000156667 001__ 156667
000156667 005__ 20251017144604.0
000156667 0247_ $$2doi$$a10.1186/s12939-020-01225-0
000156667 0248_ $$2sideral$$a119153
000156667 037__ $$aART-2020-119153
000156667 041__ $$aeng
000156667 100__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu, L.A.$$uUniversidad de Zaragoza
000156667 245__ $$aMultimorbidity and chronic diseases among undocumented migrants: evidence to contradict the myths
000156667 260__ $$c2020
000156667 5060_ $$aAccess copy available to the general public$$fUnrestricted
000156667 5203_ $$aBackground: There is little verified information on the global health status of undocumented migrants (UMs). Our aim is to compare the prevalence of the main chronic diseases and of multimorbidity in undocumented migrants, documented migrants, and Spanish nationals in a Spanish autonomous community. Methods: Retrospective observational study of all users of the public health system of the region of Aragon over 1 year (2011): 930, 131 Spanish nationals; 123, 432 documented migrants (DMs); and 17, 152 UMs. Binary logistic regression was performed to examine the association between migrant status (Spanish nationals versus DMs and UMs) and both multimorbidity and individual chronic diseases, adjusting for age and sex. Results: The prevalence of individual chronic diseases in UMs was lower than in DMs and much lower than in Spanish nationals. Comparison with the corresponding group of Spanish nationals revealed odds ratios (OR) of 0.1-0.3 and 0.3-0.5 for male and female UMs, respectively (p < 0.05 in all cases). The risk of multimorbidity was lower for UMs than DMs, both for men (OR, 0.12; 95%CI 0.11-0.13 versus OR, 0.53; 95%CI 0.51-0.54) and women (OR, 0.18; 95%CI 0.16-0.20 versus OR, 0.74; 95%CI 0.72-0.75). Conclusions: Analysis of data from a health system that offers universal coverage to all immigrants, irrespective of legal status, reveals that the prevalence of chronic disease and multimorbidity is lower in UMs as compared with both DMs and Spanish nationals. These findings refute previous claims that the morbidity burden in UM populations is higher than that of the native population of the host country.
000156667 536__ $$9info:eu-repo/grantAgreement/ES/DGA-FEDER/B01-17R$$9info:eu-repo/grantAgreement/ES/MINECO-ISCIII/FIS/PI11-01126
000156667 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000156667 590__ $$a3.192$$b2020
000156667 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b48 / 175 = 0.274$$c2020$$dQ2$$eT1
000156667 592__ $$a1.367$$b2020
000156667 593__ $$aPublic Health, Environmental and Occupational Health$$c2020$$dQ1
000156667 593__ $$aHealth Policy$$c2020$$dQ1
000156667 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000156667 700__ $$aPastor-Sanz, M.
000156667 700__ $$aPoblador-Plou, B.
000156667 700__ $$aCalderón-Larrañaga, A.
000156667 700__ $$aDíaz, E.
000156667 700__ $$aPrados-Torres, A.
000156667 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000156667 773__ $$g19, 1 (2020), 113 [9 pp.]$$pINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$tINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$x1475-9276
000156667 8564_ $$s1419174$$uhttps://zaguan.unizar.es/record/156667/files/texto_completo.pdf$$yVersión publicada
000156667 8564_ $$s2425686$$uhttps://zaguan.unizar.es/record/156667/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000156667 909CO $$ooai:zaguan.unizar.es:156667$$particulos$$pdriver
000156667 951__ $$a2025-10-17-14:14:53
000156667 980__ $$aARTICLE