@article{fdi:010040878,
  title = {{I}nfluence of socio-economic and lifestyle factors on overweight and nutrition-related diseases among {T}unisian migrants versus non-migrant {T}unisians and {F}rench - art. no. 65},
  author = {{M}{\'e}jean, {C}aroline and {T}raissac, {P}ierre and {E}ymard-{D}uvernay, {S}abrina and {E}l {A}ti, {J}. and {D}elpeuch, {F}rancis and {M}aire, {B}ernard},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {M}igrant studies in {F}rance revealed that {M}editerranean migrant men have lower mortality and morbidity than local-born populations for non-communicable diseases ({NCD}s). {W}e studied overweight and {NCD}s among {T}unisian migrants compared to the population of the host country and to the population of their country of origin. {W}e also studied the potential influence of socio-economic and lifestyle factors on differential health status. {M}ethods: {A} retrospective cohort study was conducted to compare {T}unisian migrant men with two non-migrant male groups: local-born {F}rench and {T}unisians living in {T}unisia, using frequency matching. {W}e performed quota sampling (n = 147) based on age and place of residence. {W}e used embedded logistic regression models to test socio-economic and lifestyle factors as potential mediators for the effect of migration on overweight, hypertension and reported morbidity (hypercholesterolemia, type-2 diabetes, cardiovascular diseases ({CVD})). {R}esults: {M}igrants were less overweight than {F}rench ({OR} = 0.53 [0.33-0.84]) and had less diabetes and {CVD} than {T}unisians (0.18 [0.06-0.54] and 0.25 [0.07-0.88]). {P}revalence of hypertension (grade-1 and -2) and prevalence of hypercholesterolemia were significantly lower among migrants than among {F}rench (respectively 0.06 [0.03-0.14]; 0.04 [0.01-0.15]; 0.11 [0.04-0.34]) and {T}unisians (respectively {OR} = 0.07 [0.03-0.18]; {OR} = 0.06 [0.02-0.20]; {OR} = 0.23 [0.08-0.63]). {T}he effect of migration on overweight was mediated by alcohol consumption. {H}ealthcare utilisation, smoking and physical activity were mediators for the effect of migration on diabetes. {T}he effect of migration on {CVD} was mediated by healthcare utilisation and energy intake. {N}o obvious mediating effect was found for hypertension and hypercholesterolemia. {C}onclusion: {O}ur study clearly shows that lifestyle (smoking) and cultural background (alcohol) are involved in the observed protective effect of migration.},
  keywords = {},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {7},
  numero = {},
  pages = {{NIL}_1--{NIL}_11},
  ISSN = {1471-2458},
  year = {2007},
  DOI = {10.1186/1471-2458-7-265},
  URL = {https://www.documentation.ird.fr/hor/fdi:010040878},
}