Country of birth differences in lifestyle-related chronic disease among middle-aged and older adults of Lebanese ethnicity

Aust N Z J Public Health. 2019 Oct;43(5):429-435. doi: 10.1111/1753-6405.12919. Epub 2019 Jul 24.

Abstract

Objective: To examine country of birth differences in the odds of reporting chronic diseases among those of Lebanese ethnicity in comparison to those of Australian ethnicity.

Methods: Participants were 41,940 Australians aged 45 years and older, sampled from the 45 and Up Study baseline dataset. Participants included those of Lebanese ethnicity born in Lebanon (n=401), Australia (n=331) and other countries (n=73); and those of Australian ethnicity (n=41,135). Logistic regression models were conducted to examine differences in the odds of reporting chronic disease between those of Lebanese ethnicity and those of Australian ethnicity.

Results: Those of Lebanese ethnicity had higher odds of reporting diabetes (OR 1.62; 95%CI 1.32-2.00) and lower odds of reporting hypertension (OR 0.82; 95%CI 0.70-0.96) when compared with those of Australian ethnicity. After country of birth stratification, only those born in Lebanon had higher odds of reporting diabetes (OR 2.21; 95%CI 1.71-2.85) and also had lower odds of reporting cancer (OR 0.66; 95%CI 0.46-0.97), when compared with those of Australian ethnicity.

Conclusions: Country of birth differences in health exist among those of Lebanese ethnicity. Implications for public health: Country of birth is an important factor that could assist in explaining differences in health among ethnic groups of the same origin.

Keywords: Lebanese; chronic disease; culturally and linguistically diverse; migrants.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Australia / epidemiology
  • Chronic Disease / epidemiology
  • Chronic Disease / ethnology*
  • Cross-Cultural Comparison
  • Cross-Sectional Studies
  • Emigrants and Immigrants / psychology*
  • Emigrants and Immigrants / statistics & numerical data
  • Ethnicity / statistics & numerical data
  • Feeding Behavior / ethnology*
  • Female
  • Health Behavior / ethnology*
  • Humans
  • Lebanon / ethnology
  • Life Style / ethnology*
  • Male
  • Middle Aged
  • Obesity / epidemiology
  • Obesity / ethnology*
  • Population Surveillance
  • Quality of Life / psychology
  • Racial Groups
  • Residence Characteristics
  • Risk Factors
  • Sedentary Behavior / ethnology*
  • Self Report
  • Socioeconomic Factors
  • Surveys and Questionnaires