Multimorbidity among registered immigrants in Norway: the role of reason for migration and length of stay
Diaz, E. ; Kumar, B.N. ; Gimeno-Feliu, L.A. (Universidad de Zaragoza) ; Calderon-Larrañaga, A. ; Poblador-Pou, B. ; Prados-Torres, A. (Universidad de Zaragoza)
Resumen: Objectives
International migration is rapidly increasing worldwide. However, the health status of migrants differs across groups. Information regarding health at arrival and subsequent periodic follow-up in the host country is necessary to develop equitable health care to immigrants. The objective of this study was to determine the impact of the length of stay in Norway and other sociodemographic variables on the prevalence of multimorbidity across immigrant groups (refugees, labour immigrants, family reunification immigrants and education immigrants).
Methods
This is a register-based study merging data from the National Population Register and the Norwegian Health Economics Administration database. Sociodemographic variables and multimorbidity across the immigrant groups were compared using Persons’ chi-square test and anova as appropriate. Several binary logistic regression models were conducted.
Results
Multimorbidity was significantly lower among labour immigrants (OR (95% CI) 0.23 (0.21–0.26) and 0.45 (0.40–0.50) for men and women, respectively) and education immigrants (OR (95% CI) 0.40 (0.32–0.50) and 0.38 (0.33–0.43)) and higher among refugees (OR (95% CI) 1.67 (1.57–1.78) and 1.83 (1.75–1.92)), compared to family reunification immigrants. For all groups, multimorbidity doubled after a five-year stay in Norway. Effect modifications between multimorbidity and sociodemographic characteristics across the different reasons for migration were observed.
Conclusions
Multimorbidity was highest among refugees at arrival but increased rapidly among labour immigrants, especially females. Health providers need to ensure tailor-made preventive and management strategies that take into account pre-migration and post-migration experiences for immigrants in order to address their needs.
Idioma: Inglés
DOI: 10.1111/tmi.12615
Año: 2015
Publicado en: TROPICAL MEDICINE & INTERNATIONAL HEALTH 20, 12 (2015), 1805-1814
ISSN: 1360-2276
Factor impacto JCR: 2.519 (2015)
Categ. JCR: TROPICAL MEDICINE rank: 3 / 19 = 0.158 (2015) - Q1 - T1
Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 45 / 173 = 0.26 (2015) - Q2 - T1
Factor impacto SCIMAGO: 1.559 - Infectious Diseases (Q1) - Public Health, Environmental and Occupational Health (Q1) - Parasitology (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Med.Pr.,Sal.Públ.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material.
Exportado de SIDERAL (2021-01-21-11:19:49)
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International migration is rapidly increasing worldwide. However, the health status of migrants differs across groups. Information regarding health at arrival and subsequent periodic follow-up in the host country is necessary to develop equitable health care to immigrants. The objective of this study was to determine the impact of the length of stay in Norway and other sociodemographic variables on the prevalence of multimorbidity across immigrant groups (refugees, labour immigrants, family reunification immigrants and education immigrants).
Methods
This is a register-based study merging data from the National Population Register and the Norwegian Health Economics Administration database. Sociodemographic variables and multimorbidity across the immigrant groups were compared using Persons’ chi-square test and anova as appropriate. Several binary logistic regression models were conducted.
Results
Multimorbidity was significantly lower among labour immigrants (OR (95% CI) 0.23 (0.21–0.26) and 0.45 (0.40–0.50) for men and women, respectively) and education immigrants (OR (95% CI) 0.40 (0.32–0.50) and 0.38 (0.33–0.43)) and higher among refugees (OR (95% CI) 1.67 (1.57–1.78) and 1.83 (1.75–1.92)), compared to family reunification immigrants. For all groups, multimorbidity doubled after a five-year stay in Norway. Effect modifications between multimorbidity and sociodemographic characteristics across the different reasons for migration were observed.
Conclusions
Multimorbidity was highest among refugees at arrival but increased rapidly among labour immigrants, especially females. Health providers need to ensure tailor-made preventive and management strategies that take into account pre-migration and post-migration experiences for immigrants in order to address their needs.
Idioma: Inglés
DOI: 10.1111/tmi.12615
Año: 2015
Publicado en: TROPICAL MEDICINE & INTERNATIONAL HEALTH 20, 12 (2015), 1805-1814
ISSN: 1360-2276
Factor impacto JCR: 2.519 (2015)
Categ. JCR: TROPICAL MEDICINE rank: 3 / 19 = 0.158 (2015) - Q1 - T1
Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 45 / 173 = 0.26 (2015) - Q2 - T1
Factor impacto SCIMAGO: 1.559 - Infectious Diseases (Q1) - Public Health, Environmental and Occupational Health (Q1) - Parasitology (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Med.Pr.,Sal.Públ.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material. Exportado de SIDERAL (2021-01-21-11:19:49)
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Articles > Artículos por área > Medicina Preventiva y Salud Pública
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Record created 2019-11-05, last modified 2021-01-21