000168173 001__ 168173
000168173 005__ 20260128122451.0
000168173 0247_ $$2doi$$a10.1093/fampra/cmx048
000168173 0248_ $$2sideral$$a105531
000168173 037__ $$aART-2017-105531
000168173 041__ $$aeng
000168173 100__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu, L.A.$$uUniversidad de Zaragoza
000168173 245__ $$aMultimorbidity and immigrant status: associations with area of origin and length of residence in host country
000168173 260__ $$c2017
000168173 5203_ $$aAim. Multimorbidity is a growing phenomenon in primary care, and knowledge of the influence of social determinants on its evolution is vital. The aim of this study was to understand the relationship between multimorbidity and immigration, taking into account length of residence in the host country and area of origin of the immigrant population. Methods. Cross-sectional retrospective study of all adult patients registered within the public health service of Aragon, Spain (N = 1 092 279; 144 238 were foreign-born), based on data from the EpiChron Cohort. Age-standardized prevalence rates of multimorbidity were calculated. Different models of binary logistic regressions were conducted to study the association between multimorbidity, immigrant status and length of residence in the host country. Results. The risk of multimorbidity in foreign-borns was lower than that of native-borns [odds ratio (OR): 0.54, 95% confidence interval (CI): 0.53-0.55]. The probability of experiencing multimorbidity was lowest for Asians (OR: 0.34, 95% CI: 0.31-0.37) and Eastern Europeans (OR: 0.42, 95% CI: 0.40-0.43), and highest for Latin Americans (OR: 0.70, 95% CI: 0.68-0.72). Foreign-born immigrants residing in Aragon for >= 5 years had a higher multimorbidity risk than those residing for < 5 years (OR: 2.3, 95% CI: 2.2-2.4). Conclusion. Prevalence of multimorbidity is lower among foreign-borns as compared with native-borns, but increases rapidly with length of residence in the host country. However, the progressive development of multimorbidity among immigrants varies widely depending on area of origin. These findings provide important insight into the health care needs of specific population groups and may help minimize the negative impact of multimorbidity among the most vulnerable groups.
000168173 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000168173 590__ $$a1.675$$b2017
000168173 591__ $$aMEDICINE, GENERAL & INTERNAL$$b71 / 154 = 0.461$$c2017$$dQ2$$eT2
000168173 591__ $$aPRIMARY HEALTH CARE$$b11 / 19 = 0.579$$c2017$$dQ3$$eT2
000168173 592__ $$a1.018$$b2017
000168173 593__ $$aFamily Practice$$c2017$$dQ1
000168173 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000168173 700__ $$aCalderon-Larranaga, A.
000168173 700__ $$aDiaz, E.
000168173 700__ $$aLaguna-Berna, C.
000168173 700__ $$aPoblador-Plou, B.
000168173 700__ $$0(orcid)0000-0002-4817-9527$$aCoscollar, C.$$uUniversidad de Zaragoza
000168173 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.$$uUniversidad de Zaragoza
000168173 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000168173 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Med.Pr.,Sal.Públ.$$cÁrea Medic.Prevent.Salud Públ.
000168173 773__ $$g34, 6 (2017), 662-666$$pFam. pract.$$tFAMILY PRACTICE$$x0263-2136
000168173 8564_ $$s276339$$uhttps://zaguan.unizar.es/record/168173/files/texto_completo.pdf$$yVersión publicada
000168173 8564_ $$s2220927$$uhttps://zaguan.unizar.es/record/168173/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000168173 909CO $$ooai:zaguan.unizar.es:168173$$particulos$$pdriver
000168173 951__ $$a2026-01-28-11:22:40
000168173 980__ $$aARTICLE