Ethnic disparities in chronic disease within the Netherlands; does one hypothesis explain all?

Aanvraag voor: Gezondheidsmonitor Volwassenen 2012
Type: Toegang tot databestand
Status: Goedgekeurd
Bestanden:
Gegevens aanvrager
Organisatie: RIVM
Adres organisatie:

PO Box 1

3721 MA Bilthoven

Aanvraaggegevens
Titel onderzoek: Ethnic disparities in chronic disease within the Netherlands; does one hypothesis explain all?
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Afdeling Maatschappelijke Gezondheidszorg, Erasmus MC, Rotterdam
Volksgezondheid Instituut Curacao, Willemstad, Curacao
Omschrijving van onderzoek:
Background
Migrant health is a well-studied topic in Western countries. Several major, non-exclusive hypotheses have been proposed to explain health disparities between migrants and native populations, including that of affluent environment, stressful environment, the healthy migrant effect and the convergence hypothesis.
Despite the advances in knowledge on migrant health, evidence supporting policy development is highly fragmentary and sometimes inconsistent [1, 2], which has important implications for improving the health of migrant populations in Western countries. Moreover, the main question that remains to be elucidated is whether the observed differences in migrant morbidity and mortality risks are related to lifestyle, biological, environmental or medical care related differences between the migrant groups and the native populations.

The main purpose of this research is therefore to give a comprehensive description of the health disparities in risk factors and health status for chronic disease between the native Dutch population, the Dutch Caribbean living in the Netherlands and the Dutch Caribbean living in CuraƧao. In addition, we will assess whether these disparities can be explained by one overall hypothesis, or whether a complementary approach is required to explain the results.

Research questions
- Are there differences in the self-reported prevalence for chronic disease between Dutch Caribbean migrants living in the Netherlands compared to the native Dutch and Dutch Caribbean populations?
- If so, to what extent are these differences related to differences in the self-reported prevalence of health determinants for chronic disease between Dutch Caribbean migrants living in the Netherlands compared to the native Dutch and Dutch Caribbean populations?
- How do our findings support or refute the current main hypotheses that explain health disparities between migrant groups and native populations in Western countries?

Target population
Gezondheidsmonitor 2012
1. Dutch Caribbean population living in the Netherlands
2. Dutch population living in the Netherlands
National Health Survey Curacao 2013
3. Dutch Caribbean population living in Curacao

Analysis plan
By examining the questionnaires of the Gezondheidsmonitor 2012 and the National Health Survey Curacao 2013 we selected comparable questions for risk factors and health status. All statistical analysis (descriptive statistics and hypothesis tests) will be performed in SPSS version 21.0.
Welke onderwerp(en) heeft u voor uw onderzoek nodig?
Ervaren gezondheid, Chronische aandoeningen, Beperkingen, Angst & depressie, Lengte & gewicht, Bewegen, Alcoholgebruik, Roken
Welke achtergrondkenmerken heeft u voor uw onderzoek nodig?
Geslacht, Leeftijd, Huishoudsamenstelling, Opleiding, Werksituatie, Inkomen, Etniciteit/herkomst, Geografische indicator; postcode
Wenst u de gegevens te koppelen aan andere (registratie) bestanden?
Op welk geografisch niveau worden de gegevens gepubliceerd?

Waar worden de gegevens gepubliceerd of gerapporteerd?
In een internationaal wetenschappelijk tijdschrift
Wat is de verwachte datum van publicatie of rapportage van gegevens (maand-jaar)?
Januari 2017
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