, Daniel J. & Sabel, Clive E. & Hanham, Grant & Lee, Arier C. & Wells, Susan, 2015. "Movers and stayers: The geography of residential mobility and CVD hospitalisations in Auckland, New Zealand," Social Science & Medicine, Elsevier, vol. 133(C), pages 331-339.
    6. Darlington-Pollock, Frances & Norman, Paul & Lee, Arier C. & Grey, Corina & Mehta, Suneela & Exeter, Daniel J., 2016. "To move or not to move? Exploring the relationship between residential mobility, risk of cardiovascular disease and ethnicity in New Zealand," Social Science & Medicine, Elsevier, vol. 165(C), pages 128-140.
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