168173 20260128122451.0 doi 10.1093/fampra/cmx048 sideral 105531 ART-2017-105531 eng Gimeno-Feliu, L.A. Universidad de Zaragoza (orcid)0000-0003-2928-6623 Multimorbidity and immigrant status: associations with area of origin and length of residence in host country 2017 Aim. 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. info:eu-repo/semantics/closedAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 1.675 2017 MEDICINE, GENERAL & INTERNAL 71 / 154 = 0.461 2017 Q2 T2 PRIMARY HEALTH CARE 11 / 19 = 0.579 2017 Q3 T2 1.018 2017 Family Practice 2017 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Calderon-Larranaga, A. Diaz, E. Laguna-Berna, C. Poblador-Plou, B. Coscollar, C. Universidad de Zaragoza (orcid)0000-0002-4817-9527 Prados-Torres, A. Universidad de Zaragoza (orcid)0000-0002-5704-6056 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 1008 615 Universidad de Zaragoza Dpto. Microb.Med.Pr.,Sal.Públ. Área Medic.Prevent.Salud Públ. 34, 6 (2017), 662-666 Fam. pract. FAMILY PRACTICE 0263-2136 276339 http://zaguan.unizar.es/record/168173/files/texto_completo.pdf Versión publicada 2220927 http://zaguan.unizar.es/record/168173/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:168173 articulos driver 2026-01-28-11:22:40 ARTICLE