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首页> 外文期刊>BMC Public Health >Multimorbidity and mortality thereof, among non-western refugees and family reunification immigrants in Denmark – a register based cohort study
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Multimorbidity and mortality thereof, among non-western refugees and family reunification immigrants in Denmark – a register based cohort study

机译：丹麦的非西方难民和家庭统一移民的多重和死亡 - 基于寄存器的队列研究

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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. 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. 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. Refugees are an at-risk group for multimorbidity, however, mortality among those with multimorbidity is lower in all migrant groups compared to Danish-born.
机译：通过具有两种或更多种慢性疾病定义的多重无水率的患病率在许多西方国家增加。同时，西方国家的移民人口增加，弥补了欧洲人口的不断增加。本研究旨在确定非西方国家的难民和家庭统一移民在丹麦出生的难民和家族统一移民之间多元化模式的数量和质量，并在两组中比较了多重无水量的死亡负担。通过丹麦移民服务，我们在历史上进行了一项历史上的召开研究。我们确定了总共101,894名成年移民，他们分类为难民和家庭统一移民，并将其与年龄和性别的丹麦出生的比较组相匹配。通过丹麦国家患者登记处，我们获得了关于住院和外部患者的所有内容和门诊数据的信息。为了评估多元药率，我们使用基于ICD-10代码的Charlson合并症指数与ICD-10诊断类别进行精神疾病。我们使用COX回归分析来计算多重无水性的风险和多重多药物的死亡风险。与丹麦出生相比，整体难民具有较高的多重无水风险，而家庭统一移民的风险较低。在调整民事状况和平均收入时，与丹麦出生相比，所有移徙组的风险都较低。与丹麦语出生的人相比，所有移民群体的多重群体人民死亡率较低。难民是一种用于多元的风险群，但与丹麦出生的丹麦语相比，所有移民组的多重药物中的死亡率降低。

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