000086171 001__ 86171
000086171 005__ 20210121114547.0
000086171 0247_ $$2doi$$a10.1371/journal.pone.0145233
000086171 0248_ $$2sideral$$a114446
000086171 037__ $$aART-2015-114446
000086171 041__ $$aeng
000086171 100__ $$aDiaz, E.
000086171 245__ $$aMultimorbidity and its patterns according to immigrant origin. A nationwide register-based study in Norway
000086171 260__ $$c2015
000086171 5060_ $$aAccess copy available to the general public$$fUnrestricted
000086171 5203_ $$aIntroduction
As the flows of immigrant populations increase worldwide, their heterogeneity becomes apparent with respect to the differences in the prevalence of chronic physical and mental disease. Multimorbidity provides a new framework in understanding chronic diseases holistically as the consequence of environmental, social, and personal risks that contribute to increased vulnerability to a wide variety of illnesses. There is a lack of studies on multimorbidity among immigrants compared to native-born populations.

Methodology
This nationwide multi-register study in Norway enabled us i) to study the associations between multimorbidity and immigrant origin, accounting for other known risk factors for multimorbidity such as gender, age and socioeconomic levels using logistic regression analyses, and ii) to identify patterns of multimorbidity in Norway for immigrants and Norwegian-born by means of exploratory factor analysis technique.

Results
Multimorbidity rates were lower for immigrants compared to Norwegian-born individuals, with unadjusted odds ratios (OR) and 95% confidence intervals 0.38 (0.37–0.39) for Eastern Europe, 0.58 (0.57–0.59) for Asia, Africa and Latin America, and 0.67 (0.66–0.68) for Western Europe and North America. Results remained significant after adjusting for socioeconomic factors. Similar multimorbidity disease patterns were observed among Norwegian-born and immigrants, in particular between Norwegian-born and those from Western European and North American countries. However, the complexity of patterns that emerged for the other immigrant groups was greater. Despite differences observed in the development of patterns with age, such as ischemic heart disease among immigrant women, we were unable to detect the systematic development of the multimorbidity patterns among immigrants at younger ages.

Conclusions
Our study confirms that migrants have lower multimorbidity levels compared to Norwegian-born. The greater complexity of multimorbidity patterns for some immigrant groups requires further investigation. Health care policies and practice will require a holistic approach for specific population groups in order to meet their health needs and to curb and prevent diseases.
000086171 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000086171 590__ $$a3.057$$b2015
000086171 591__ $$aMULTIDISCIPLINARY SCIENCES$$b11 / 62 = 0.177$$c2015$$dQ1$$eT1
000086171 592__ $$a1.427$$b2015
000086171 593__ $$aAgricultural and Biological Sciences (miscellaneous)$$c2015$$dQ1
000086171 593__ $$aMedicine (miscellaneous)$$c2015$$dQ1
000086171 593__ $$aBiochemistry, Genetics and Molecular Biology (miscellaneous)$$c2015$$dQ1
000086171 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000086171 700__ $$aPoblador-Pou, B.
000086171 700__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu, L.A.$$uUniversidad de Zaragoza
000086171 700__ $$0(orcid)0000-0001-9064-9222$$aCalderon-Larrañaga, A.
000086171 700__ $$aKumar, B.N.
000086171 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.$$uUniversidad de Zaragoza
000086171 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000086171 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Med.Pr.,Sal.Públ.$$cÁrea Medic.Prevent.Salud Públ.
000086171 773__ $$g10, 12 (2015), e0145233 [18 pp.]$$pPLoS One$$tPloS one$$x1932-6203
000086171 8564_ $$s2819148$$uhttps://zaguan.unizar.es/record/86171/files/texto_completo.pdf$$yVersión publicada
000086171 8564_ $$s102447$$uhttps://zaguan.unizar.es/record/86171/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000086171 909CO $$ooai:zaguan.unizar.es:86171$$particulos$$pdriver
000086171 951__ $$a2021-01-21-11:20:04
000086171 980__ $$aARTICLE