Multimorbidity and mortality thereof, among non-western refugees and family reunification immigrants in Denmark - a register based cohort study.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Family Characteristics*; Emigrants and Immigrants/*statistics & numerical data ; Mortality/*trends ; Multimorbidity/*trends ; Refugees/*statistics & numerical data; Adult ; Cohort Studies ; Denmark/epidemiology ; Female ; Humans ; Male ; Registries
    • Abstract:
      Background: The prevalence of multimorbidity, defined by having two or more chronic diseases, is increasing in many Western countries. Simultaneously, the migrant population in Western countries has increased, making up a growing proportion of European populations. This study aims i) to determine the quantity and quality of multimorbidity patterns among refugees and family reunification immigrants from non-Western countries compared to Danish-born, and ii) to compare the mortality burden among those with multimorbidity in the two groups.
      Methods: Through the Danish Immigration Service, we conducted a historically prospective cohort study. We identified a total of 101,894 adult migrants who were sub-categorised into refugees and family reunification immigrants, and matched them to a Danish-born comparison group 1:6 on age and sex. Through the Danish National Patient Registry, we obtained information on all in- and outpatient data on hospitalised and ambulatory patients. To assess multimorbidity we used Charlson Comorbidity Index based on ICD-10 codes, together with ICD-10 diagnostic categories for psychiatric disease. We used Cox regression analysis to calculate risk of multimorbidity and risk of mortality in people with multimorbidity.
      Results: Overall refugees had higher risk of multimorbidity compared to Danish-born, while family reunification immigrants had a lower risk. When adjusting for civil status and mean income, the risk was lower for all migrant groups compared to Danish-born. Risk of mortality in people with multimorbidity, was lower for all migrant groups, compared to Danish-born.
      Conclusion: Refugees are an at-risk group for multimorbidity, however, mortality among those with multimorbidity is lower in all migrant groups compared to Danish-born.
    • References:
      BMC Public Health. 2012 Aug 30;12:715. (PMID: 22935268)
      J Immigr Minor Health. 2008 Apr;10(2):103-18. (PMID: 17546500)
      J Clin Epidemiol. 2008 Nov;61(11):1104-12. (PMID: 18538993)
      Eur J Cancer. 2010 Sep;46(14):2647-59. (PMID: 20843493)
      J Gen Intern Med. 2007 Nov;22 Suppl 2:360-1. (PMID: 17957426)
      J Clin Epidemiol. 2004 Dec;57(12):1288-94. (PMID: 15617955)
      Scand J Public Health. 2011 Jul;39(7 Suppl):22-5. (PMID: 21775345)
      Diabetes Res Clin Pract. 2016 Dec;122:9-16. (PMID: 27750090)
      Lancet. 2012 Jul 7;380(9836):37-43. (PMID: 22579043)
      Fam Pract. 2015 Oct;32(5):505-13. (PMID: 26040310)
      J Chronic Dis. 1987;40(5):373-83. (PMID: 3558716)
      Eur J Epidemiol. 2016 Jul;31(7):667-77. (PMID: 25968173)
      Eur J Intern Med. 2015 Apr;26(3):157-9. (PMID: 25797840)
      PLoS One. 2015 Dec 18;10(12):e0145233. (PMID: 26684188)
      Scand J Public Health. 2011 Jul;39(7 Suppl):26-9. (PMID: 21775346)
      Lancet. 2016 Oct 8;388(10053):1459-1544. (PMID: 27733281)
      Trop Med Int Health. 2015 Dec;20(12):1805-14. (PMID: 26426974)
      BMC Geriatr. 2014 Jun 17;14:75. (PMID: 24934411)
      J Gerontol A Biol Sci Med Sci. 2011 Mar;66(3):301-11. (PMID: 21112963)
      Ageing Res Rev. 2011 Sep;10(4):430-9. (PMID: 21402176)
      BMC Public Health. 2015 Feb 19;15:164. (PMID: 25885186)
      BMJ Open. 2017 May 9;7(5):e013548. (PMID: 28490550)
      Arch Gen Psychiatry. 2011 Oct;68(10):1058-64. (PMID: 21969462)
      BMJ. 2012 Oct 04;345:e6341. (PMID: 23036829)
      BMC Public Health. 2012 Sep 10;12:757. (PMID: 22963550)
      Prim Care Diabetes. 2007 Feb;1(1):13-6. (PMID: 18632014)
      Scand J Public Health. 2011 Jul;39(7 Suppl):30-3. (PMID: 21775347)
      Dan Med J. 2015 Apr;62(4):B5068. (PMID: 25872539)
      BMJ. 2012 Sep 03;345:e5205. (PMID: 22945950)
      BMC Public Health. 2017 May 10;17(1):422. (PMID: 28486983)
      Soc Sci Med. 2014 Oct;119:53-63. (PMID: 25150651)
      Fam Pract. 2017 Nov 16;34(6):662-666. (PMID: 29106530)
    • Contributed Indexing:
      Keywords: Multimorbidity; Non-western migrants; Secondary health care
    • Publication Date:
      Date Created: 20180708 Date Completed: 20190722 Latest Revision: 20190722
    • Publication Date:
      20231215
    • Accession Number:
      PMC6035406
    • Accession Number:
      10.1186/s12889-018-5785-y
    • Accession Number:
      29980204