@article{ref1,
title="Multimorbidity and mortality thereof, among non-western refugees and family reunification immigrants in Denmark - a register based cohort study",
journal="BMC public health",
year="2018",
author="Taleshan, Nasim and Petersen, Jorgen Holm and Schioetz, Michaela Louise and Juul-Larsen, Helle Gybel and Norredam, Marie",
volume="18",
number="1",
pages="e844-e844",
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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1471-2458",
doi="10.1186/s12889-018-5785-y",
url="http://dx.doi.org/10.1186/s12889-018-5785-y"
}