Multimorbidity and chronic diseases among undocumented migrants: evidence to contradict the myths

There is little verified information on the global health status of undocumented migrants (UMs). Our aim is to compare the prevalence of the main chronic diseases and of multimorbidity in undocumented migrants, documented migrants, and Spanish nationals in a Spanish autonomous community. Retrospecti...

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Bibliographic Details
Published in:International journal for equity in health 2020-07, Vol.19 (1), p.113-113, Article 113
Main Authors: Gimeno-Feliu, LA, Pastor-Sanz, M, Poblador-Plou, B, Calderon-Larranaga, A, Diaz, E, Prados-Torres, A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Aged
Aged, 80 and over
Analysis
Chronic disease
Chronic Disease - epidemiology
Chronic diseases
Chronic illnesses
Civil disobedience
Comorbidity
Cross-Sectional Studies
Delivery of Health Care
Disease
Diseases
Documentation
Electronic health records
Emigrants and Immigrants
Emigration and immigration
Female
Health care access
Health care policy
Health insurance
Health Status
Host country
Humans
Immigrants
Jurisprudence
Legal status
Logistic Models
Male
Medical tourism
Medically uninsured persons
Medicin och hälsovetenskap
Men
Middle Aged
Migrants
Migration
Morbidity
Multimorbidity
National Health Programs
Observational studies
Odds Ratio
Population
Prevalence
Primary care
Primary health care
Public health
Regression analysis
Retrospective Studies
Sensitivity analysis
Spain
Spain - epidemiology
Studies
Transients and Migrants
Undocumented immigrants
World health
Young Adult
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Description
Summary:There is little verified information on the global health status of undocumented migrants (UMs). Our aim is to compare the prevalence of the main chronic diseases and of multimorbidity in undocumented migrants, documented migrants, and Spanish nationals in a Spanish autonomous community. Retrospective observational study of all users of the public health system of the region of Aragon over 1 year (2011): 930,131 Spanish nationals; 123,432 documented migrants (DMs); and 17,152 UMs. Binary logistic regression was performed to examine the association between migrant status (Spanish nationals versus DMs and UMs) and both multimorbidity and individual chronic diseases, adjusting for age and sex. The prevalence of individual chronic diseases in UMs was lower than in DMs and much lower than in Spanish nationals. Comparison with the corresponding group of Spanish nationals revealed odds ratios (OR) of 0.1-0.3 and 0.3-0.5 for male and female UMs, respectively (p 
ISSN:1475-9276
1475-9276
DOI:10.1186/s12939-020-01225-0