56214 20210121114534.0 doi 10.1016/j.gaceta.2014.07.007 sideral 89275 ART-2015-89275 eng (orcid)0000-0003-2928-6623 Gimeno-Feliu, L. Universidad de Zaragoza The healthy migrant effect in primary care 2015 Access copy available to the general public Unrestricted Objective: 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. info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI11-01126 info:eu-repo/semantics/openAccess by-nc-nd http://creativecommons.org/licenses/by-nc-nd/3.0/es/ 1.509 2015 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 77 / 153 = 0.503 2015 Q3 T2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 104 / 173 = 0.601 2015 Q3 T2 0.469 2015 Public Health, Environmental and Occupational Health 2015 Q3 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion (orcid)0000-0001-9064-9222 Calderón-Larrañaga, A. Diaz, E. Poblador-Plou, B. Macipe-Costa, R. (orcid)0000-0002-5704-6056 Prados-Torres, A. Universidad de Zaragoza 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. 29, 1 (2015), 15-20 Gac. sanit. GACETA SANITARIA 0213-9111 354043 http://zaguan.unizar.es/record/56214/files/texto_completo.pdf Versión publicada 90561 http://zaguan.unizar.es/record/56214/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:56214 articulos driver 2021-01-21-11:12:30 ARTICLE