000056214 001__ 56214
000056214 005__ 20191105115757.0
000056214 0247_ $$2doi$$a10.1016/j.gaceta.2014.07.007
000056214 0248_ $$2sideral$$a89275
000056214 037__ $$aART-2015-89275
000056214 041__ $$aeng
000056214 100__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu, L.$$uUniversidad de Zaragoza
000056214 245__ $$aThe healthy migrant effect in primary care
000056214 260__ $$c2015
000056214 5060_ $$aAccess copy available to the general public$$fUnrestricted
000056214 5203_ $$aObjective: To compare the morbidity burden of immigrants and natives residing in Aragón, Spain, based on patient registries in primary care, which represents individuals’ first contact with the health system. Methods: A retrospective observational study was carried out, based on linking electronic primary care medical records to patients’ health insurance cards. The study population consisted of the entire popula- tion assigned to general practices in Aragón, Spain (1,251,540 individuals, of whom 12% were immigrants). We studied the morbidity profiles of both the immigrant and native populations using the Adjusted Clin- ical Group System. Logistic regressions were conducted to compare the morbidity burden of immigrants and natives after adjustment for age and gender. 
Results: Our study confirmed the “healthy immigrant effect”, particularly for immigrant men. Relative to the native population, the prevalence rates of the most frequent diseases were lower among immigrants. The percentage of the population showing a moderate to very high morbidity burden was higher among natives (52%) than among Latin Americans (33%), Africans (29%), western Europeans (27%), eastern Euro- peans and North Americans (26%) and/or Asians (20%). Differences were smaller for immigrants who had lived in the country for 5 years or longer. 
Conclusion: Length of stay in the host country had a decisive influence on the morbidity burden repre- sented by immigrants, although the health status of both men and women worsened with longer stay in the host country.
000056214 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI11-01126
000056214 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000056214 590__ $$a1.509$$b2015
000056214 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b77 / 153 = 0.503$$c2015$$dQ3$$eT2
000056214 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b104 / 173 = 0.601$$c2015$$dQ3$$eT2
000056214 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000056214 700__ $$0(orcid)0000-0001-9064-9222$$aCalderón-Larrañaga, A.
000056214 700__ $$aDiaz, E.
000056214 700__ $$aPoblador-Plou, B.
000056214 700__ $$aMacipe-Costa, R.
000056214 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.$$uUniversidad de Zaragoza
000056214 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000056214 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Med.Pr.,Sal.Públ.$$cÁrea Medic.Prevent.Salud Públ.
000056214 773__ $$g29, 1 (2015), 15-20$$pGac. sanit.$$tGaceta Sanitaria$$x0213-9111
000056214 8564_ $$s354043$$uhttp://zaguan.unizar.es/record/56214/files/texto_completo.pdf$$yVersión publicada
000056214 8564_ $$s90561$$uhttp://zaguan.unizar.es/record/56214/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000056214 909CO $$ooai:zaguan.unizar.es:56214$$particulos$$pdriver
000056214 951__ $$a2019-11-05-11:49:27
000056214 980__ $$aARTICLE